Nirmala M
Bangalore
Summary
Results-oriented revenue cycle management subject matter expert with over 7 years of experience. Proven expertise in optimizing revenue cycle processes, claims processing, denials management, and billing compliance. Led initiatives to improve cash flow and reduce A/R days by 15% through process improvements and technology implementation. Experienced in leading and mentoring RCM teams, collaborating with cross-functional stakeholders, and ensuring compliance with healthcare regulations.
Overview
9
9
years of professional experience
Work History
Process Specialist - RCM
Huron Eurasia India Private Limited
11.2023 - 06.2025
- Serving as a Subject Matter Expert (SME) and as acting team leader in the pilot Epic project (Rush) at Huron.
- Prepared and shared training materials, including Rush KT and hospital billing training documents, with users and management.
- Conducted process and software training for over 70 associates.
- Prepared a 'Return to Client' review analysis and shared insights for reduction strategies.
- Prepared agendas and minutes for client calls and shared them with management.
- Addressed queries from over 100 associates and provided assistance to help them achieve their set targets.
- Reviewed errors, presented rebuttals to the quality team, and provided feedback to the users for improvement.
- Created update trackers and SRGs (Standard Reference Guides) for user reference, categorized by specific scenarios.
- Reviewed client documents and provided insights to determine whether they could be handled by our team.
- Updated the Attendance Tracker, Operations Issues Log, FTE Distribution, New Placement, and Active WQ Analysis emails, while maintaining overall consolidation.
- Allocated accounts to users based on aging and high-dollar value to optimize collection efforts.
Senior Specialist - Client Services (Quality Analyst)
Brightdrive Healthcare solutions (Medusind)
12.2022 - 11.2023
- Conducted an audit of accounts for a pilot project.
- Provided feedback on errors and developed an action plan to minimize them.
- Prepared weekly and monthly quality reports to share with users and clients.
- Conducted monthly PKT (Performance Knowledge Test) and provided feedback to users with lower scores.
Senior Specialist - Insurance Follow-Up
AdvantEdge Healthcare Solutions (AHS)
04.2021 - 09.2022
- Handled outbound calls to patients and insurance companies regarding denials and outstanding balances.
- Provide timely resolution of payment issues while maintaining strong client relationships.
Accounts Receivable Associate
Getix Health
10.2019 - 03.2021
- Handled outbound calls to insurance companies regarding outstanding balances and denial.
- Managed surgical claims for a client.
- Maintaining compliance with departmental guidelines.
- Ensure the performance meets KPIs and continuously improve productivity and service quality.
Trace Agent
FedEx Office
12.2018 - 09.2019
- Handling customer queries.
- Acted as front desk agent.
- Tracked and investigated shipping issues, ensuring timely resolutions for customers.
- Provided exceptional customer service and support while maintaining company standards.
Accounts Receivable Associate
Omega Healthcare
09.2016 - 09.2018
- Handled outbound calls to insurance companies regarding outstanding balances and denial.
- Managed the entire EOB (Explanation of Benefits) project, known as FAX-1.
- Maintaining compliance with departmental guidelines.
- Ensure the performance meets KPIs and continuously improve productivity and service quality.
Education
B. Com - Finance
Indo Asian Academy
01.2016
Skills
- Accounts Receivable Management
- Denial Management
- Tally ERP9
- Data Analysis & Reporting
- Problem-Solving
- Client Relationship Management
- Process Optimization
- Team Collaboration
Languages
English
Kannada
Tamil
Telugu
Hindi
Personal Information
- Father's Name: Madhavan (Late)
- Mother's Name: JayaChitra M
- Date of Birth: 07/26/96
- Gender: Female
- Nationality: Indian
- Marital Status: Single
- Religion: Hindu
Software
Epic
MDIV
VM
AdvancedMD
Disclaimer
I hereby declare that the information provided above is true to the best of my knowledge and belief. I understand that any false information or misrepresentation of facts will lead to the rejection of my application or termination of employment, if hired.
Timeline
Process Specialist - RCM
Huron Eurasia India Private Limited
11.2023 - 06.2025
Senior Specialist - Client Services (Quality Analyst)
Brightdrive Healthcare solutions (Medusind)
12.2022 - 11.2023
Senior Specialist - Insurance Follow-Up
AdvantEdge Healthcare Solutions (AHS)
04.2021 - 09.2022
Accounts Receivable Associate
Getix Health
10.2019 - 03.2021
Trace Agent
FedEx Office
12.2018 - 09.2019
Accounts Receivable Associate
Omega Healthcare
09.2016 - 09.2018
B. Com - Finance
Indo Asian Academy
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