Pavithra Gopi
Ar caller
Chennai,TN
Summary
Experienced AR Caller that possesses an insatiable drive to achieve and exceed goals. Skilled in problem solving and maintaining accuracy, with a solid background in data entry and claims analysis. Excellent work ethic and strength in boosting company morale. Quality- focused. Committed to approaching tasks with tenacity and attention to detail.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Senior Client Partner
Access Healthcare services
Chennai
08.2024 - Current
- Updated and maintained account records in the financial software system.
- Managed accounts receivable processes to ensure timely collections.
- Conducted regular follow-ups on outstanding invoices for prompt resolution.
- Collaborated with finance team to streamline billing procedures and reporting.
- Assisted in preparing monthly aging reports for management review.
- Analyzed data collected during call attempts and identified areas where processes can be improved.
- Assisted other AR Callers with inquiries or requests related to their assigned accounts.
- Built strong relationships with customers through effective communication, problem solving, and follow up actions.
- Maintained accurate records of customer interactions and payments within the system.
- Performed calls to customers regarding outstanding debts on their accounts and negotiated payment arrangements.
- Developed strategies for effectively collecting past due balances from customers with multiple accounts in arrears.
- Prepared detailed reports of customer account information for management review.
Sr. Domain Expert
4D GLOBAL Medical Billing Company
Chennai
02.2024 - 08.2024
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services in Hospital billing for 'PIPELINE HEALTH,' Illinois, U.S.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
- Creating appeals or reconsideration or dispute for the claim to receive the payment for the underpayment claims to be resolved.
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. And meet the productivity targets of clients within the stipulated time.
Senior Executive Ar
Omega healthcare services
Chennai
11.2023 - 02.2024
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services in Hospital billing for 'ATI Physical & Occupational Therapy,' Tampa, U.S.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments. Works exclusive for Workers compensation for physical & occupational therapy.
- Creating appeals or reconsideration or dispute for the claim to receive the payment for the underpayment claims to be resolved.
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. And meet the productivity targets of clients within the stipulated time.
Process Associate - Level 2
AGS healthcare solution
Chennai
06.2023 - 10.2023
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services in Hospital billing for 'OSCHNER HOSPITAL', FLORIDA, U.S.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
- Creating appeals or reconsideration or dispute for the claim to receive the payment for the underpayment claims to be resolved.
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. And meet the productivity targets of clients within the stipulated time.
Client partner - AR CALLER
Access Healthcare Services
Chennai
07.2022 - 06.2023
- Experienced in Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor in Athena process.
- Proactively following-up on outstanding physician claims in accordance with the medical system current standards (between 30 to 35 accounts daily).
- Calling Insurance Company on behalf of Doctors/Physician for claim status.Follow-up with Insurance Company to check status of outstanding claims.
- Follow-up with the outstanding payments, denials and resolve the claims. Experienced in reviewing EOB and follow up the status of the claim.
- Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to the Supervisor.
- Maintaining strict patient confidentiality according to HIPAA regulations.
- Achieved 95% resolution rate by consistently contacting insurance companies within 24 hours using advanced CRM tools, expediting the claim approval process for medical billing, resulting in a 20% decrease in accounts receivable days over a 11-months period.
Senior Audit Executive
Suresh Surana & Associates LLP(RSM India)
Chennai
11.2020 - 03.2022
- Examine accounts, financial records and other documentation. Observe stock takes and/or other business procedures. Use analytics to assess financial reporting, fraud or operational business risks. Prepare or contribute to a final audit report, including making recommendations for improvements to systems or processes.
- Systematic and timely examination of financial transactions on a regular basis. Maintained and managed client relationships during Pre and Post Disbursal of Corporate Business Loans.
- Ensure accuracy, authenticity, compliance with procedures and guidelines To ensure compliance of laid down systems and procedures scrupulously. Ascertain whether sanction for advances and expenditures is taken from competent authority.
Reconciliation analyst
Standard chartered Bank
Chennai
01.2019 - 08.2019
- Ensuring that financial transactions meet certain standards. Managed front-end and back-end development in the company's Portfolio Analyst, Employee Track, and Account Management systems. Generated financial statements including cash flow charts and balance sheets.
- Streamlined reconciliation processes for complex financial transactions across multiple accounts, achieving a 30% improvement in monthly closing times by implementing automated reconciliation tools and meticulous data analysis techniques.
- Prepare monthly reports detailing the status of all reconciled accounts Investigate and resolve any discrepancies in a timely manner.
Customer Service Representative
HDFC ERGO GENERAL INSURANCE COMPANY
Chennai
09.2017 - 12.2018
- Enhanced customer satisfaction ratings by 35% through the development and implementation of a comprehensive feedback system that collected and analyzed over 1,500 customer interactions per month, leading to targeted improvements in service delivery.
- Managed to resolve an average of 50+ customer inquiries per day, maintaining a 98% satisfaction rate and adeptly navigating CMS (Customer Management Systems) to log interactions and track issue resolution progress.
Education
bachelor of commerce - corporate secretaryship, Corporate Accounting, Direct & indirect taxes, company law
Sri kanyaka parameswari Arts &Science college for women
Chennai01.2017
Skills
- Athena
- EPIC
- Cerner
- E- clinical works (ECW)
- Tebra( kareo )
- Touchstone
- Communication
- Multitasking
- Interpersonal
- Critical Thinking
- Creativity
- Public Speaking
- Details - Oriented
- Rapport building
Certification
- Entrepreneurship Development - Herbal, Development, Ministry of Women & Child welfare, Government of Tamilnadu, 2017, Learned herbal cosmetics making and marketing products.
- Balvikas - Diploma in core Human values, Sri sathya sai seva organization, 2013, Certified in 9 years of diploma in human values at with 2 different level certification.
Projects
Internship at Pay & Roll Department, Madras fertilizers limited, Manali, Chennai, 02/01/17, 04/01/17, Worked as an intern at pay & roll department., Maintain employees attendance and regularize it to get the final payment during pay cycle., Collecting Medical & Travel bills of employees and process towards their reimbursement.
Timeline
Senior Client Partner
Access Healthcare services
08.2024 - Current
Sr. Domain Expert
4D GLOBAL Medical Billing Company
02.2024 - 08.2024
Senior Executive Ar
Omega healthcare services
11.2023 - 02.2024
Process Associate - Level 2
AGS healthcare solution
06.2023 - 10.2023
Client partner - AR CALLER
Access Healthcare Services
07.2022 - 06.2023
Senior Audit Executive
Suresh Surana & Associates LLP(RSM India)
11.2020 - 03.2022
Reconciliation analyst
Standard chartered Bank
01.2019 - 08.2019
Customer Service Representative
HDFC ERGO GENERAL INSURANCE COMPANY
09.2017 - 12.2018
bachelor of commerce - corporate secretaryship, Corporate Accounting, Direct & indirect taxes, company law
Sri kanyaka parameswari Arts &Science college for women
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