Pius Clinton C
Chennai
Summary
Experienced Claims Analyst skilled in managing accounts, securing payments, and resolving payer issues within healthcare revenue cycle management. Proficient in utilizing workflow systems, analyzing payment trends, and effectively communicating findings.
Overview
6
6
years of professional experience
Work History
Claims Analyst
Medmetrix
10.2025 - Current
- Maintain daily productivity and quality standards as outlined by departmental policies.
- Utilize workflow systems, client host systems, and other tools to manage accounts and secure payments.
- Adhere strictly to client-specific policies and procedures.
- Review and understand underpayments, overpayments, and credit balances.
- Assist with special A/R projects, applying analytical skills to communicate findings effectively.
- Analyze and resolve issues causing payer payment delays or denials; proactively identify and reduce trends in claim rejections.
- Stay up to date with timely filing deadlines and payer-specific billing guidelines.
AR Caller
NTT DATA
09.2022 - 07.2024
- Responding to customer requests by phone and/or in writing to ensure timely resolution of unpaid medical insurance claims. Posting of patient demographic details
- Ensuring accurate and timely completion of transactions to meet or exceed client SLA`s
- Organizing and completing tasks according to assigned priorities
- Resolving complex situations following pre-established guidelines.
Assistant Client Partner
Access Healthcare
11.2021 - 06.2022
- Accurately process medical claims transaction
- Posting of patient demographic details
- Processing payment posting transactions in the revenue cycle software
Executive RCM
OMEGA Healthcare
01.2020 - 12.2020
- Process the claim and ensure collections are met
- Follow up on pending claims to prepare and maintain status report.
- Analyze the reject or denied claims and understand the reason and reprocess the same for the payment.
Education
Bachelor of Technology (B.Tech) - Automobile
SRM University
Kattankulathur, Chennai01.2018
Diploma - Automobile
Shanmuga Polytechnic College
Thanjavur01.2014
10th Certificate - undefined
Sri Sampourna Vidyalaya School
Villiyanur, Pondicherry01.2010
Skills
- MS Office – Excel, Power Point
- Photoshop
- Effective Communication
- Teamwork
INTERNSHIP
Participated in the service center program at YAMAHA, Thanjavur for a period of 15 days (May 2015)
Timeline
Claims Analyst
Medmetrix
10.2025 - Current
AR Caller
NTT DATA
09.2022 - 07.2024
Assistant Client Partner
Access Healthcare
11.2021 - 06.2022
Executive RCM
OMEGA Healthcare
01.2020 - 12.2020
Bachelor of Technology (B.Tech) - Automobile
SRM University
Diploma - Automobile
Shanmuga Polytechnic College
10th Certificate - undefined
Sri Sampourna Vidyalaya School