Summary
Overview
Work History
Education
Skills
DECLARATION
Timeline
Generic

Prasanth R

Chennai

Summary

Dedicated and experienced professional with 5+ years of experience in healthcare medical billing, specializing in Eligibility Verification (VOB) and Authorization processes. Proven expertise in assisting team members, conducting quality checks, preparing reports, and providing real-time floor support. Adept at streamlining workflows, ensuring HIPAA compliance, and delivering exceptional service to internal and external stakeholders. Recognized for leadership in healthcare projects and driving operational excellence.

Overview

5
5
years of professional experience

Work History

Senior Executive

Legacy Med private Ltd
Chennai
01.2025 - Current
  • Facilitated training sessions for new hires and ongoing process updates for the team.
  • Analyzed and generated detailed reports to track performance and operational efficiency.
  • Generated detailed performance reports, highlighting trends and suggesting process improvements to enhance team efficiency.

Senior Executive

AGS Health
Chennai
03.2024 - 01.2025
  • Acting Subject Matter Expert (Eligibility Verification & Authorization Processes)
  • Assisted team members with process-related queries and provided real-time support on the floor.
  • Conducted quality checks on accounts daily to ensure compliance with established protocols.
  • Supported users by troubleshooting issues related to insurance eligibility and authorization processes.

Senior Client Partner

Access Healthcare Pvt Ltd, Chennai
Chennai
01.2022 - 03.2024
  • Delivered high-quality customer service, ensuring seamless communication with clinic patients.
  • Maintained accurate documentation of Eligibility Verification and Authorization processes, adhering to HIPAA standards.
  • Verified insurance coverage for patients, ensuring accuracy in billing and collections processes.
  • Perform pre-call analysis before calling the payor, or using IVR or web portal services for authorization.

AR Executive

SCIO Management
Chennai
11.2020 - 12.2021
  • Handled patient inquiries with professionalism and provided clear information regarding services.
  • Ensured compliance with HIPAA while managing notes and patient records.
  • Verified insurance eligibility and communicated financial responsibilities effectively to stakeholders.
  • Initiated outbound calls to patients and physician offices for resolving account discrepancies.

Education

Bachelor of Arts -

Nellai Nadar Matriculation Higher Secondary School
Chennai
04-2019

Skills

  • Known Software: Citrix, Epic, Ecw, Athena
  • Communication: Strong verbal and written skills in English and Tamil
  • Team Support: Real-time floor support and process training for team members
  • Technical Skills: Proficient in Microsoft Office Suite (Excel, Word), data analysis, and report generation Quality Assurance: Daily quality checks on accounts and adherence to HIPAA compliance standards

DECLARATION

  • I hereby declare that all the information provided in this resume is true to the best of my knowledge and belief.

Timeline

Senior Executive

Legacy Med private Ltd
01.2025 - Current

Senior Executive

AGS Health
03.2024 - 01.2025

Senior Client Partner

Access Healthcare Pvt Ltd, Chennai
01.2022 - 03.2024

AR Executive

SCIO Management
11.2020 - 12.2021

Bachelor of Arts -

Nellai Nadar Matriculation Higher Secondary School

Similar Profiles

CREATE PROFILE
Prasanth R