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PREM KUMAR CHINTHAREVULA
Senior process associate
Hyderabad,TG
Summary
Detail-oriented Insurance and Healthcare Claims Specialist with over 3.5 years of experience in U.S. insurance workflows, claims processing, and revenue cycle management. Skilled in reviewing claim documentation, resolving denials, ensuring regulatory compliance, and improving operational accuracy. Experienced in working with insurance systems, analyzing documentation, and collaborating with teams to enhance workflow efficiency. Currently expanding expertise into cybersecurity and technology-driven operations, with strong analytical and process-improvement capabilities suited for AI-supported claims environments.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Senior Process Associate - U.S. Healthcare Claims & Revenue Cycle
ECLAT Health Solutions Inc
Hyderabad
02.2025 - Current
- Process high-value insurance claims and analyze billing documentation for accuracy and compliance.
- Review claim records, identify discrepancies, and implement corrective actions to improve claim outcomes.
- Monitor payer trends and workflow inefficiencies to improve revenue recovery and claim turnaround time.
- Support client reporting and ensure documentation meets regulatory and billing standards.
- Collaborate with internal teams and stakeholders to improve claim accuracy and processing workflows.
Senior Billing Executive - Insurance Claims & AR Management
Purview Healthcare
Hyderabad
11.2023 - 01.2025
- Managed end-to-end insurance claims processing including submission, review, corrections, and follow-ups.
- Conducted detailed document checks to ensure claims met policy and payer requirements.
- Communicated with insurers to resolve disputes, clarify coverage, and accelerate payments.
- Generated audit insights and implemented process improvements that reduced claim rejections.
Accounts Receivable Specialist - Insurance Follow-ups & Claims Resolution
Nimble International / Avontix
Hyderabad
09.2022 - 10.2023
- Reviewed claim documentation and coordinated with insurance representatives to resolve unpaid claims.
- Updated records, corrected claim data, and ensured completeness of submission information.
- Assisted with workflow tracking, documentation accuracy, and claim prioritization strategies.
- Mentored team members on effective claim handling and communication approaches.
Education
Bachelor of Business Administration - undefined
Omega Degree & PG College
Intermediate - MPC
Sri Chaitanya Junior College
Secondary School Certificate - undefined
St. Marks High School
Skills
- Insurance & Claims Processing
- Policy & Documentation Review
- Denial Resolution
- Workflow Management
- Compliance & Regulatory Awareness
- Customer Communication
- Data Accuracy & Audit Checks
- Digital Collaboration Tools
- Remote Work Readiness
- Process Improvement
- Analytical Thinking
- Microsoft Excel & Reporting
- Healthcare Billing Systems (Epic, NextGen, Waystar, Office Ally)
Certification
- Google Cybersecurity Professional Certificate (Multiple courses completed)
- Sound the Alarm: Detection & Response (Google/Coursera)
- Linux, SQL, Network Security Foundations
- Lean & Process Improvement Certifications
- Prompt & AI Engineering Safety Certification
Interests
Disclaimer
I hereby declare that the above-mentioned information is true to the best of my knowledge and belief.
Timeline
Senior Process Associate - U.S. Healthcare Claims & Revenue Cycle
ECLAT Health Solutions Inc
02.2025 - Current
Senior Billing Executive - Insurance Claims & AR Management
Purview Healthcare
11.2023 - 01.2025
Accounts Receivable Specialist - Insurance Follow-ups & Claims Resolution
Nimble International / Avontix
09.2022 - 10.2023
Bachelor of Business Administration - undefined
Omega Degree & PG College
Intermediate - MPC
Sri Chaitanya Junior College
Secondary School Certificate - undefined
St. Marks High School