Prem Sagar A
Senior Executive/ Account Receivable Caller
Thiruvallur
Summary
Senior Executive offering 7+years of experience in various accounts receivable functions. Excellent knowledge of Revenue Cycle Management Process and a multi-tasker with positive outlook and strong communication skills. Providing KT training and Quality analysis for team. Seeking a challenging position that will utilize my skills and give me a chance of advancement.
Overview
7
7
years of professional experience
Work History
Senior Executive
Flatworld Solutions
Bengaluru
02.2022 - Current
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Monitored and maintained accurate physician credentialing information to prevent possible disruptions in claims processing due to outdated or incomplete records.
- Implemented effective appeals strategies for denied claims, resulting in increased revenue recovery rates.
- Coordinated efforts within interdisciplinary teams to streamline processes such as prior authorizations/ pre-authorizations approvals for procedures, enhancing overall patient experience.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Optimized payment posting processes for faster reimbursement, tracking payments from various sources including insurance companies, Medicare, Medicaid, and private payers.
- Developed training materials, SOPs and work instructions to supplement new team member onboarding.
- Analyzed quality and performance data to support operational decision-making.
Sr. Client Partner
Access Healthcare Solutions
Chennai
08.2020 - 02.2022
- Verifying the status of the eligibility, prior authorization and medical claims for professional and hospital visits
- Make calls for follow-ups and adjustments
- Initiate the authorization request over call, portal and websites for outpatient services.
Sr. Accounts Receivable Associate
Austin Medical Solutions
Bangalore
06.2017 - 07.2020
- Verify the patient eligibility & benefits as well as verification of imaging benefits for radiology visits & to make real-time verification of benefits through emails
- Make collection calls follow-up on past due payments, cash, cheques, and credit card payment to customer accounts
- Communicate with provider representatives in monitor customer account details
- Response in minimal time in case of front desk patient visit
- Good in Federal, Commercial, dispute payment & Worker's compensation carriers.
Education
M.Sc. Biotechnology - undefined
Loyola College
B.Sc. Advance Zoology and Biotechnology - undefined
Loyola College
Skills
Expertise in software's like CPS (Centricity), Avid, Athena, Cerner, Glidian, Allscripts
Good with CMS-1500 and UB-04Advance in MS Office, OutlookStrong communication skills & Team PlayerMedicaid and Medicare Knowledge
Multitasking and Organization
New Employee Training
Personal Information
- Date of Birth: 08/17/94
- Gender: Male
- Nationality: Indian
References
- Mr. Balakumaran Natar, Assistant Director, Access Healthcare Solutions, Chennai, 9884828005
- Mr. Lalithranjan, Team Lead, Flatworld Solutions, Bengaluru, 8904022021
Timeline
Senior Executive
Flatworld Solutions
02.2022 - Current
Sr. Client Partner
Access Healthcare Solutions
08.2020 - 02.2022
Sr. Accounts Receivable Associate
Austin Medical Solutions
06.2017 - 07.2020
M.Sc. Biotechnology - undefined
Loyola College
B.Sc. Advance Zoology and Biotechnology - undefined
Loyola College