PRIYANKA SUBRAMANI
Chennai
Summary
To secure a challenging position in the Revenue Cycle Management field where I can leverage my extensive experience in Denial Management, AR Follow-up, and Prior Authorization to drive operational efficiency, optimize revenue, and contribute to organizational growth while continually expanding my skillset.
Overview
10
10
years of professional experience
6
6
years of post-secondary education
1
1
Language
Work History
Senior AR Analyst
iSource IT Enabled Services Pvt Ltd
05.2021 - 04.2025
- Perform Rejection Analysis and take necessary actions to resolve denied claims effectively.
- Write effective appeals and complete the filing process for claim denials.
- Perform Denial Review on Commercial and Federal Payer Inventory and provide guidance for effective AR follow-up.
- Provide process training to new joiners and lateral movement users, ensuring a seamless knowledge transfer.
- Improved claim resolution rates by 20% within the first quarter through enhanced denial follow-up strategies.
- Designed and implemented a new AR workflow that reduced the turnaround time on high-priority claims by 25%.
Senior AR Executive
Qway Technologies Pvt Ltd
09.2018 - 09.2020
- To effectively address claims denied due to registration issues.
- Responsible for maintaining commercial payor > 90 days inventory for focused clients and reducing AR backlog.
- Led a project that reduced AR >90 days by 30% within six months, significantly improving cash flow.
- Developed tracking systems to monitor claim progress and resolve issues proactively, preventing unnecessary delays.
- Handled escalations and complex claims, working closely with internal stakeholders for a faster resolution.
- Trained team members in updated workflows and best practices for handling claims, increasing team productivity.
Process Associate
AGS Health Pvt Ltd
08.2016 - 09.2018
- Responsible for working and resolving denied claims efficiently, ensuring minimal delays.
- Performed effective pre-call analysis and followed up with insurance payors to expedite claim processing.
- Wrote effective appeals, filed, and followed up until the claims were successfully processed.
- Contributed to a 10% reduction in denials by identifying common errors and implementing corrective actions.
- Collaborated with senior management to redesign workflows, improving the efficiency of claims processing by 18%.
- Recognized for consistently exceeding monthly targets in AR recovery and claim resolution.
- Served as the primary point of contact for client escalations, resolving issues quickly and ensuring client satisfaction.
Account Receivable Executive
Lenia Technologies
03.2015 - 08.2016
- Obtained claim status and resolved denials by following up with US insurance payors.
- Assisted in the creation of training materials for new hires and junior team members.
- Communicated with patients to collect missing information required for claims processing.
- Reviewed and updated client accounts to ensure accurate billing information was on file.
- Utilized payer portals to track and resolve pending claims, improving cash flow by resolving backlogs.
- Received praise from management for handling high-volume AR workloads with exceptional accuracy and attention to detail.
Education
B.E - ELECTRONICS AND COMMUNICATION
SVH College Of Engineering
01.2009 - 01.2013
HSC - Class XII
Shri Ganga Higher Secondary School
01.2007 - 01.2009
Skills
- Revenue Optimization
- Process Improvement
- Denial Management
- AR Follow-up
- Patient Calling
- Prior Authorization
- Charge Entry
- Rejection Processing
- Appeal Writing
- Filing
- Insurance Claim Follow-Up
- Resolution
- Accounts Receivable Management
- Commercial Payer Claims Handling
- Federal Payer Claims Handling
- Medical Billing
- Coding Expertise
- Claims Status Reporting
- Monitoring
- Process Training
Timeline
Senior AR Analyst
iSource IT Enabled Services Pvt Ltd
05.2021 - 04.2025
Senior AR Executive
Qway Technologies Pvt Ltd
09.2018 - 09.2020
Process Associate
AGS Health Pvt Ltd
08.2016 - 09.2018
Account Receivable Executive
Lenia Technologies
03.2015 - 08.2016
B.E - ELECTRONICS AND COMMUNICATION
SVH College Of Engineering
01.2009 - 01.2013
HSC - Class XII
Shri Ganga Higher Secondary School
01.2007 - 01.2009
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