Raja Boopathy
Quality Control Analyst
Trichy
Summary
QC Analyst with 5+ years of experience optimizing healthcare revenue cycles. Expert in claims reconciliation, regulatory compliance, and data-driven process improvements. Proven track record of enhancing billing accuracy and streamlining communication between providers and payers to reduce claim denials.
Overview
5
5
years of professional experience
2
2
Certifications
2
2
Languages
Work History
Quality Control Analyst
Wave Online PVT LTD
06.2025 - Current
- Take huddles for the team and work towards bridging knowledge gaps.
- Identify factors important to clients.
- Audit accounts worked by AR Callers to ensure correct follow-up actions (Appeals, claims, documentation).
Quality Control Analyst
Omega Healthcare Pvt Ltd
04.2024 - 04.2025
- Complete quality checks as per the quality check plan.
- Complete the feedback loop and ensure verbal feedback is closed for all.
- Daily reports to be shared with all analysis and results.
- Do cross-calibration with clients to ensure there are no process gaps.
Senior AR Associate
Global Healthcare
06.2023 - 02.2024
- Ensure precise and compliant revenue cycle management by meticulously auditing coding accuracy, reviewing documentation, and overseeing end-to-end billing processes.
- Detail-oriented and dedicated to upholding efficient and effective medical billing practices, a key asset in ensuring seamless financial operations.
AR Associate/Senior AR Associate
Omega Healthcare Pvt Ltd
05.2022 - 05.2023
- Perform pre-call analysis and check status by calling the payer.
- Finding the software errors.
- Work according the denial.
- Call the payer and Take action depending upon the denial reason given.
- Create the appeal letter and necessary documentation and sent to the insurance.
AR Associate
Amaze tech solutions Pvt Ltd
12.2020 - 04.2022
- Call insurance companies to check claim status, verify reasons for delay, or understand denial reasons.
- Follow up on unpaid, underpaid, or denied claims to ensure timely reimbursement.
Education
BCA -
BISHOP HEBER COLLEGE
01-2021
HSC - undefined
CAMPION ANGLO INDIAN HRSEC SCHOOL
Trichy01-2017
SSLC - undefined
CAMPION ANGLO INDIAN HRSEC SCHOOL
Trichy01-2014
Skills
Data Visualization & Reporting: Advanced Excel Dashboards, PivotTables/Power Pivot, Automated Reporting, and Dynamic Data Modeling
Sorting and filtering data
Basic formulas (SUM, AVERAGE, COUNT, MIN, MAX)
Conditional formatting
Creating and formatting tables
Basic charts (column, line, pie, Pareto)
Lookup functions (VLOOKUP, HLOOKUP)
PivotTables and Slicers
Text functions (LEFT, RIGHT, TRIM, CONCAT)
Root Cause Analysis (RCA)
Trend Analysis & Reporting
Denial Pattern Identification
Data Validation & Accuracy Checks
Decision-Making & Issue Resolution
Certification
Six Sigma Black Belt (In Progress) - TBSA Pvt Ltd
Interests
Book Reading, Chess, Share market & investments, Travelling
Timeline
Quality Control Analyst
Wave Online PVT LTD
06.2025 - Current
Quality Control Analyst
Omega Healthcare Pvt Ltd
04.2024 - 04.2025
Senior AR Associate
Global Healthcare
06.2023 - 02.2024
AR Associate/Senior AR Associate
Omega Healthcare Pvt Ltd
05.2022 - 05.2023
AR Associate
Amaze tech solutions Pvt Ltd
12.2020 - 04.2022
HSC - undefined
CAMPION ANGLO INDIAN HRSEC SCHOOL
SSLC - undefined
CAMPION ANGLO INDIAN HRSEC SCHOOL
BCA -
BISHOP HEBER COLLEGE