RAJESH DEVADASS
Chennai
Summary
Focused, dedicated, energetic, team-oriented, and highly motivated professionals with over 9+ years of experience in US healthcare handling RCM (end- to-end process/scopes) with a proven record of integrity, quality, and productivity.
Overview
9
9
years of professional experience
Work History
AR SUPERVISOR
Ventra Health
Chennai
06.2024 - 12.2024
- Supervised 22 employees regarding AR
- The primary focus was on AR
- Produced a variety of reports as requested by the Director
- Handled escalations of issues that the team is not able to resolve and escalates to the manager when appropriate
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
- Met regularly with direct reports, monitoring staff workload and performance
TEAM LEAD-RCM
REKHA TECHNOLOGIES LLC.
Remote
01.2023 - 06.2024
- Supervised a team of 15.
- Managed team members to complete tasks on time.
- Collaborated with other leads, supervisors, and managers to improve internal processes, services, TAT, and maintained client satisfaction.
- Reviewed and monitored the daily productivity and quality of work produced.
- Resolved issues associated with client requests and billing issues.
- Prepare month-end and weekly reports.
- Developed and monitored key performance indicators (KPIs) to assess team effectiveness.
ACCOUNT RECEIVABLE EXPERT
REKHA TECHNOLOGIES LLC.
Remote
07.2020 - 12.2022
- Capable of running and posting physical and electronic check payments through integrated systems
- Receive an explanation of benefits for review for errors, denials, adjustments, and correct reimbursement of payments
- Submit appeals needed for denied procedures that are reimbursable according to guidelines and contracts
- Contact insurance carriers to check the status, and correct and resolve billed claims
- Create spreadsheets for incorrectly paid claims to inform provider representatives where there may be an error in their system to correct to receive proper reimbursements according to contracts
- Review of charge reports catching billing errors before a claim is submitted to the insurance carrier
- Monthly A/R reports to identify trends and work with denials, appeals, refunds, and insurance balances
- Worked directly with insurance companies, attorneys to get a claim processed and paid
- Accurately interpret EOBs and post $50K+ daily to patient ledgers
ACCOUNT REPRESENTATIVE
CLINIC ANYWHERE
Remote
04.2019 - 07.2020
- Working with management, project support, and AR specialists as a team to maximize returns for a specified client with revenue cycle optimization
- Timely management of unpaid claims and ensuring secondary claims are submitted and paid
- Building strategies that minimize errors and produce clean claim submissions
SENIOR ACCOUNT RECEIVABLE CALLER
VISIONARY RCM
Chennai
05.2018 - 04.2019
- Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor
- Proactively following up on outstanding physician claims in accordance with the medical system's current standards
- Working collaboratively with other team members to expedite the resolution of outstanding claims
- Maintaining strict patient confidentiality according to HIPAA regulations
ACCOUNTS RECEIVABLE ANALYST
NTHRIVE GLOBAL SOLUTIONS
Chennai
11.2015 - 04.2018
- Company Overview: Formerly e4e Healthcare Business Services
- Managed Accounts Receivables follow-up and collection of physician claims
- Monitored and performed the management of third-party and governmental denials
- Identified self-pay balances after insurance payments
- Delivered prompt secondary billing
- Ensured timely and accurate documentation of patient account status
Education
B.A. - Economics
Madras Christian College
Chennai04.2014
HSC (Higher Secondary School) -
St Mary's Matriculation Higher secondary school
Chennai04.2011
Skills
- Personal Accomplishments: I have excelled in the medical billing field; I learned hands-on how to research and submit appeals, research and correct denied claims, and perform analysis, as well as insurance payment follow-up collections
- Investigate, recover, and resolve all types of claims, as well as recovery and resolution for health plans, commercial, and government entities; initial follow-up phone calls to members, providers, and other insurance companies to gather coordination of benefits; investigate and pursue recoveries and payables on subrogation claims; and file management
- I continue to move up the ladder to several different positions and skill levels I continue to learn new skills and programs every day, including medical billing, physician medical practice systems, Availity, all commercial insurances, as well as government insurance, patient liaison, and Medicaid/Medicare contract experience
Skills
- End to End RCM
- Team Management
- Conflict Resolution
- Performance Coaching
- Problem-Solving
- Reporting
- Compliance Knowledge
Accomplishments
- Got three times SPOC awards
- Received 1-time Monthly performers award in Nthrive business solutions.
Software Experience
- Meditouch(Healthfusion)
- PracticeSuite
- Appleseed
- Citrix
- ExscibePM &EHR
- Epic
- Raintree
- ECW
- Imagine
- Waystar
- Trizetto
- Phicure
Insurance Portal Experience
- Availity
- Optum Portal
- Navinet
- Tricare
- Change Healthcare
- Instamed
- Payspan
- Cigna
- Medicare FCSO
Timeline
AR SUPERVISOR
Ventra Health
06.2024 - 12.2024
TEAM LEAD-RCM
REKHA TECHNOLOGIES LLC.
01.2023 - 06.2024
ACCOUNT RECEIVABLE EXPERT
REKHA TECHNOLOGIES LLC.
07.2020 - 12.2022
ACCOUNT REPRESENTATIVE
CLINIC ANYWHERE
04.2019 - 07.2020
SENIOR ACCOUNT RECEIVABLE CALLER
VISIONARY RCM
05.2018 - 04.2019
ACCOUNTS RECEIVABLE ANALYST
NTHRIVE GLOBAL SOLUTIONS
11.2015 - 04.2018
B.A. - Economics
Madras Christian College
HSC (Higher Secondary School) -
St Mary's Matriculation Higher secondary school
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