REVANTH R
Sampangi Rama Nagar, Bengaluru
Summary
Experienced Healthcare Administrator with over 4.6 years of diverse experience in various healthcare settings. Dynamic and enthusiastic professional eager to contribute expertise to Navigant and its clients. Goal is to deliver effective solutions that drive long-term performance improvements and profitability. Proven track record of successfully managing healthcare operations, dedicated to enhancing the quality of patient care and optimizing organizational efficiency.
Overview
5
5
years of professional experience
Work History
Senior Process Analyst
Huron Eurasia India Pvt. Ltd.
11.2022 - Current
- Currently serving as a Senior Process Analyst from 2022 as supporting healthcare operations and revenue cycle management.
- Responsible for end-to-end claims processing, Patient registration, Insurance verification, and ensuring compliance with payer-specific guidelines including Medicare, Medicaid, and commercial insurers.
- Accurately coded medical procedures and diagnoses for billing and obtained comprehensive patient details.
- Utilized advanced billing software and EHR systems to streamline and manage the billing workflow.
- Collaborate with cross-functional teams to streamline processes, improve productivity, and achieve performance goals.
- Proactively identify billing discrepancies and work on resolutions to maintain accuracy and optimize revenue flow.
- Stay updated on industry trends, payer regulations, and HIPAA compliance requirements.
Sr. Medical Billing Executive
Tharworx India Pvt. Ltd.
06.2020 - 08.2022
- Performed patient account registration and coordinated accurate medical record submissions to insurance carriers.
- Ensured timely and accurate submission of claims, with proactive follow-up on error and rejection on claims.
- Verifying patient insurance eligibility and obtaining necessary authorizations for procedures.
- Adhered to HIPAA standards, healthcare regulations, and proper billing protocols to maintain legal and operational compliance.
- Assessed billing data, identified trends, and generated reports to enhance operational efficiency and optimize billing processes.
- Investigated and resolved billing discrepancies, handled denied claims, and troubleshot any arising issues to ensure seamless claims processing.
Education
Bachelor of Commerce -
Bangalore University
Bengaluru, IndiaSkills
- Highly skilled in evaluating patient information, diagnoses, and billing data to ensure correct documentation and financial processes
- Capable of troubleshooting and resolving discrepancies, errors, and rejections through thorough research and analysis
- Adept at handling multiple tasks and meeting stringent deadlines, particularly under pressure for timely claim submissions
- Well-versed in insurance policies and procedures across HMO, PPO, Medicare, Medicaid, and various third-party payers
- As a flexible and forward-thinking team player, I take initiative and remain open to diverse people and dynamic environments
- Demonstrated leadership in mentoring billing staff, driving team performance, and boosting productivity through strategic coaching
- Experienced in using multiple software platforms such as Cerner, Mede Analytics, Power chart, RCI, Wayster, Citrix, Jaguar, Xifin, Athena IDX
- Thrives in both solo projects and cooperative team environments
Disclaimer
I would be sincerely grateful for the opportunity to be considered for a suitable position within your esteemed organization. I hereby declare that all the information provided above is true and accurate to the best of my knowledge and belief.
Timeline
Senior Process Analyst
Huron Eurasia India Pvt. Ltd.
11.2022 - Current
Sr. Medical Billing Executive
Tharworx India Pvt. Ltd.
06.2020 - 08.2022
Bachelor of Commerce -
Bangalore University
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