EPIC
Sairam Suresh
Senior AR Caller
Ahmedabad,Gujrat
Summary
Highly-motivated employee with a desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Devoted to giving every customer a positive and memorable experience.
Overview
10
10
years of professional experience
7
7
years of post-secondary education
3
3
Languages
Work History
Senior AR Caller
Digiclarity
Chennai
07.2023 - 02.2024
- Reduced aged receivables significantly by proactively identifying trends and addressing potential barriers to payment collections.
- Streamlined AR calling process by creating prioritized list of high-value accounts to focus on for maximum revenue impact.
- Analyzed complex claim issues and collaborated with cross-functional teams to resolve disputes efficiently.
- Enhanced AR collection rate by implementing effective calling strategies and negotiation tactics.
- Trained new AR callers, sharing best practices and fostering collaborative team environment for continuous improvement
Senior Authorization Specialist (Referral Dept)
Business Integrity Services
Chennai
10.2020 - 01.2023
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Facilitated smooth transitions between different levels of care by coordinating required authorizations for patients moving from one service setting to another.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Reduced processing times by effectively managing high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during authorization process
- Evaluated trends in authorization denials to identify areas for improvement in both internal processes and external communications with payers
Senior Executive - Accounts Receivable
Omega Healthcare Private Limited
Chennai
05.2019 - 03.2020
- Streamlined AR calling process by creating prioritized list of high-value accounts to focus on for maximum revenue impact.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Trained new team members in medical billing software, increasing efficiency within department.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Communicate with insurance representatives to complete claims processing or resolve problem claims.
⦁ Submitted appeals using provider portals and phone communication.
⦁ Following up insurance for submitted claims and work on denial and paid claims working with fellow team members to manage large volume of claims.
⦁ Handled billing related activities focused on medical specialties.
Processed claims for payment or forwarded to appropriate personnel for further investigation
Senior Executive Account Receivable
Qway Technologies
Chennai
06.2016 - 08.2018
- Following up insurance for submitted claims and work on denial and paid claims working with fellow team members to manage large volume of claims.
- Organized information by using spreadsheets, databases or word processing applications. Prepared and reviewed insurance-claim forms and related documents for completeness.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Precisely calculated refunds, premiums and adjustments
- Worked for clients in Ft Basis
Accounts Receivable Associate
E4E Healthcare Business
Chennai
05.2014 - 05.2016
- Calling insurance and checking status of claim
- If claim was paid ,obtain details and request for EOB and move to respective work queues
- If claim is denied, obtain denial information along with TFL & FAX number and move to Respective queue
Education
Bachelor of Arts - English Literature
University of Madras
Chennai, India 01.2011 - 12.2013
Diploma Course - Hotel Management
Sooriya Institute of Hotel Management
Chennai, India 07.2007 - 07.2009
+2 Higher Secondary School
Cambridge Matriculation Higher Secondary School
Chennai 06.2006 - 04.2007
Some College (No Degree) - 10th Secondary School
Cambridge Matriculation Higher Secondary School
Chennai, India 06.2004 - 04.2005
Skills
- Training and mentoring
Audit Procedures
Problem-Solving
Medical billing knowledge
Denial Resolution
HIPAA Compliance
Training and mentoring
Software
ATHENA
ECW
INTERGY
Hobbies
Travelling, sketching,cooking,singing
Timeline
Senior AR Caller
Digiclarity
07.2023 - 02.2024
Senior Authorization Specialist (Referral Dept)
Business Integrity Services
10.2020 - 01.2023
Senior Executive - Accounts Receivable
Omega Healthcare Private Limited
05.2019 - 03.2020
Senior Executive Account Receivable
Qway Technologies
06.2016 - 08.2018
Accounts Receivable Associate
E4E Healthcare Business
05.2014 - 05.2016
Bachelor of Arts - English Literature
University of Madras
01.2011 - 12.2013
Diploma Course - Hotel Management
Sooriya Institute of Hotel Management
07.2007 - 07.2009
+2 Higher Secondary School
Cambridge Matriculation Higher Secondary School
06.2006 - 04.2007
Some College (No Degree) - 10th Secondary School
Cambridge Matriculation Higher Secondary School
06.2004 - 04.2005
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