Saranya K
Chennai
Summary
- Highly skilled insurance collector with experience in denial management, commercial and government insurance claims follow-up for 10+ years.
- Excellent hands on patient/customer service communication skills.
- Dedicated work ethic and strong people skills
Overview
16
16
years of professional experience
Work History
Process Lead
Tata Consultancy Services
03.2013 - 09.2023
- Ensured HIPAA compliance.
- Utilized strong assessment skills to determine medical necessity for post payment denials
- Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations for billing and appeals.
- Observed strict confidentiality and safeguarded all patient-related information.
- Updated, modified and performed testing for STAR software program.
- Identified and resolved system and account issues.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Expertly managed difficult or emotional patient situations and responded promptly to patient needs.
- Managed invoices for contract collection agencies.
- Collected over $2.000,000.00 in overturned appeals
SME
Dell International Services "Dell 8"
03.2011 - 02.2013
- Collaborated with billing department to ensure timely and accurate invoicing, leading to fewer payment delays from clients.
- Identified system inefficiencies within the AR calling process and proposed solutions that led to significant time savings for the team as a whole.
- Enhanced the AR collection rate by implementing effective calling strategies and negotiation tactics.
Quality Analyst
Kensium Solutions
11.2007 - 02.2011
- Processed sales referrals and promoted bank services and products
- Established new customer accounts including checking, savings, lines of credit and loans.
- Balanced daily cash deposits and bank vault inventory with a zero error rate.
- Processed cash withdrawals.
- Entered member transaction data into the online banking software.
- Processed treasury, tax and loan payments.
- Supplied tellers with coin and currency as needed.
- Maintained confidentiality of bank records and client information.
- Delivered prompt, accurate and excellent customer service.
Education
Bachelor Of Commerce - Accounting And Finance
Bharathi Women’s College
Chennai, Tamilnadu04.2007
Skills
- Strong clinical judgment
- Patient/family focused
- Microsoft Office proficiency
- Financial Management and Analytics
- Medical Billing and Coding
- Healthcare Revenue Cycle Analytics
- Compliance with Healthcare Regulations
- Financial Reporting and Analysis
- Insurance Claims Management
- Payment Posting and Reconciliation
- Account Receivable Management
- Denial Management and Appeals Process
- Healthcare Information Technology (HIT) Systems
Objective
My goal is to become associated with a company where I can utilize my skills and gain further experience while enhancing the company’s productivity and reputation.
Timeline
Process Lead
Tata Consultancy Services
03.2013 - 09.2023
SME
Dell International Services "Dell 8"
03.2011 - 02.2013
Quality Analyst
Kensium Solutions
11.2007 - 02.2011
Bachelor Of Commerce - Accounting And Finance
Bharathi Women’s College
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