SARAVANAN V
Chennai
Summary
Highly analytical and results-driven Senior Process Analyst with 2 years of experience in the industry, including over 3+ years focused on relevant billing and Revenue Cycle Management (RCM) functions. Proven ability to conduct root cause analysis on complex denials (e.g., medical necessity, eligibility) to drive preventative change, leading to a significant reduction in denial rates. Expertise in applying strong technical and problem-solving skills to optimize business processes, improve clinical outcomes, and achieve daily productivity targets. Proficient in Excel and typing with a net speed of 30 WPM at 90%+ accuracy. Adaptable to US shift timings and dedicated to maintaining excellent communication skills with a neutral accent.
Overview
5
5
years of professional experience
Work History
Senior Client Partner
Access healthcare private limited
Chennai
01.2025 - Current
- Managed the full lifecycle of Revenue Cycle Management (RCM) functions, including EOB review, payment posting, correspondence review, bad debt, appeals processes, denial management, and account receivables.
- Analyzed and categorized the top five rejection reasons (e.g., demographic errors, invalid CPT/ICD codes, missing authorizations), leading to a 99% reduction in front-end rejections within six months.
- Managed the daily queue of clearing house rejections, resolving 98% of claims within 24 hours to ensure a timely payment cycle.
- Corrected and resubmitted rejected claims, primarily focusing on charge entry, patient registration, and payer ID discrepancies, maintaining a 90%+ first-pass clean claim rate upon resubmission.
- Call insurance companies to investigate claims status, identify appeals actions, and the next best action to resolve accounts. Identify claim denial trends, or provider-related issues, that delay or reduce reimbursement.
Senoir Billing Analyst
Qway technologies private limited
Chennai
09.2020 - 10.2023
- Denial management starts with understanding why claims are being denied, going beyond the basic denial code.
- Timely Appeals and Resubmissions: Managed the end-to-end appeal process, including gathering required clinical documentation, drafting persuasive appeal letters, and adhering to strict payer deadlines.
- Initiate telephone calls to insurance companies, requesting the status of claims for the outstanding balances on patient accounts, and taking appropriate actions in favor of the providers.
- Reviews and resolves accounts assigned via the work list daily, as directed by management. Focus on complications denials and work on denials across multiple payers and regions.
- Conducts account history research as required, including navigating patient encounters and charts, researching charge and payment histories, determining historic account and claims status changes, and also researching the payer remittance advice.
Education
Bachelor of Science - Civil Engineering
Sri Krishna Institute of Technology
Panapakkam05-2018
Skills
- Revenue cycle management (RCM), EOB review, payment posting, denial management, account receivables, appeals process, bad debt, correspondence review, 2 years of experience in relevant billing functions & denial management
- Proficiency in Excel, the MS Office Suite (Word, PowerPoint, Outlook), Cerner applications, and related healthcare software, along with strong analytical and quantitative skills Account receivables
- Worked on billing software's like Athena, Ecf Sorian, AMD Also worked on clearing software like SSI, Trizetto Utilized more than 200 provider portals to pull claim status, download EOBs, chat with payers, and send investigations
Languages
Tamil
First Language
English
Upper Intermediate (B2)
B2
Location
No 41/8, Netaji Nagar 2nd Street,
Villivakkam, Chennai– 600049.
Timeline
Senior Client Partner
Access healthcare private limited
01.2025 - Current
Senoir Billing Analyst
Qway technologies private limited
09.2020 - 10.2023
Bachelor of Science - Civil Engineering
Sri Krishna Institute of Technology
Similar Profiles
B Hemanth KumarB Hemanth Kumar
Senior Ar Caller at U.S Medical billing, Visionary Rcm Infotech India Pvt Ltd, Omega Healthcare private limited and Access Healthcare private limitedSenior Ar Caller at U.S Medical billing, Visionary Rcm Infotech India Pvt Ltd, Omega Healthcare private limited and Access Healthcare private limited
SANGEETHA KRISHNANSANGEETHA KRISHNAN
Senior Client Partner at Access Healthcare Private LimitedSenior Client Partner at Access Healthcare Private Limited
Velooru ThrimoorthiVelooru Thrimoorthi
AR Analyst at Access HealthCare Private LimitedAR Analyst at Access HealthCare Private Limited
AJAY MOhanAJAY MOhan
Collateral Specialist at Mr. CooperCollateral Specialist at Mr. Cooper
Sanjay KSanjay K
Model-Based Developer (Software Engineer) at Bosch Global Software TechnologiesModel-Based Developer (Software Engineer) at Bosch Global Software Technologies