Sathya Naveen
Chennai
Summary
Seasoned Denials Coordinator with background in healthcare revenue cycle management. Possess strengths in dispute resolution, root cause analysis, and process improvements. Demonstrated success in reducing denial rates and improving overall financial performance by implementing effective denial management strategies. Adept at collaborating with cross-functional teams to ensure accurate billing practices and regulatory compliance.
Overview
5
5
years of professional experience
Work History
Denials Coordinator
Access Health Care
Chennai
06.2013 - 09.2016
- Reviewed denied claims to determine the cause of denial and researched any discrepancies.
- Analyzed trends in denials for potential process improvement opportunities.
- Identified areas of improvement within the organization's workflow processes.
- Maintained detailed records of all claims processed, including status updates and changes.
- Developed strategies to improve collection rates on denied claims.
- Collaborated with other departments to ensure timely processing of denials.
- Performed data entry tasks related to claim denials and appeals.
- Utilized knowledge of payer requirements to accurately identify reasons for denial or underpayment on claims submitted.
- Assisted with development of policies and procedures related to claim denials.
- Provided customer service support by responding promptly to inquiries from patients, providers, and insurance carriers.
- Participated in meetings regarding payment disputes, policy changes, and new initiatives.
- Generated reports detailing the number of denied claims received each month.
- Processed appeals for rejected or underpaid claims in a timely manner.
Junior Accountant
Sriram Finance
Chennai
06.2011 - 06.2013
- Performed account reconciliations, including bank reconciliations.
- Prepared monthly and quarterly financial statements for review by senior management.
- Maintained and reconciled general ledger accounts.
- Analyzed variances between actual and budget results.
- Reviewed daily cash activity reports to ensure accuracy of information.
Education
Bachelor of Science - Computer Application
J.H.A Agarsen College
Chennai06-2011
Higher Secondary - Science Education
G.G.H.S.S
Chennai05-2008
Skills
- Claims Resolution Management
- Health Information Privacy Compliance
- Medical Claims Processing
- Collaborative Decision-Making
- Effective Team Interaction
- Active Listening
- Allocating claims
- Problem-solving aptitude
- Self Motivation
- Adaptability and Flexibility
Accomplishments
- Received best performer award twice for maintaining 100% accuracy and production.
Timeline
Denials Coordinator
Access Health Care
06.2013 - 09.2016
Junior Accountant
Sriram Finance
06.2011 - 06.2013
Bachelor of Science - Computer Application
J.H.A Agarsen College
Higher Secondary - Science Education
G.G.H.S.S
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