Barathi S
Chennai
Summary
Dynamic leader with a proven track record at AGS HEALTHCARE, enhancing global resolution processes and optimizing workflows through process automation. Expert in Revenue Cycle Management with proficiency in multiple software platforms including ECW and EPIC. Excels in high-pressure environments, demonstrating exceptional interpersonal skills and a commitment to continuous learning.
Overview
17
17
years of professional experience
Work History
SENIOR AR ASSOCIATE
BIKHAM INFORMATION TECHNOLOGY
03.2021 - Current
- Contacted insurance companies to investigate unresolved accounts receivable.
- Managed prioritization of unpaid claims based on outstanding duration.
- Contacted insurance companies directly to resolve outstanding claims.
- Evaluate unpaid insurance claims
- Call insurance companies and check on the status of claims
- Transferred outstanding balances to patients lacking sufficient insurance coverage.
- Requested Explanation of Benefits (EOB) from insurance companies for paid claims.
- Revised and resubmitted claims based on insurer's guidelines.
- Conducted quality audits for the team to ensure process improvement.
SENIOR AR EXECUTIVE
OMEGA HEALTHCARE pvt ltd
10.2020 - 01.2021
- Execute follow-ups on overdue accounts receivables from insurance companies.
- Prioritized delinquent claims based on aging status.
- Negotiated with insurance companies to secure payment for outstanding claims.
- Analyzed unresolved insurance settlements.
- Monitored and updated progress of claims during processing phases.
- Processed unpaid balances by reallocating them to patients without adequate coverage.
- Requested Explanation of Benefits (EOB) from insurance companies for paid claims.
- Reviewed claim discrepancies and executed adjustments following insurance company feedback.
Assistant Manager
ECARE INDIA pvt ltd
08.2017 - 12.2018
- Managed incoming transitions seamlessly.
- Assisted providers and billers with inquiries via phone support.
- Ensured smooth operations by overseeing production figures, managing staffing requirements, performing FTE calculations and reviewing attendance records.
- Conduct audits of accounts and deliver tailored feedback.
- Conducted comprehensive training sessions on Revenue Cycle Management and project requirements.
- Managed resolution processes for System Rejections across various workflows.
- Conducted denial trend analysis to address issues on a global scale.
Team Leader
AGS HEALTHCARE
05.2011 - 08.2017
- Managed new project transitions.
- Delivered voice-based support focused on resolving inquiries for providers, billers, and vendors.
- Ensured continuous monitoring of production metrics, staffing efficiency, FTE values and attendance records.
- Conducted thorough account audits and delivered detailed feedback.
- Trained new recruits on Revenue Cycle Management (RCM) and project specifics.
- Gained extensive experience with 18 billing systems and six clearing houses.
- Managed claim submission operations across EDI and paper platforms.
- Addressed issues in system rejections effectively.
- Enhanced resolution processes globally, leading to improved cash flow management.
- Collaborated with Process Excellence Team to implement process automation and macros for optimizing workflows.
Senior Account Executive
MIramed ajuba pvt ltd
12.2007 - 05.2011
- Provided assistance via phone to providers, billing specialists, and vendors within clearing house operations.
- Trained new recruits on Revenue Cycle Management (RCM).
- Streamlined rejection handling processes for system, clearinghouse, and payer end issues.
- Conducted Denial Trend Analysis to identify problem areas and devise solutions globally.
Education
Bachelor of Science -
Bangalore University
Bangalore, Karnataka01.2003
Higher Secondary -
Moral Convent School
Gwalior, MP01.1998
Skills
- Strong Leadership Skills
- Proficiency in MS Excel
- Excellent interpersonal and communication skills
- Skilled in Electronic Healthcare Systems (ECW, Kareo, Next Gen, MD Connection, Amkai, Athena, EPIC)
- Skilled in Managing Clearinghouse Transactions
- Resilient During Challenging Circumstances
- Eager to Learn
- Fun and energetic
Accomplishments
Rewarded consecutive times with Best Team Leader Award for achieving 150% - Team Production and maintained 99.97% - Quality as per Client SLAs.
Hobbies and Interests
- Travelling
- Football
- Boxing
Disclaimer
I do hereby declare that the above information is true to the best of my knowledge.
Languages
- English
- Hindi
- Tamil
Personal Information
- Date of Birth: 01/19/82
- Gender: Male
- Marital Status: Married
Timeline
SENIOR AR ASSOCIATE
BIKHAM INFORMATION TECHNOLOGY
03.2021 - Current
SENIOR AR EXECUTIVE
OMEGA HEALTHCARE pvt ltd
10.2020 - 01.2021
Assistant Manager
ECARE INDIA pvt ltd
08.2017 - 12.2018
Team Leader
AGS HEALTHCARE
05.2011 - 08.2017
Senior Account Executive
MIramed ajuba pvt ltd
12.2007 - 05.2011
Bachelor of Science -
Bangalore University
Higher Secondary -
Moral Convent School
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