Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Sivakumar Subramani

Chennai

Summary

Results-driven Quality Control Analyst with extensive experience at Omega Healthcare, specializing in data analysis and regulatory compliance. Proven track record in identifying trends and implementing corrective actions that significantly improved reimbursement outcomes. Adept at collaborating with cross-functional teams to enhance quality processes and resolve complex issues efficiently.

Overview

3
3
years of professional experience
3
3
years of post-secondary education

Work History

Quality Control Analyst

Omega Healthcare
Chennai
01.2025 - Current
  • Conducted quality inspections on healthcare documentation for compliance.
  • Analyzed data trends to identify areas for process improvement.
  • Collaborated with cross-functional teams to resolve quality issues.
  • Documented findings and recommendations for continuous improvement efforts.
  • Tracked denial trends and root causes; developed corrective actions to reduce repeat errors and improve reimbursement outcomes.

Senior Process Associate

Omega Healthcare
Chennai
12.2023 - 12.2024
  • Followed up with payers to resolve unpaid and denied claims, reducing AR aging and improving reimbursement.
  • Analyzed EOBs, corrected claim errors, and submitted appeals to ensure timely payment.

Process executive AR

Omega Healthcare
Chennai
12.2022 - 11.2023
  • Contacted insurance companies to follow up on unpaid, underpaid, or denied medical claims and verify claim status.
  • Analyzed explanation of benefits (EOBs) to identify payment discrepancies, denials, and adjustment reasons.

  • Resolved claim issues by correcting billing errors, submitting appeals, and providing additional documentation as required by payers.

Education

Bachelor of Commerce - Commerce

Gurunanak College
Chennai
06.2018 - 03.2021

Skills

  • Data analysis
  • Regulatory compliance
  • Quality inspection
  • Trend identification
  • Ms office

Accomplishments

  • Best performer for the year -2024 & 2023
  • Best Auditor -2025

Timeline

Quality Control Analyst

Omega Healthcare
01.2025 - Current

Senior Process Associate

Omega Healthcare
12.2023 - 12.2024

Process executive AR

Omega Healthcare
12.2022 - 11.2023

Bachelor of Commerce - Commerce

Gurunanak College
06.2018 - 03.2021
Sivakumar Subramani