Solomon Raj Gollapalli
Hyderabad
Summary
Strong domain understanding and having close to 3+ years of experience in the US Healthcare industry. Expertise in claim processing and generating revenue on dead claims. Successful in organizational growth through strategic, analytical, quantitative and presentation skills. Proficient in improving the denial management and finding the root cause. Excellent knowledge on Cerner software (Cerner Practice Management), client management experience with effectiveness and communication skills. Efficient in solution based analyzing approach for any scenario irrespective to insurance. Strong organizational and leadership skills through self-initiatives and teamwork in a well-paced environment. Good understanding in the denial codes,and maintaining the clean claim ration for scrubber.
Overview
3
3
years of professional experience
Work History
Senior Analyst
R1 RCM
hyderabad
09.2021 - Current
R1 RCM, Hyderabad, Telangana
Accounts Receivable: Working for a US Healthcare company
Work Involves: Researching claims, analyzing information, and determining actions to be taken next communicating insurance providers to get more information on claims, verifying payments by comparing them against contracts.
• Quality-Check on Insurance claims
• Reporting inaccuracies
- Good Knowledge on Power chart, Registration Patient Accounting, Patient demography, Patient identification and patient letters
- Updating the Procedure codes and filing the claim by validating the Hcpcs/cpt codes of ICD9/ICD10
- Analyzing the scenario and finding the root cause.
- Initiating the call to insurance for denial reasons
- Follow up in all scenario with insurance on call
- Worked on Excel, Word, PowerPoint, and Outlook.
Subject Matter Expert: Acclimate new hires to the business and conducting training programs that will groom them for the next step of their career paths.
Achievement
R1
09.2021 - 01.2025
- Shining Star Performer Quality 2023 & 2025 (March, Aug, Nov & Jan) (For 100% quality)
- Monthly Star Performer for the month 2023 & 2024 ( Aug, July, Sept, Oct, Nov (2024) (For 95% quality)
Education
MBA - Finance & Marketing
St.Joseph's Degree & PG College
HYDERABAD Software Knowledge
MS office
Cerner Practice Management
Revenue Manager
Powerchart
SSI
Laserfiche
All Payer websites
Timeline
Senior Analyst
R1 RCM
09.2021 - Current
Achievement
R1
09.2021 - 01.2025
MBA - Finance & Marketing
St.Joseph's Degree & PG College
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