SORNAM JACOB
Chennai
Summary
Results-driven Healthcare Revenue Cycle Manager with expertise in Medical Billing, Revenue Cycle Management, and Denial Resolution. Achieved improved first-pass claim acceptance and reduced denials through data analysis and quality monitoring. Focused on enhancing overall revenue cycle efficiency while ensuring compliance and elevating operational standards through effective team training.
Overview
1
1
Certification
2
2
years of post-secondary education
21
21
years of professional experience
Work History
Process Lead (Assistant Manager)
Billed Right Healthcare Solutions Pvt Ltd.
04.2025 - Current
- Audited charge entry, coding accuracy, payment posting, AR follow-up, and denial management to ensure compliance and accuracy.
- Perform end-to-end quality audits across the revenue cycle.
- Analyze recurring quality issues and conduct root cause analysis.
- Prepared KPI scorecards and weekly/monthly reports to track performance and identify areas for improvement.
- Trained employees on billing workflows and quality standards to enhance team competency and service quality.
- Review CPT, ICD-10-CM, HCPCS, and modifier usage.
- Coordinate with coding, billing, and operations teams to improve process quality.
Team Leader
Billed Right Healthcare Solutions Pvt Ltd.
05.2016 - 01.2025
- Managed team members to foster collaboration and achieve departmental goals.
- Allocated work to team members to ensure balanced workload and timely task completion.
- Handled end-to-end accounts receivable analysis for assigned clients, ensuring accurate billing and collections.
- Managed complete insurance accounts receivable processes.
- Submitted corrected claims and appeals.
- Followed up on denied and underpaid claims.
- Handled billing for Pain Management specialty services.
- Increased monthly collections
- Resolved high-value denied claims
- Documented significant milestones achieved during tenure
Quality Analyst
Omega Healthcare Pvt Ltd
06.2008 - 04.2016
- Advanced from payment posting senior executive to quality analyst, reflecting growth in skills and responsibilities.
- Gathered payment data for accurate ledger entries.
- Provided inputs for tallying payments in Ledger.
Executive Payment Posting
Ajuba Healthcare Solutions Pvt Ltd.
06.2005 - 05.2008
- Advanced from payment poster to executive payment poster, enhancing payment processes.
- Allocated files for payment posting across the team, ensuring timely and accurate payment entries.
- Post payments received from insurance companies, Medicare, Medicaid and patients into the practice management System.
- Apply contractual adjustments, write-offs, deductibles, Co-pays, and coinsurance accurately.
- Reconcile daily payment batches and ensure posted amounts match bank deposits and remittances reports.
- Processed refunds and credit balances based on payer guidelines.
- Coordinated with accounts receivable team to resolve unpaid and partially paid claims, improving overall claim resolution.
- Utilized various software programs for payment processing and reporting.
- Utilized Availity, Waystar, and Gateway systems for payment processing.
Education
Bachelor's Degree B.Com - Commerce
University of Madras
chennai 03.2001 - 03.2003
Skills
- Proficient in MS office
- People Management
- Revenue cycle management
- Claims processing
- Quality auditing
- Time Management
- Report Preparation
Certification
- 1998 Apprenticeship training in TNSC bank
- English Higher and tamil lower type writting
- Medical coding Basic certification
Languages
- Tamil
- English
Hobbies and Interests
- Tamil
- English
Timeline
Process Lead (Assistant Manager)
Billed Right Healthcare Solutions Pvt Ltd.
04.2025 - Current
Team Leader
Billed Right Healthcare Solutions Pvt Ltd.
05.2016 - 01.2025
Quality Analyst
Omega Healthcare Pvt Ltd
06.2008 - 04.2016
Executive Payment Posting
Ajuba Healthcare Solutions Pvt Ltd.
06.2005 - 05.2008
Bachelor's Degree B.Com - Commerce
University of Madras
03.2001 - 03.2003