Open To Work
Sri Santhoshi V V
Chennai
Summary
Results-driven Accounts Receivable Analyst skilled in data analysis and process improvement. Expertise in identifying business needs, analyzing data, and recommending solutions that enhance organizational growth. Committed to contributing value to the organization and fostering both professional and personal development. Efficient Revenue Cycle Representative known for productivity and ability to complete tasks swiftly. Specialize in medical billing, coding accuracy, and claims processing with strong analytical skills. Excel in communication, problem-solving, and teamwork to achieve financial objectives and enhance revenue cycle operations.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Representative
Resmed India Pvt Limited
Chennai
12.2024 - Current
- Guided and trained team members on payer portals, benefit verification, and retro auth procedures to enhance team knowledge and efficiency.
- Verified payer information through insurance portals and billing software to ensure accurate eligibility
- • Conducted benefit checks, including hospice coverage, to confirm service authorization requirements.
• Initiated prior authorization requests with payers, including handling retroactive status cases
• Coordinated directly with insurance representatives to resolve coverage issues and secure timely approvals
• Documented all payer communications, reference numbers, and portal confirmations for compliance and audit readiness
• Collaborated with billing and clinical teams to align documentation with payer requirements and reduce claim denials
Senior Process Associate
Prochant India Pvt LTD
07.2018 - 10.2024
- Prepared, reviewed, and transmitted claims using billing software to ensure timely processing.
- Verified active insurance coverage, diagnosis, and medical documents to minimize claim denials.
- Reviewed patient bills for accuracy and completeness, securing any missing information.
- Front End Billing for Home Medical Equipment- Purpose of working front end is to avoid denials
Senior Client Partner
Access Healthcare Services
06.2016 - 07.2018
- Reviewed EOB, posted denials, and analyzed claims to determine necessary actions.
- Reviewed medical records and documented appeals while managing claims through issue identification.
- Cultivated strong client relationships to understand healthcare needs and expectations.
- Led strategic planning sessions to align service offerings with client objectives.
- Managed cross-functional teams to ensure effective project execution and delivery.
Education
Bachelor - Computer Applications
St. Thomas College of arts & Science
04.2015
12th -
Govt. Hr. Sec. School. Arumbakkam
Chennai01.2012
10th -
Govt. Hr. Sec. School
Chennai01.2010
Skills
- Revenue cycle management
- Prior authorization management
- Verification management
- Billing software proficiency
- Data analysis
- Quality assurance
- Database Management
- MS Office
- Process optimization
- Training and development
- Client relations
- Collaborative teamwork
- Effective communication
- Programming Languages
Hobbies and Interests
- Revenue cycle management
- Shares and stocks
- Tailoring and fabric designing
- Arts and Crafts
- Reading Books
Areas Of Interest
- Medical billing
- Banking/Back office
- Healthcare & Medical claims Data processing
- Investing & Trading
Personal Information
- Father's Name: V.A. Vidyasagar
- Husband's Name: Suresh Kumar G
- Date of Birth: 04/26/95
- Gender: Female
- Nationality: Indian
- Marital Status: Married
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
₹45000/yr - ₹200000/yrTimeline
Revenue Cycle Representative
Resmed India Pvt Limited
12.2024 - Current
Senior Process Associate
Prochant India Pvt LTD
07.2018 - 10.2024
Senior Client Partner
Access Healthcare Services
06.2016 - 07.2018
Bachelor - Computer Applications
St. Thomas College of arts & Science
12th -
Govt. Hr. Sec. School. Arumbakkam
10th -
Govt. Hr. Sec. School