Subhash H
Analyst - Revenue Service
Bangalore,KA
Summary
Results-driven Analyst with a proven track record at Greenway Health India, leveraging critical analysis and attention to detail to enhance reporting accuracy and drive process improvements. Adept at data processing and root cause analysis, I excel in delivering solutions that optimize operational efficiency and elevate client satisfaction. Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives.
Overview
7
7
years of professional experience
4
4
Languages
Work History
Analyst
Greenway Health India pvt ltd
Bangalore, Karnataka
02.2022 - 05.2024
- Efficiently managed insurance follow-up activities through Intergy and Prime Suite for multiple payers, utilizing payer web portals and conducting follow-up calls with payer offices for resolving denial follow-up issues.
- Responsible for resolving both payment and denial claims, ensuring alignment with client guidelines through web portals and direct communication with payers.
- Handled advanced and escalated claim issues, providing second-tier reviews and driving them to satisfactory resolutions as per client-specific SOPs.
- Actively participated in continuous learning and training on relevant software, tools, and process updates to ensure efficiency and accuracy in claim handling.
- Recommended and implemented process improvement ideas, including automation, to reduce claim rework and improve turnaround times.
- Collaborated with teams working for payers to ensure seamless payment posting and effective denial management, contributing to improved cash flow and client satisfaction.
Claims Associate
United Health Group- XL Health India corp pvt ltd
Bangalore, Karnataka
06.2017 - 06.2019
- Involved in batch of new project named as COSMOS.
- Good work experience in US Health care & HIPAA Guidelines.
- Capable of Handling Medical & Hospital (Inpatient & Outpatient) Rework claims as per planned Guidelines.
- Processing claims as per the process instructions, provider agreements & member liability.
- Immediate resolving of provider concerns for quick payments and avoid ageing and TAT.
- Claim dispute settlement regarding final payment, and additional document required for disputed claim settlement.
- Documented & kept log of daily quality control duties as required by company's policy.
- Involving in team building activities and handling the provider concern carefully.
- Adhering to the confidentiality requirement to customer data, and claim details as per Company policy.
Education
B.E - ECE
GSKSJTI, KR Circle, Bengalore-560001.
Bangalore Karnataka, IndiaSkills
- Claim Processing
- Claim Adjudication
- Claim Adjustment
- Claim Settlement
- Revenue Cycle Management (RCM)
- Medical Billing (Professional & Institutional)
- Eligibility & Benefit Verification
- Insurance Verification
- Charge Entry
- Payment Posting
- AR Follow-up
- Denial Management
LANGUAGES
English
Hindi
Kannada
Telugu
Timeline
Analyst
Greenway Health India pvt ltd
02.2022 - 05.2024
Claims Associate
United Health Group- XL Health India corp pvt ltd
06.2017 - 06.2019
B.E - ECE
GSKSJTI, KR Circle, Bengalore-560001.
SOFT SKILLS
- Ability to work in adaptive environments.
- Ability to work as a value-adding member and contribute effectively by being a good team player.
- Ability to lead a team and effectively co-ordinate with them to carry out specific goals.
- Always eager to learn and fully committed towards everything I do.
ADDITIONAL INFORMATION:
Hobbies: Playing and Watching cricket, Hearing Music, Gardening, Travelling.