Swathi Roy R

. As a program specialist with Neovance supporting the Botox one reimbursement program , I provided operational and reimbursement support to healthcare providers, completing the insurance eligibility and benefit verification to ensure accurate billing , I served s a liaison between provider offices and payers ,managing outbound calls to resolve claim and billing inquireswhile maintained detailed documentation using Siebel CMR tool.

• Improved overall program effectiveness through comprehensive data analysis and evaluation of key performance indicators.
• Developed and deepened productive community relationships to assist with defining requirements, executing plans and strengthening leadership.
• per day managed over 7 calls to obtain benefits and eligibility for each patient and payer

• Specialized in denial management and claims analysis for US healthcare clients.
• Managed accounts receivable by efficiently resolving billing and payment discrepancies while coordinating with insurance providers to ensure timely claim processing.
• Utilizing Citrix RCM to up-to-date records and supporting accuracy workflow efficiency.
• Worked on correspondence for Denials
• Conducted root cause analysis for denials and implemented strategies to improve claim acceptance rates.
• I stepped into a CRM role where I served as the crucial link between our US-based healthcare client and internal operations teams. My day-to-day involved gathering client requirements, communicating insights to our team, and ensuring smooth delivery across multiple touchpoints.

• Enhanced team productivity by providing guidance on effective time management and prioritization techniques.
• Evaluated existing business models, identifying areas of improvement to increase revenue generation potential.
• Increased client satisfaction by implementing tailored solutions for their unique business needs.
• Monitored insurance claims lifecycle and ensured timely reimbursement.
• Worked on AR follow-ups, EOB analysis, and documentation improvement