Ugesh Kumar K S
Chennai
Summary
Dynamic Process Executive with a proven track record with [ 1+ years experience], excelling in denial management and claim resubmissions. Leveraging analytical thinking and problem-solving skills, I consistently met productivity targets while enhancing accuracy. My collaborative approach and attention to detail have driven process improvements, reducing future denials and ensuring seamless operations.
Overview
1
1
year of professional experience
Work History
Process Executive AR
Omega Healthcare
Chennai
09.2024 - Current
- Reviewed and analyzed denied claims based on EOBs/RA to determine accurate denial reasons.
- Categorized denials (eligibility, coding, authorization, timely filing, etc.). And took corrective actions.
- Handled claim corrections and resubmissions in compliance with payer guidelines and timelines.
- Prepared and submitted appeals, with supporting documents, for valid denials.
- Maintained detailed documentation of all actions taken on denied claims in the internal system.
- Collaborated with internal teams, such as billing, coding, and eligibility verification, to resolve recurring issues.
- Met daily productivity targets while maintaining high accuracy and quality standards.
- Tracked and reported denial trends to support process improvement initiatives, and reduce future denials.
- Worked in Benefit Verifications for 3+ months.
- Verify patient insurance coverage, check eligibility and benefits, document verification details, and handle multiple payers. Meet accuracy and productivity goals.
- Notice Period : 60 days
Process Executive AR
Amaze Tech Solutions Pvt Ltd
Chennai
03.2024 - 08.2024
- Worked in Denial Management: End-to-End Process.
- 5+ months of hands-on experience in denial management within the healthcare revenue cycle.
- Checked and understood the reasons for claim denials from insurance companies.
- Grouped denials based on common issues like missing info, incorrect coding, or insurance problems.
- Fixed the issues and re-submitted the corrected claims to insurance companies.
- Sent appeal letters with required documents for claims that were denied wrongly.
- Kept clear and accurate notes on the actions taken for each denied claim.
- Worked with other teams (like billing and coding) to solve repeated denial problems.
- Completed daily targets while ensuring all information was correct.
- Noticed common denial patterns and shared with the team to avoid future mistakes.
Education
M.Tech - Artificial Intelligence & Data Science
Saveetha School Of Engineering
Chennai09-2025
B.Tech - Information Technology
Saveetha School Of Engineering
Chennai08-2022
Skills
- Technical & Communication
- Analytical Thinking
- Problem-Solving
- Time management
- Team collaboration
- Patience and persistence
Timeline
Process Executive AR
Omega Healthcare
09.2024 - Current
Process Executive AR
Amaze Tech Solutions Pvt Ltd
03.2024 - 08.2024
M.Tech - Artificial Intelligence & Data Science
Saveetha School Of Engineering
B.Tech - Information Technology
Saveetha School Of Engineering
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