VENKATA SRI HARSHA.N
healthcare domain
Patancheru
Summary
Dynamic and results-driven professional seeking a leadership position to leverage strong skills in team management and strategic development. Committed to driving organizational success while fostering personal growth and skill enhancement. Passionate about delivering significant value through innovative solutions and collaborative efforts. Eager to contribute to a forward-thinking organization that prioritizes excellence and continuous improvement.
Overview
8
8
years of professional experience
3
3
Languages
Work History
Implementation team (CLIENT ONBOARDING)
MODULEMD HEALTHCARE SOLUTIONS PVT LTD
08.2024 - Current
- Led end-to-end on boarding of healthcare providers, covering credentialing, payer enrollment, and billing system setup.
- Executed test claim submissions and ERA validations to ensure readiness before go-live.
- Supported implementation team with data migration, payer documentation, and system configuration.
- Monitored initial claims post-go-live and resolved rejection/denial trends to improve first-pass resolution.
- Prepared and validated patient demographics and insurance data, ensuring accuracy for billing and compliance.
Senior process associate L-2
MODULEMD HEALTHCARE SOLUTIONS PVT LTD
02.2019 - 08.2024
- Insurance Follow-up
- Call insurance companies to check claim status (pending/denied/paid).
- Ensure claims are processed within payer timelines.
- Escalate unresolved claims to supervisors when required.
- Denial & Rejection Management
- Analyze reasons for claim denials.
- Take corrective action or forward to appropriate team for reprocessing.
- Document denial codes, appeal requirements, and resolution steps.
- Accounts Receivable (AR) Management
- Work on aging reports to reduce days in AR (outstanding claims).
- Prioritize high-value or aging claims for follow-up.
- Track and update claim notes in billing software.
- Documentation & Reporting
- Record detailed call notes, action items, and claim status updates.
- Prepare daily/weekly reports on claims worked, resolutions, and closures.
- Maintain compliance with HIPAA and company policies.
- Coordination & Communication
- Collaborate with billing, coding, and payment posting teams.
- Share updates with clients/management on claim status.
- Provide feedback to improve claim submission and reduce future denials.
Process associate
WIPRO
09.2018 - 12.2018
- Act as the first point of contact for Jio customers through calls, emails, and chat support.
- Represent the brand by delivering professional and empathetic customer service.
- Assist customers with account management, recharge, billing, and plan-related queries.
- Provide technical support for network, device, and service issues.
TSG ENGINEER
VAYAM INFOSOLUTIONS PVT LTD
08.2017 - 08.2018
- First level of Technical support provided to the customers who are facing network issues in international & national.
- Helping Customers resolve their queries with proper resolution through EMAIL available with us.
- Making sure my Quality is always above 90% by following SOP’s and keeping focus on it.
Education
B.tech -
Jawaharlal Nehru Technological University
01.2017
Diploma - undefined
State board of technical education and training
01.2012
Secondary School Certificate - undefined
Board of Secondary Education
01.2009
Skills
Client On boarding & Relationship Management
Medical Billing & Revenue Cycle Management (RCM)
Payer Enrollments (EDI, ERA, EFT)
HIPAA Compliance & Regulatory Documentation
Staff Training & Support
Claim Testing & Denial Management
Interests
Surfing internet, watching movies and playing outdoor game
Accomplishments
- Organized the cultural (Technical & non-Technical) events by university level
- Rewarded in General Knowledge Tests at school and college level
- Got prizes in C-Zone Man Of The Tournament from JNTU-H
Disclaimer
I hereby declare that the above mentioned information is correct up to my knowledge. Date: Place: (VENKATA SRI HARSHA)
Strengths:
Friendly in making relation with the people
crickter
Participated in state level tournaments in university level,
Timeline
Implementation team (CLIENT ONBOARDING)
MODULEMD HEALTHCARE SOLUTIONS PVT LTD
08.2024 - Current
Senior process associate L-2
MODULEMD HEALTHCARE SOLUTIONS PVT LTD
02.2019 - 08.2024
Process associate
WIPRO
09.2018 - 12.2018
TSG ENGINEER
VAYAM INFOSOLUTIONS PVT LTD
08.2017 - 08.2018
Diploma - undefined
State board of technical education and training
Secondary School Certificate - undefined
Board of Secondary Education
B.tech -
Jawaharlal Nehru Technological University