VENUGOPAL A
HC & INSURANCE OPERATION ASSOCIATE
COIMBATORE
Summary
Results-driven Healthcare and Insurance Operations Professional with 6+ years of experience in Medical Billing, Revenue Cycle Management (RCM), Claims Processing, Denial Management, Payment Posting, and Insurance Operations. Proven ability to maintain SLA compliance, improve operational accuracy, train new team members, and support quality assurance initiatives. Strong knowledge of HIPAA regulations, EOB review, patient eligibility verification, and healthcare reimbursement processes.
Overview
6
6
years of professional experience
Work History
HC & Insurance Operation Associate
NTT DATA Information Processing & Services Pvt. Ltd.
09.2022 - Current
- Process high-value insurance and financial transactions (partial withdrawal, full surrender, RMD, systematic, transfer) while ensuring accuracy and regulatory compliance.
- Consistently achieve SLA targets, and maintain high-quality standards.
- Conduct onboarding and training sessions for 8 new employees to improve productivity and process knowledge.
- Promoted to internal quality control for auditing financial claims.
Senior Client Partner
Access Healthcare
03.2020 - 09.2022
- Managed Revenue Cycle Management (RCM) activities for healthcare clients.
- Performed denial management, EOB verification, and claims analysis to support reimbursement accuracy.
- Worked extensively with CPT codes, ICD diagnosis codes, and modifiers.
- Ensured HIPAA compliance and adherence to healthcare industry standards.
- Giving process training for more than 30 new hires, contributing to successful onboarding outcomes.
- Providing Floor support for all team members.
- Processed patient payments, and handled copays, coinsurance, and deductible-related activities.
Education
B.Sc. - Electronics & Communication Systems
Sankara College of Science And Commerce
Coimbatore, India05-2019
Higher Secondary School(HSC) -
T.A. Ramalingam Chettiar Higher Secondary School
Coimbatore, India 04.2001 -
Secondary School Leaving Certificate (SSLC) -
T.A. Ramalingam Chettiar Higher Secondary School
Coimbatore, India04-2014
Skills
- Medical Billing
- Claims Management
- Revenue Cycle Management (RCM)
- Denial Management
- Payment Posting
- Financial Transactions
- Patient Eligibility Verification
- Annuity and Life Insurance
Timeline
HC & Insurance Operation Associate
NTT DATA Information Processing & Services Pvt. Ltd.
09.2022 - Current
Senior Client Partner
Access Healthcare
03.2020 - 09.2022
Higher Secondary School(HSC) -
T.A. Ramalingam Chettiar Higher Secondary School
04.2001 -
B.Sc. - Electronics & Communication Systems
Sankara College of Science And Commerce
Secondary School Leaving Certificate (SSLC) -
T.A. Ramalingam Chettiar Higher Secondary School