Virendra Singh
Jaipur,Rajasthan
Summary
Detail-oriented healthcare denials specialist with 6 years of experience in revenue cycle management, claims processing, and denials management. Seeking a role to leverage expertise in improving denial resolutions, optimizing workflows, and leading high-performing teams in a fast-paced healthcare environment.
Overview
7
7
years of professional experience
Work History
Trainee AR Executive
Truworth Infotech Private Limited
10.2018 - 12.2019
Senior AR Executive
Pacific Access Healthcare
12.2019 - 08.2022
- Senior AR Executive in Claim Processing and Denials Management.
Senior AR Analyst
Corro Health
08.2022 - 01.2023
- Senior AR Analyst in Claim processing and Denials Management.
Quality Analyst
AGS Healthcare
01.2023 - 01.2024
- Auditing healthcare claims for accuracy, compliance with payer guidelines, and regulatory adherence (HIPAA, CMS). Proficient in root cause analysis of claim denials, identifying discrepancies in coding, billing, and documentation, and preparing successful appeals. Adept at leading quality improvement initiatives that enhance claims accuracy, reduce denials, and improve revenue recovery.
Senior Quality Analyst
AGS Healthcare
01.2024 - Current
- Supervision, Training, and Mentorship: Monitor the performance of junior auditors, ensuring that their reviews of claim denials and appeals align with company standards and regulatory requirements. Conduct training sessions for junior QA staff on industry best practices, payer policies, claim adjudication, and denial resolution processes.
- Performance Monitoring & Workflow Management: Regularly assess the work of the QA team, providing constructive feedback and performance evaluations to improve the quality of audits. Assign tasks and manage the audit workload to ensure timely audit completion and maintain a high-quality review process.
- Audit Reporting & Trend Analysis: Prepare detailed audit reports for senior management, highlighting key findings, trends, and areas for improvement. Analyses denial trends and patterns, providing insights that help reduce future claim denials.
Education
10th - undefined
Saraswati Senior Secondary School
01.2015
12th - undefined
Tagore International School
01.2017
Bachelor of Arts (BA) - undefined
Rajasthan University
01.2023
Master in Business Administration (MBA) - Operations Management
Manipal University
01.2025
Skills
- Denials Analysis & Resolution
- Team Supervision & Development
- Revenue Cycle Optimization
- Workflow & Process Improvement
- Data Reporting & KPIs
- Claims Submission & Appeals
Languages
English
Hindi
Personal Information
- Father's Name: Sawai Singh
- Date of Birth: April 14, 1998
- Marital Status: Unmarried
Hobbies and Interests
- Playing Cricket
- Playing Problem-Solving Games (Candy-Crush, Sudoku, Puzzles)
Timeline
Senior Quality Analyst
AGS Healthcare
01.2024 - Current
Quality Analyst
AGS Healthcare
01.2023 - 01.2024
Senior AR Analyst
Corro Health
08.2022 - 01.2023
Senior AR Executive
Pacific Access Healthcare
12.2019 - 08.2022
Trainee AR Executive
Truworth Infotech Private Limited
10.2018 - 12.2019
10th - undefined
Saraswati Senior Secondary School
12th - undefined
Tagore International School
Bachelor of Arts (BA) - undefined
Rajasthan University
Master in Business Administration (MBA) - Operations Management
Manipal University