Yagnamuni Devarakonda
Hyderabad
Summary
Dynamic Accounts Receivable expert with extensive experience in Healthcare Industry specializing in Workers compensation claims, Medicare and Medicaid processes. Proven track record in enhancing claim resolution efficiency and training teams. Adept in data analysis and compliance monitoring, driving process improvements that significantly reduce aging claims while fostering effective communication across departments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Associate, RCM
Advantum Health
Hyderabad
08.2025 - Current
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Conducted thorough audits of quality control processes and documentation.
- Reviewed compliance with industry standards and regulatory requirements.
- Collaborated with production teams to identify quality improvement opportunities.
- Developed training materials for staff on quality assurance practices.
- Implemented corrective actions based on audit findings and recommendations.
- Monitored product samples to ensure adherence to specifications and guidelines.
- Assisted in root cause analysis for quality issues across departments.
- Facilitated communication between quality assurance and operational teams for process alignment.
- Investigated customer complaints and initiated corrective actions.
- Collaborated with production staff to resolve quality issues in a timely manner.
- Conducted internal audits to ensure compliance with quality standards.
- Provided guidance to team members on the implementation of corrective action plans.
- Recommended changes in products or processes to improve quality levels.
- Developed and maintained audit plans, checklists and procedures.
SR. AR ASSOCIATE
Gebbs Healthcare Solutions
Hyderabad
04.2024 - 08.2025
- Acted as key subject matter expert in US healthcare revenue cycle processes, focusing on Accounts Receivable.
- Provided expert-level knowledge on insurance follow-ups, denial resolution, and reimbursement methodologies.
- Guided AR callers through complex scenarios involving claim denials and payer-specific policies.
- Assisted team members in resolving escalated claims, ensuring high-quality outcomes aligned with client SLAs.
- Designed structured training programs for new hires and upskilling sessions for existing staff.
- Analyzed denial trends and performed root cause analysis to identify systemic billing issues.
- Monitored compliance with HIPAA and client standards through call and account action reviews.
- Reviewed AR aging reports to track performance, preparing analytical insights for stakeholders.
- Segregated allocation among the team according to their knowledge of payers, and trained them on new payers.
SR. ANALYST AR
RI Global Pvt
Hyderabad
05.2023 - 02.2024
- Spearheaded end-to-end Accounts Receivable (AR) follow-up processes for U.S. healthcare clients, ensuring timely resolution of outstanding claims across Medicare, Medicaid, and commercial payers.
- Performed proactive follow-ups on denied and unpaid claims via phone and payer portals, ensuring maximum reimbursement, and reduced aging.
- Analyzed denial patterns and conducted root cause analysis (RCA) to recommend preventive measures and minimize future rejections.
- Prepared and submitted appeals and reconsideration requests, with supporting documentation, to overturn claim denials.
- Worked closely with billing, coding, and eligibility teams to resolve discrepancies related to incorrect coding, authorization issues, and patient demographics.
- Monitored AR aging reports and maintained accounts within targeted aging buckets to support clean claims.
- Maintained accurate and timely documentation of call activity, payer communication, and claim status updates in the billing system.
- Assisted in training and mentoring junior AR callers, sharing payer-specific knowledge, and best practices for effective claim resolution.
- Ensured compliance with HIPAA regulations and internal policies during all patient data handling and payer interactions.
- Collaborated with internal stakeholders and management to escalate and resolve high-value or complex accounts impacting revenue flow.
ASSOCIATE ANALYST
Sutherland Global Services
Hyderabad
11.2021 - 05.2023
- Conducted outbound calls to insurance companies (Medicare, Medicaid, Commercial) to follow up on outstanding claims and secure timely payments.
- Investigated and resolved claim denials, rejections, and underpayments by communicating with payers, and analyzing Explanation of Benefits (EOBs) and remittance advice.
- Initiated appeals and resubmissions for denied claims by coordinating with billing and coding teams to ensure accuracy and compliance.
- Ensured proper documentation of all actions taken on patient accounts in the billing system, maintaining complete audit trails.
- Met daily and monthly productivity and quality targets related to the number of calls, resolution rate, and turnaround time (TAT).
- Maintained compliance with HIPAA regulations and company policies while handling patient and payer information.
- Monitored and worked on assigned claims based on aging reports to reduce AR days and improve cash flow.
- Provided feedback on payer trends and denial reasons to team leads for process improvement and RCA initiatives.
- Participated in periodic training sessions and process updates to stay aligned with payer policies and RCM best practices.
SR. EXECUTIVE FLIGHT OPERATIONS
Interglobe Aviation
Hyderabad
01.2020 - 11.2021
- Developed and implemented new strategies and policies in collaboration with executive partners to establish and achieve long-term business objectives, providing company with strong and sustainable organizational leadership.
- Transmitted flight plans and arrival reports to flight and air traffic control centers.
- Posted and interpreted weather reports and decoded sequence reports.
- Maintained flight logs on incoming and outgoing flights and individual flights.
- Reduced regulatory risks by acquiring documents, certificates, clearances and approvals from appropriate agencies.
- Compiled data and prepared aviation operations and aviation safety reports.
- Trained and developed new hires to drive efficient performance by teaching and emphasizing key skills, procedures and performance optimization strategies from day one.
- Addressed medical emergencies and flight operation obstacles as both first responder and emergency management leader.
CARGO OPERATIONS AGENT
TT Logistics
Bangalore
05.2019 - 10.2019
- Created documents of load plans, cargo cleanliness inspections, and transportation processes.
- Negotiated and arranged transport of goods with shipping or freight companies.
- Utilized computer systems to manage cargo shipments and accurately track goods.
- Compiled accurate cargo manifests, avoiding shipping errors and meeting regulatory standards.
- Implemented and maintained security protocols to safeguard cargo shipments.
- Prepared hazardous material shipments in compliance with safe handling practices.
- Resolved any customer inquiries or complaints to restore satisfaction.
- Coordinated and verified proper dispatch of cargo shipments, working closely with different departments to resolve issues.
CUSTOMER SERVICE REPRESENTATIVE
Air India
Chennai
11.2016 - 02.2019
- Coordinated event set-up and promoter engagement on sales and ticketing issues related to events.
- Tagged baggage and routed to appropriate location for loading and screening.
- Announced flight status updates and information about gate changes over PA system.
- Checked in luggage and confirmed all carry-on items met federal guidelines.
- Prepared detailed passenger manifests and other reports to meet organizational needs.
- Provided exceptional customer service to passengers, addressing concerns and resolving issues.
Education
Bachelor of Science - Computer Information Systems
Rashfriya Vbhwa Vidyapeeth
MumbaiIntermediate -
SVS Jr College
HanomkondoSSC -
Tetrahedron Model School
HuzurabadSkills
- Client management
- MS Office proficiency
- Medicare and Medicaid expertise
- Photoshop skills
- Billing processes
- Video editing
- Effective communication
- AI chatbot design
- Process improvement
- Data analysis
- Retro-authorizations
- Root cause analysis
- Medical terminology
- Compliance monitoring
Certification
- Dangerous Goods and Regulations
- Flight Dispatch
Accomplishments
- Awarded Gebbs High Flyers multiple times
- RI Star performer
Hobbies and Interests
- Racing
- Gun shooting
- Travelling
Timeline
Associate, RCM
Advantum Health
08.2025 - Current
SR. AR ASSOCIATE
Gebbs Healthcare Solutions
04.2024 - 08.2025
SR. ANALYST AR
RI Global Pvt
05.2023 - 02.2024
ASSOCIATE ANALYST
Sutherland Global Services
11.2021 - 05.2023
SR. EXECUTIVE FLIGHT OPERATIONS
Interglobe Aviation
01.2020 - 11.2021
CARGO OPERATIONS AGENT
TT Logistics
05.2019 - 10.2019
CUSTOMER SERVICE REPRESENTATIVE
Air India
11.2016 - 02.2019
Bachelor of Science - Computer Information Systems
Rashfriya Vbhwa Vidyapeeth
Intermediate -
SVS Jr College
SSC -
Tetrahedron Model School