06 Goutham Kumar Kumar

To work in a challenging environment where I can prove myself by utilizing my skills & knowledge, resulting in organizational growth as well as individual development.

AR Analyst - VNS RCM TECHNOLOGIES

(2020-08 - 2022-12)

2 Years and 4 months Experience in AR Analyst in VNC RCM.

• Inducting different micro level processes of RCM like AR follow up, Denial Management, ERA (electronic remittance advice) management and appeal
• Worked in (Thera bill) Software, & Micro MD & Office Ally
• Focus on resolving the denial and rejection rather than writing off the amount
• Priority to high dollars and sensitive case for those TFL about to expire
• Work for provider's based billing, somehow any issue raised billed claims then recreate the claim again with correct information
• Managed end to end accounts receivable processes, ensuring timely invoicing and collections

AR Analyst - STARLINK HEALTHCARE ADMINISTRATION

(2023-01 - 2024-02)

1 Year and 1 Month of experience as an AR Analyst at Starlink Healthcare Administration.

• Worked on Accounts Receivable follow-up for denied, rejected, and unpaid medical claims
• Reviewed claim denials and identified root causes to ensure timely resolution and reimbursement
• Coordinated with coding and billing teams to resolve claim-related issues and reduce denials
• Submitted appeals and reconsideration requests for denied claims to maximize revenue recovery
• Performed insurance claim status checks nd followed up with payers for outstanding balances
• Utilized ECW (eClinicalWorks) software for documentation, and account follow-up
• Prepared daily, weekly, and monthly reports using Microsoft Excel to track AR performance, collections, and pending claims
• Maintained productivity and quality standards while ensuring compliance with healthcare billing guidelines

B. Com - General - Tagore College of Arts and Science, Chennai (2022)

12th HSE - Government Higher Secondary School, Peerkankaranai (2018)

10th SSLC - Government Higher Secondary School, Peerkankaranai (2016)