Abirami Chandrababu
Revenue Cycle Management (RCM) Professional
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About
Results-driven Revenue Cycle Management (RCM) professional with 8+ years of experience in healthcare operations, patient accounting, and EMR/EHR systems including Cerner, Tebra, and Meditech. Expertise in UB-04 and CMS-1500 claims processing, charge entry, payment posting, denial management, reconciliation, and clearinghouse rejections. Strong analytical skills with working knowledge of SQL for reporting, data validation, and revenue trend analysis.
Proven ability to improve First Pass Resolution (FPR), optimize workflows, ensure HIPAA compliance, and lead cross-functional teams to enhance operational efficiency and revenue integrity.
Experience
Senior Consultant – Revenue Cycle Management - RKR Prime Healthcare Limited - Chennai
(2025-05 - 2026-03)
- Managed UB-04 hospital claims processing using Tebra EMR
- Led Charge Entry and Payment Posting teams with structured training
- Reviewed claim rejections and coordinated resubmissions to reduce AR days
- Generated production and reconciliation reports using system data
- Supported revenue analysis through SQL-based data extraction and validation
- Monitored claim accuracy and compliance standards
Senior Analyst – Revenue Cycle Management - R1 RCM - Bangalore
(2020-08 - 2024-05)
- Utilized Cerner EMR for charge entry and hospital claim processing
- Supervised operations across Inpatient, Outpatient, Home Health, Hospice, and SNF facilities
- Improved First Pass Payment (FPP) rates through denial trend analysis
- Maintained HIPAA compliance across workflows
- Managed Missing EOB Tracker to reduce outstanding AR
- Performed reconciliation reporting and variance analysis
- Used SQL queries for revenue tracking, claim audits, and data validation
- Collaborated with cross-functional teams to improve SLA performance
Senior Revenue Cycle Specialist - Cerner Corporation - Bangalore
(2016-12 - 2020-12)
- Managed end-to-end claim lifecycle in Cerner Patient Accounting module
- Handled claims processing, rejections, and resubmissions to maximize reimbursement
- Developed KPI metrics and performance dashboards
- Performed insurance verification and payer follow-ups
- Managed clearinghouse tools (SSI, Emdeon, Rev Manager, Laserfiche)
- Supported reporting through SQL queries for reconciliation and audits
- Contributed to workflow optimization initiatives
Copy Editor - MPS (Macmillan Publication Ltd) - Bangalore
(2015-08 - 2016-11)
- Edited academic content ensuring grammar, syntax, and style compliance
- Managed multiple projects with strict deadlines
- Improved quality through systematic error reduction
Clinical Research Associate & Clinical Data Management - Diacon Research Center - Bangalore
Coordinated clinical trial documentation and investigator communication. Managed CRF tracking and database entry systems. Validated clinical trial data for accuracy and consistency. Ensured regulatory compliance and data integrity. Supported sample tracking and central laboratory coordination.
- Informed Consent Process
- Case Report Form (CRF) Handling & Review
- Adverse Event (AE/SAE) Reporting
Education
M.Sc.
- General Microbiology - Ethiraj College for Women, Chennai
B.Sc.
- Applied Microbiology - Jaya Arts and Science College, Chennai
PG Diploma - Advanced Clinical Research, Pharmacovigilance, Clinical Data Management & SAS - GITS Academy, Bangalore
Diploma - Pharmacy - Subhash College of Pharmacy, Bangalore
