Abirami Chandrababu

Revenue Cycle Management (RCM) Professional

Talent

BangaloreMember since 18 May 2026

Revenue Cycle Management (RCM)Patient AccountingCernerTebraMeditechKofaxUB-04 & CMS-1500 Claims ProcessingCharge Entry & Payment PostingDenial Management & AppealsEOB Review & ReconciliationClearinghouse Management (SSI, Emdeon, Rev Manager, Laserfiche)SQLRevenue Reporting & KPI DashboardsFirst Pass Payment (FPP/FPR) ImprovementInsurance VerificationHIPAA ComplianceProcess Improvement & Workflow OptimizationProject Management (Jira)Agile, Scrum & Kanban FrameworksTeam Training & Quality ControlExcelJiraConfluenceSAP AribaInformed Consent ProcessCase Report Form (CRF) Handling & ReviewClinical Data Entry & ValidationData Reconciliation & Quality ChecksAdverse Event (AE/SAE) Reporting

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Revenue Cycle Management (RCM)Patient AccountingCernerTebraMeditech

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.