Abishek Kannan

US Healthcare RCM professional with 9+ years of experience across Accounts Receivable, Medical Billing, Denials & Appeals, Claims Resolution, Payment/Cash Posting, Insurance Follow-up, and Revenue Cycle Management.

Experienced Client

Specialist / SME / Trainer with responsibility for supporting and guiding a 17-member RCM team, handling complex account escalations, conducting training, reviewing quality findings, and supporting process improvement. Strong knowledge of the end-to-end US Medical Billing lifecycle, including claim submission, payment posting, cash reconciliation, AR follow-up, denial management, appeals, credit balance, unapplied cash, and account resolution. Experienced in new-hire and refresher training, training module development, SOP/workflow creation, knowledge assessments, QC error analysis, rebuttal meetings, root-cause analysis, and team coaching, with regular collaboration across Operations, Quality, and Management.

Client Specialist / Subject Matter Expert (SME) / Trainer - ACCESS HEALTHCARE - Chennai

(2022-03 - 2026-04)

Team Leadership & SME, QC Error Review & Rebuttal, Training & Development

• Managed and supported a 17-member US Healthcare RCM team, providing day-to-day SME guidance, coaching, escalation support, and performance assistance across AR, denials, payment posting, and cash posting.
• Served as the primary SME for complex AR, denial, claims resolution, payment posting, and account resolution issues, providing payer-specific guidance and resolution strategies.
• Monitored team quality, productivity, and process adherence, conducting one-on-one coaching and identifying knowledge gaps requiring targeted development.
• Collaborated with Operations, Quality, and Management teams on performance issues, process changes, denial trends, and continuous improvement initiatives.
• Participated in regular QC error-review and rebuttal meetings, validating quality findings against account documentation, EOB/ERA details, payer guidelines, SOPs, and client-specific requirements.
• Conducted error validation and root-cause analysis, presenting evidence-based rebuttals for disputed findings and working with Quality and Operations to reach appropriate conclusions.
• Converted recurring QC findings into targeted coaching, refresher training, and process improvements to reduce repeat errors and improve process accuracy.
• Conducted new-hire and refresher training on US Healthcare RCM, Medical Billing, AR, Denials & Appeals, Payment/Cash Posting, and account resolution.
• Developed training modules, SOPs, workflows, case studies, knowledge assessments, and practical exercises based on process requirements and identified knowledge gaps.
• Trained employees on EOB/ERA interpretation, payment and adjustment posting, denial workflows, payer follow-up, appeals, credit balances, unapplied cash, and complex AR scenarios.

Senior Executive - OMEGA HEALTHCARE SOLUTIONS - Chennai

(2021-02 - 2022-03)

• Handled full-cycle RCM activities from claim submission through payment reconciliation and AR resolution.
• Managed aged AR and worked with clients and payers to resolve outstanding claims, insurance issues, and account discrepancies.
• Supported process improvement initiatives focused on AR reduction and collection efficiency.
• Coordinated client communications related to aged claims, insurance updates, and account resolution.

Senior Executive - GLOBAL HEALTHCARE BILLING PARTNERS SOLUTIONS - Chennai

(2019-08 - 2020-11)

• Managed high-volume claim denials and appeals, ensuring timely resolution within payer filing and appeal requirements.
• Analyzed denial reasons, claim documentation, payer responses, and coding-related information to determine appropriate resolution.
• Improved denial resolution and overturn opportunities through detailed account and documentation analysis.

Process Associate - AGS HEALTH - Chennai

(2017-10 - 2019-04)

• Processed US Healthcare billing activities while maintaining high standards of accuracy, quality, and productivity.
• Supported claim processing and account resolution while maintaining 100% QA performance.
• Received the Star Performer Award for consistent accuracy, productivity, and overall performance.

Client Executive - MEDUSIND SOLUTIONS - Chennai

(2015-04 - 2017-06)

• Supported clients with end-to-end US Healthcare RCM activities across multiple stages of the billing cycle.
• Managed billing-related activities and supported timely claim and account resolution.
• Recognized with the Best Trainee Award for outstanding performance during onboarding.

Bachelor of Computer Applications - BCA - Hindustan University (2014)