Banu Priya

A competent and dedicated professional with 10 years of experience in the Medical Billing End-to-End process (Revenue Cycle Management - RCM). Proven expertise in handling all phases of RCM including patient registration, charge entry, claims submission, payment posting, denial management, and AR follow-up. Adept at working in fast-paced environments, ensuring accuracy, compliance, and timely reimbursements.

Strong communication and analytical skills with a commitment to continuous improvement and operational excellence.

Senior Payment Posting Specialist-II - Exprimunt Medical billing - Remote

(2025-12)

• Posting manual EOBS and ERA checks, manual patient payments and posting the denial files, Lock box files, Web portals eobs with in TAT.
• Downloading EOBS from payor portals, Optum, Availity, Zelis, Tricare. Etc..
• Deposit reconciliation on daily basis.

Payment Posting Specialist - Ventra Health Private Limited - Coimbatore

(2024-05 - 2025-11)

• Posted payments accurately and promptly within the Revenue Cycle Management (RCM) workflow, ensuring seamless financial operations.
• Ensured strict compliance with payer guidelines and internal audit standards to maintain regulatory integrity.
• Handled client escalations related to claims, investigated discrepancies, and resolved issues to ensure timely reimbursement and client satisfaction

Cash Application Specialist - Bikham Healthcare Private Limited - Remote (Punjab)

(2020-11 - 2024-04)

• Oversaw complete cash application workflows for healthcare clients, ensuring accuracy and timely processing of payments.
• Reconciled daily transactions and resolved payment discrepancies to maintain precise financial records and support audit readiness.

Senior Process Associate (Payment Posting Auditing) - Rusan Medisys Pvt. Ltd. - Coimbatore

(2019-04 - 2020-01)

• Audited payment postings to ensure accuracy, compliance with payer policies, and adherence to internal standards.
• Collaborated with internal teams to enhance audit efficiency and minimize posting errors.
• Provided regular feedback and conducted training sessions for associates to uphold quality benchmarks.
• Maintained detailed quality records to monitor performance trends and support continuous improvement initiatives.

Senior Process Associate (Payment Posting) - Pradot Technologies - Coimbatore

(2013-06 - 2018-07)

• Managed payment posting operations across multiple healthcare clients, ensuring consistency and compliance with RCM protocols.
• Delivered high levels of accuracy and maintained optimal turnaround times in processing claims and payments, contributing to improved cash flow and client satisfaction.

Bachelor of Computer Applications - Computer Applications - Kovai Kalai Magal College of Arts and Science (2008 - 2011)

Higher Secondary (HSC) - Government Higher Secondary School (2006 - 2008)

SSLC - Government Girls High School (2006)