Bhavani Priyanka

Detail-oriented and results-driven Accounts Receivable (AR) Caller with 3+ years of experience in healthcare revenue cycle management. Proven expertise in managing insurance claims, resolving denials, and ensuring timely reimbursement through effective follow-ups and documentation. Proficient in medical billing software and HIPAA compliance. Adept at analyzing claims data, identifying trends, and implementing process improvements to optimize collections.

SME (Subject Matter Expert) - AR Caller at Rnd Softech Pvt. Ltd. (2021-07 – 2025-02)

• Led a team of AR callers, providing mentorship, performance feedback, and hands-on training on AR workflows and denial resolution.
• Managed complex DME (Durable Medical Equipment) claims, identified root causes of denials, and implemented corrective actions.
• Handled escalated claims and complex billing issues to ensure timely resolution and client satisfaction.
• Key Skills: Revenue Cycle Management (RCM), DME Claims, Team Management, Process Improvement, HIPAA.

Senior Process Executive at Cognizant (2025-02 – 2025-12)

• Conducted AR follow-up with US-based insurance companies (Medicare, Medicaid, and Commercial) for physician billing.
• Analyzed and resolved denied, underpaid, and rejected claims using EOB/ERA analysis.
• Managed aging reports to prioritize high-value claims and submitted appeals and reconsiderations per payer guidelines.
• Maintained accurate call documentation and adhered to strict HIPAA compliance standards.
• Key Skills: Physician Billing, Claim Denial Management, CPT/ICD-10 Coding, MS Excel, Google Sheets.

Quality Analyst Operation at Pro 1 Health (2025-12 – Present)

• Audit AR calling processes to ensure accuracy in claim follow-ups and compliance with client guidelines.
• Identify errors and provide actionable feedback/coaching to improve team performance and reduce rework.
• Analyze denial trends to support process improvements aimed at reducing AR days and enhancing collections.
• Key Skills: Quality Auditing, Root Cause Analysis (RCA), Team Feedback, Reporting, Quality Monitoring.

DSCE – Sri Ranganathan Institute Polytechnic College (2018)

SSLC – American Institution (2014)