Dhanesh Sukumaran

Efficient medical billing professional with over 6 years of experience in in-patient, out-patient, physician medical billing. Specialise in filling accurate claims, adjusting rejected claims and understanding insurance contracts, appeals and EOB.

QA Analyst at Paddle Point BPO Services Pvt. Ltd. (2022-01 – 2024-01)

• Audited AR follow-up calls and evaluated claim resolution accuracy.
• Analyzed denied claims and verified appropriate actions resubmission/appeals).
• Monitored aging reports and ensured timely follow-ups.
• Identified trends in denials and suggested process improvements.
• Verified payment postings and identified underpayments.
• Prepared daily, weekly, and monthly QA reports

Senior Account Receivable at Credence Resource (2021-03 – 2021-12)

• Call insurance companies for unpaid or denied claims.
• Check claim status (paid /pending / denied).
• Work on denied claims and correct error.
• Submit appeals with proper documentation.
• Track denial trends to reduce future errors.
• Check if payments received match billed amount.
• Identify underpayments or overpayments.
• Report discrepancies

Deck Cadet at Akgunler Isletmeleri STI. LTD. (2019-10 – 2020-12)

• Assist officers on the bridge during watchkeeping.
• Monitor cargo safety and stability.
• Assist in maintaining logs and records

Deck Cadet at SM Ship Management PVT. LTD. (2014-04 – 2015-04)

• Learn emergency procedures.
• Study ship stability, meteorology, seamanship.
• Maintenance of mooring ropes, anchors, winches.
• Assist in loading/unloading cargo.
• Maintain lookout (especially at night or in busy waters)

AR Associate Trainee at Gebbs Healthcare Solutions (2018-10 – 2019-09)

• Check claim status (paid /pending / denied).
• Work on denied claims and correct error.
• Submit appeals with proper documentation.
• Track denial trends to reduce future errors

QA Analyst at Vohra Wound Care Pvt. Ltd. (2024-01 – Present)

• Reporting progress and audit status to QAL
• Maintaining and updating process specific documents
• Ensuring audit files are sent within TAT and reworks are achieved
• Updating audit number for calculating KRA.
• Identified errors in denial management, coding, and documentation.
• Provided structured feedback to improve team performance.
• Maintained audit reports and tracked quality scores

Diploma in Nautical science – Indian Maritime University (2011-08 – 2012-07)

Diploma in Hotel Management – Kerela Rural Education Development (2015-08 – 2016-03)

Higher Secondary Examination in High School – A.S.M.M.HSS (2009-06 – 2011-03)

10th Board Examination – A.S.M.M.HSS (2008-06 – 2009-03)

BCA in Computer applications – Amrita vishwa vidyapeetham, Amrita Ahead (2024-10)