Divi Sekar

Detail-oriented Medical Billing Specialist with 7 years of experience in US healthcare revenue cycle management. Experienced in claims processing, charge entry, payment posting, insurance follow-up, denial management, EOB/ERA review, and patient account reconciliation. Knowledge of ICD-10-CM and CPT coding, insurance verification, Medicare, Medicaid, and commercial insurance. Strong attention to detail and accuracy.

Senior Process Executive - QBSS Pvt.LTD.

(2022-01 - 2025-06)

Senior Process Executive - Access HealthCare Services Pvt.LTD.

(2016-04 - 2020-01)

Process Executive - Pradot Technologies Pvt.LTD.

(2015-07 - 2016-04)

Executive - Dell Business process solution Pvt.LTD.

(2014-02 - 2015-06)

Medical Billing Specialist

• Process and submit medical claims to insurance companies.
• Review patient demographics, insurance information, CPT and ICD-10 codes before claim submission.
• Review EOBs and ERAs and post insurance payments, adjustments, and patient responsibility.
• Follow up on unpaid, rejected, and denied claims.
• Research denial reasons and take appropriate action for claim correction or resubmission.
• Identify payment discrepancies and underpayments and escalate issues when required.
• Maintain accurate billing records and update claim status in the billing system.
• Use Excel to track outstanding claims and follow-up activities.
• Entered charges and submitted insurance claims.
• Verified patient eligibility and insurance benefits.
• Reviewed EOBs for payment and adjustment information.
• Posted insurance and patient payments accurately.
• Followed up on outstanding balances and denied claims.
• Assisted with claim corrections and resubmissions.
• Maintained patient billing records and documentation.

Bachelor of Science - Information Technology - DR. SNS CAS - Coimbatore (2013)