Elangovan Madhan

Precise, efficient medical billing professional with 4.3 years of experience in inpatient, outpatient, and physician medical billing. Specialize in filing accurate claims, adjusting rejected claims, and understanding insurance contracts, appeals, and EOBs.

Senior Process Executive at Cognizant Technologies Solutions Pvt Ltd (2024-01 – Present)

• A Provider Written Inquiry is a formal, written request from a healthcare provider (e.g., doctor, hospital, clinic) to a health plan or payer.
• We should also mitigate the risk of future denials, ensuring that practices get paid faster and enjoy a health cash flow.
• A claim is denied or underpaid and they believe there was an error provider identifies issue - Review Explanation of Benefits (EOB) or Remittance Advice (RA) and notices a problem prepare inquiry.
• A letter or form is completed with relevant claim details (patient info, claim number, DOS, CPT codes, denial reason, etc.)

Client Partner - Senior Client Partner at Access Healthcare Services Pvt Ltd (2022-01 – 2024-12)

• Investigating, analyzing and resolving denied insurance claims.
• Recognizing the type of denial (e.g., coding errors, eligibility issues, lack of prior authorizations, etc.)
• Log into the payer's Portal examples: Availity, UHC Provider Portal, Aetna's NaviNet, etc.
• Upload required documentation (medical records, physician notes, etc.)
• Reviewing, researching and adjusting denied insurance claims.

Bachelor of Commerce in Commerce – Excel college for Commerce & Science, Namakkal. Periyar University. (2018-01 – 2021-12)