Gopinath B

Detail-oriented Accounts Receivable Analyst with over 5 years of experience in Medical Billing and Revenue Cycle Management (RCM). Skilled in analysing unpaid claims, resolving insurance denials, following up with commercial and government payers, managing appeals, and improving reimbursement turnaround times. Experienced in working with Medicare, Medicaid, commercial insurance, HIPAA compliance, and practice management systems.

Accounts Receivable Analyst – Medical Billing - Novigo Integrated Services Pvt. Ltd. - Chennai, India

• Reviewed aging reports daily to identify outstanding insurance claims requiring follow-up.
• Contacted insurance companies through provider portal to verify claim status and resolve payment delays.
• Investigated claim denials and coordinated corrective actions for timely reimbursement.
• Submitted corrected claims and prepared appeals with supporting clinical documentation.
• Analyzed Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to identify payment discrepancies.
• Processed adjustments, write-offs, and contractual allowances according to payer guidelines.
• Worked with Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and other commercial insurance payers.
• Maintained compliance with HIPAA regulations and organizational quality standards

Process Associate – Medical Billing - Access HealthCare Services - Chennai, India

• Performed patient demographics entry by accurately entering patient, insurance, and provider information into the Med Suite practice management system.
• Executed charge entry by reviewing and posting medical charges for Anaesthesia services while ensuring compliance with coding and billing guidelines.
• Managed and resolved rejected and denied claims in Athena health by identifying errors, correcting data, and resubmitting claims promptly to maximize reimbursements
• Reviewed Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to identify claim payment issues.
• Performed insurance verification and validated patient demographic and insurance information to reduce claim rejections.
• Utilized MedSuite for patient registration, demographics management, and charge entry, and athenahealth for claim follow-up, denial management, and accounts receivable (AR) activities.

Bachelor of Commerce (B.Com) - Annai Violet College of Arts and Science