Hari J

Senior RCM Specialist with 5 years of proven expertise managing high-volume healthcare accounts receivable portfolios. Adept at leveraging targeted Root Cause Analysis (RCA) to systematically lower Days Sales Outstanding (DSO) while maintaining pristine compliance with client SLAs. Specializes in client onboarding processes, advanced denial deconstruction, bulk appeals, and clearing persistent revenue bottlenecks to accelerate cash flow.

Combines deep knowledge of major payer guidelines with advanced technical platform navigation to consistently protect client revenue cycle efficiency.

Senior Specialist - RCM - LogixHealth - Bengaluru

(2022-12)

Core Platform: Allscripts

• Successfully anchored the client onboarding process for newly transitioned accounts; collaborated closely with internal teams to establish smooth workflows and guide team members on new billing baselines from day one.
• Collaborated with cross-functional teams and junior colleagues to resolve everyday workflow issues, share billing knowledge, and keep daily operations running smoothly.
• Responsibly managed and optimized assigned client accounts receivable portfolios, consistently meeting and exceeding monthly cash collection targets.
• Partnered with leadership to conduct root cause analysis (RCA) on recurring rejection trends, successfully clearing up a clearinghouse mapping issue and reducing recurring denial metrics by 18%.
• Maintained an excellent, consistent personal quality and documentation audit score averaging 98.5%, ensuring full compliance with strict client Service Level Agreements (SLAs).

Client Partner - Access Healthcare - Chennai

(2022-03 - 2022-12)

Core Platforms: Brightree, Epic

• Controlled end-to-end provider reimbursement workflows with a core focus on Durable Medical Equipment (DME) claim reviews, account validation, and direct client communications.
• Evaluated daily processing constraints and clearinghouse friction points, adjusting account follow-up strategies to systematically increase daily claim handling throughput.
• Secured steady client satisfaction standards by providing clear performance reporting, resolving complex client escalation items, and offering data-driven updates to streamline reimbursement cycles.

AR Caller - 4D Global Medical Billing Company - Chennai

(2021-08 - 2022-03)

Core Platforms: eClinicalWorks, AdvancedMD, Healthpac

• Executed precise and prompt outbound telephone queries and portal follow-ups with major US insurance carriers, capturing detailed account actions to accelerate claim adjudication.
• Uncovered root causes behind intricate payer claim rejections to secure missing Coordination of Benefits (COB) information or required documentation, rendering clean modifications for successful re-submission.
• Met individual daily production expectations while sustaining a strong personal quality audit footprint by eliminating account documentation errors and action code lapses.

Bachelor of Engineering (B.E.) - Computer Science and Engineering (CSE) (2020)