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.
