Hariharan A

Process Analyst with 3 years of experience in the U.S. healthcare Revenue Cycle Management (RCM) industry. Specialized as an Accounts Receivable (AR) Analyst and Caller, with expertise in clean claim submission, insurance follow-up, and denial management for both hospital (UB-04) and professional (CMS-1500) claims. Proven track record of improving claim acceptance rates, reducing denials, and enhancing team performance.

Strong knowledge of Medicare, Medicaid, HIPAA, NCD, LCD guidelines, ICD-10, CPT, HCPCS, POS, Modifier and insurance billing regulations, leveraging a strong technical background (M.Sc. in Computer Science) to optimize EHR/EMR workflows and support data-driven Revenue Cycle Management.

RCM Analyst/ AR Analyst - Huron Eurasia India Private Limited - Chennai

(2024-10 - 2026-06)

• Managed the end-to-end claim submission lifecycle for hospital (UB-04) and professional (CMS-1500) claims, ensuring a high first-pass claim acceptance rate and timely reimbursement through accurate claim submission and compliance with payer guidelines.
• Performed Accounts Receivable (AR) follow-up by resolving billing discrepancies, claim rejections, underpaid claims, and recoupments. Conducted Revenue Recovery through payer follow-up, appeals, and reimbursement activities. Performed AR Aging Analysis (30/60/90/120+ days) to prioritize outstanding accounts, verified patient eligibility and benefits, obtained prior authorizations, submitted paper and portal appeals, managed outstanding AR, and consistently achieved productivity and quality targe
• Handled claim rejections, analyzed denial root causes, and resolved billing discrepancies in accordance with Medicare, Medicaid, commercial payer policies, and payer regulations.
• Utilized billing applications including Cerner, Citrix, Practice Suite, PIC, and RCI, along with clearing house such as TriZetto and Change Healthcare, to process and monitor claims efficiently.
• Mentored and trained new team members on RCM workflows, payer guidelines, and AR follow-up processes, improving process knowledge and overall team productivity.
• Worked across multiple specialties, including Emergency Medicine, Gastroenterology, General Surgery, Physical and Occupational Therapy, Ambulatory Surgery Center (ASC), Skilled Nursing Facility (SNF), General Medicine, Inpatient, and Outpatient services.

AR Analyst / Caller - Global Healthcare Billing Partners Private Limited - Chennai

(2023-06 - 2024-09)

• Conducted AR calling and analysis for resolving denials and ensuring claim reimbursement.
• Applied Medicare, Medicaid, and commercial payer guidelines to analyze and resolve claim issues.
• Communicated effectively with insurance providers to address billing inquiries.
• Knowledge of payer guidelines, ICD-10, CPT, Modifiers, and POS.

Master of Computer Science - Computer Science - DR.

Ambedkar Government Arts

College, University of Madras (2020 - 2022)

Bachelor of Science - Computer Science - Mar Gregorios College of Arts and Science, University of Madras (2016 - 2019)

Higher Secondary - Thiru Vi ka Higher Secondary School (2014 - 2016)