Harini Sasikumar

Results-driven Healthcare Operations Professional with 4+ years of experience in provider enrollment, credentialing, and revenue cycle management. Proven track record in payor enrollment, medical billing accuracy, and crossfunctional client support. Skilled at troubleshooting platform issues, managing SLAs, and driving customer success across Salesforce, Jira, Zendesk, and Airtable. Consistent record of 100% data accuracy and reduced rejection rates.

Operations Analyst – Payor Enrollment & Credentialing - Certify - Remote

(2024-02 - 2026-03)

• Drive customer-centric health tech solutions for provider licensure, credentialing and enrollment across the U.S.
• Tracked, escalated, and resolved support tickets via Jira and Zendesk, consistently meeting SLA targets.
• Research, interpret, and evaluate information for provider credentialing and continuing medical education (CME) compliance.
• Validate and authenticate data on the credentialing & licensing platform ensuring 100% accuracy and audit-readiness.
• Collaborate cross-functionally to resolve enrollment discrepancies and reduce payor rejection rates.

Senior Process Executive – Healthcare Operations - Access Healthcare - Chennai

(2021-01 - 2022-12)

• Managed high-volume inbound/outbound B2B client calls, consistently exceeding productivity KPIs and first-call resolution targets.
• Supported cross-team coordination to resolve medical billing disputes in commercial, Medicare & Medicaid Claims, improving client satisfaction and reducing escalations.
• Safeguarded PHI and confidential data in full compliance with HIPAA standards.
• Generated analytical reports to identify process gaps and implement scalable workflow improvements.

Process Executive – Medical Claims - Omega Healthcare - Chennai

(2020-01 - 2021-12)

• Processed and adjudicated medical claims end-to-end, ensuring timely and accurate reimbursement with minimal errors.
• Identified and escalated claim denials, contributing to reduced rejection rates and improved revenue cycle cash flow.
• Standardized operational workflows and documented SOPs to improve team consistency and onboarding.

BCA - Computer Application - SFR College for Women, Sivakasi (2016-01 - 2019-12)

Higher Secondary (HSC) - Kamaraj Matriculation School (2015-01 - 2016-12)

Secondary School (SSLC) - Subbiah Vidyalayam Girls Hr. Sec. (2013-01 - 2014-12)