James Santhosh

Dynamic and results-driven Medical Billing Specialist at OncoSpark Private Limited, with demonstrated expertise in CPT and ICD-10 coding, and a deep understanding of healthcare reimbursement methodologies. Recognized for consistently resolving complex denied claims and driving measurable improvements in revenue cycle performance.

Medical billing Specialist - ONCOSPARK INDIA PVT LTD

(2023-03)

• Spearheaded end-to-end Revenue Cycle Management (RCM) processes, ensuring timely and accurate medical claim submissions to insurance providers.
• Prepared, processed, and submitted both electronic and paper-based medical claims, adhering to payer-specific requirements and billing guidelines.
• Conducted detailed claim audits and validations, identifying and correcting errors to ensure billing accuracy and minimize claim rejections.
• Effectively analyzed and resolved denied or rejected claims, leveraging payer policies and coding expertise to recover reimbursements and reduce revenue leakage.
• Maintained comprehensive and compliant documentation of billing activities, ensuring data integrity and audit-readiness.
• Collaborated with cross-functional teams to enhance billing workflow efficiency, contributing to overall improvements in revenue cycle performance.

Bachelor of Engineering - CSI Institute of Technology Kaniya kumari (2019-07)

Higher Secondary School Certificate - Kallakurichi Higher Secondary School (2015-07)

Government Boys Higher Secondary School