Karthick Jayapaul

To be Part of the Organization's Challenging projects and contribute to the success of projects through creativity, innovation and hard work.

Group Coordinator - KRAFT BPO SOLUTIONS PRIVATE LIMITED

(2020-01)

Supervised and led team of payment posters, ensuring timely and accurate processing of ERAs, EOBs, insurance payments, and patient payments across multiple specialties to enhance revenue cycle efficiency.

• Ensure claims are processed accurately and on time.
• Coordinate daily workflows and assign responsibilities to maintain posting deadlines and minimize unapplied cash.
• Performed quality checks to ensure accurate application of payments, adjustments, and contractual write-offs, maintaining compliance with payer contracts and HIPAA guidelines to mitigate financial risk.
• Analyze posting trends and discrepancies; collaborate with AR and denial management teams to escalate and resolve payment issues and rejections.
• Generated and reviewed daily, weekly, and monthly payment reconciliation and productivity reports, monitoring KPIs such as posting turnaround time and error rates to identify areas for improvement.
• Guide new team members, provide support, and ensure they understand billing systems and compliance rules

Senior Claim Processer Executive - ANNEXMED PVT. LTD.

(2017-01 - 2019-04)

• Post payment from check batches received from the Finance Department into the Document management system.
• Post all payments from patients and various insurance companies within a set turnaround time.
• Monitored and resolved patient account issues related to unapplied cash and credit balances, ensuring accurate financial records.
• Reconciled daily cash batch posting reports with bank detailed batch report to maintain financial accuracy.
• Identified payment refunds and generated corresponding refund requests for patient and third party payments, facilitating timely resolutions.
• Balance all posted batches by generating a batch summary report and reviewing for variances.
• Completion and distribution of daily cash reports, i.e., Daily Log and Month-to-Date Log.
• Understand EOBs (explanation of benefits) and adjustments.
• Completes tasks accurately, maintaining quality standards.
• Meet monthly closing deadlines as set by the company.
• Posting of all third party and/or patient payments to proper accounts.
• Completed additional tasks to support project objectives.

Claim Processer - INDUS BPO SERVICES PVT. LTD.

(2015-09 - 2016-12)

• Applied insurance payments following specific dates and EOB procedures, maintaining compliance and accuracy.
• Posted payments from check batches received from Finance Department into practice management system, ensuring accurate financial tracking.
• Daily reconciliation of cash batch posting reports to bank detailed batch report.
• Balanced daily worksheets by verifying data accuracy and completeness, contributing to reliable financial reporting.
• Trained new staff on company procedures and best practices.

Process Associate - HTC GLOBAL SERVICES PVT. LTD.

(2013-11 - 2014-12)

• Conducted quality control audits on vendor capturing files to ensure accuracy and compliance.
• Tagged and fielded XML and HTML content for streamlined data management.
• Entered data in client software and created XML format to ensure accurate data representation.
• Converted JPG format to XML format for improved data usability.

M.Sc. - Computer Science - H.H the Rajah's College of Arts and Science, Pudukkottai (2012)

BCA - Computer Application - H.H the Rajah's College of Arts and Science, Pudukkottai (2010)

Higher Secondary - Thriukokarnam Govt., HSS, Pudukkottai (2007)

SSLC - Thriukokarnam Govt., HSS, Pudukkottai (2005)