Mathan Kumar

Accomplished Healthcare professional with more than 4.4 years of experience in the Demo, Payment Posting and other RCM workflow and outstanding skills in assessing what is needed, recommending solutions and effective communication knowledge of healthcare procedures, medical billing and insurance processing well versed in research and analysis, seeking a challenging opportunity in the healthcare field as Analyst.

Process Executive at OMEGA HEALTHCARE SOLUTIONS (2021-12 – 2024-01)

Field: Payment Posting, Year of Experience: 4.4 Years

• Knowledge of payment posting policies, procedures, and practices of clinical practices
• Processing of EOB, ERA and EFT
• Posts appropriate adjustments when required according to contract
• Responsible for collection of payments of a company. And use skills in project management, organization, and communications to collect payments from clients and customers.
• Handles day-to-day billings, maintains, and grows payor relationships, and ensures optimal billing processes. Depending on the volume of billings, Medicare and Medicaid Follow-up as well as Commercial Payor Follow-up.
• Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue
• Corresponding Denial Posting – Posting the Denials with appropriate code which are denied by the Insurance and share repeated denial to AR.
• Log Maintenance – Maintaining the Consolidated reconciliation of payments log for the allotted Departments and the Batches completed status and details of logs which has been shared to the Client with proper page alignment and headers

Process Executive at BRISTOLE HEALTHCARE SERVICES (2024-05 – 2026-05)

Field: Payment Posting, Year of Experience: 4.4 Years

• Knowledge of payment posting policies, procedures, and practices of clinical practices
• Processing of EOB, ERA and EFT
• Posts appropriate adjustments when required according to contract
• Responsible for collection of payments of a company. And use skills in project management, organization, and communications to collect payments from clients and customers.
• Handles day-to-day billings, maintains, and grows payor relationships, and ensures optimal billing processes. Depending on the volume of billings, Medicare and Medicaid Follow-up as well as Commercial Payor Follow-up.
• Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue
• Corresponding Denial Posting – Posting the Denials with appropriate code which are denied by the Insurance and share repeated denial to AR.
• Log Maintenance – Maintaining the Consolidated reconciliation of payments log for the allotted Departments and the Batches completed status and details of logs which has been shared to the Client with proper page alignment and headers

B.E Mech in Bachelor of Engineering – KSR college of Technology, Tiruchengode