Meera Sajeevan

Result-oriented Revenue Cycle Management (RCM) professional with 9 years of extensive experience in US Healthcare Medical Billing, specializing in Denial Management, Accounts Receivable (AR) recovery, and team leadership. Proven track record of leading high-performing teams of up to 50+ members, identifying root causes of complex claim denials, and implementing effective appeal strategies to optimize cash flow. Adept at managing Key Performance Indicators (KPIs) such as AR days and Clean Claim Rates to ensure overall operational excellence.

Team Lead - RCM - HH BACK OFFICE PVT LTD - Ernakulam, Kerala

(2020-08)

• Manage and mentor a team of 50+ billing specialists to ensure daily productivity and quality targets are met.
• Monitor Key Performance Indicators (KPIs) such as AR aging, Clean Claim Rate, and Denial Rate to drive operational efficiency.
• Conduct regular quality audits and provide constructive feedback to improve team accuracy and compliance.
• Handle complex escalations, resolve billing disputes with payers, and directly manage patient account issues to ensure timely resolution.
• Interpret Medicare and Medicaid state-specific rules to ensure 100% clean claim submission and navigate billing platforms for business rules configuration.
• Prepare and present weekly and monthly performance reports using data visualization tools to senior management.
• Awarded the "High Flyer Award" (2022) for exceptional leadership, operational excellence, and team contribution.

Senior Billing Specialist - IRIS MEDICAL SOLUTIONS PVT LTD - Ernakulam, Kerala

(2017-01 - 2020-08)

• Processed medical claims and proactively followed up on unpaid or denied claims with insurance providers.
• Analyzed Explanation of Benefits (EOB) to identify root causes of denials and implemented corrective actions.
• Achieved a consistent 95% collection rate, significantly exceeding company performance benchmarks.
• Maintained 100% compliance with HIPAA standards, payment integrity protocols, and payer-specific guidelines.
• Executed front-end processes including Eligibility Verification, Charge Entry, and Payment Posting.

Bachelor of Science - Chemistry - St. Teresa's College, Ernakulam (2012-06 - 2015-03)