Monisha Ravichandran

Detail-oriented and results-driven Quality Analyst with over 5 years of experience in Healthcare Revenue Cycle Management (RCM), specializing in Physician Billing, Charge Entry, Payment Posting, and Claims Processing. Proven track record in auditing end-to-end RCM workflows, conducting root cause analysis, and driving quality assurance across major platforms (eClinicalWorks, AthenaHealth, Epic). Skilled at providing actionable team feedback, ensuring strict SOP compliance, and reducing denial rates to optimize revenue cycle efficiency.

Quality Analyst - Vee Healthtek - Chennai, TN

(2025-10 - 2026-05)

• Audited charge entry and payment posting workflows in eClinicalWorks (eCW) to ensure adherence to high client accuracy standards.
• Conducted structured Root Cause Analysis (RCA) on identified billing errors, leading targeted feedback sessions to boost overall team quality and throughput.
• Identified process bottlenecks and collaborated with operational leads to update and refine Standard Operating Procedures (SOPs).

Quality Control Analyst - Omega Healthcare - Chennai, TN

(2024-03 - 2025-09)

• Executed regular quality audits on physician billing workflows utilizing AthenaHealth, validating charge entry, claim submissions, and demographic accuracy.
• Reviewed unresolved and denied claims to ensure proper follow-up strategies and strict adherence to SOPs and payer guidelines.
• Delivered detailed feedback and quality metrics reports to specialists, contributing to lower error rates and higher first-pass resolution.

Process Associate Level 1 - AGS Health - Chennai, TN

(2022-06 - 2023-11)

• Processed hospital billing and insurance claims using Epic software, verifying patient coverage and resolving pre-billing edits prior to claim transmission.
• Coordinated with team members to resolve demographic and insurance coverage discrepancies, supporting smooth reimbursement workflows.

Client Partner - Access Healthcare - Chennai, TN

(2021-04 - 2022-07)

• Managed physician billing operations and claims handling using AthenaHealth, maintaining high accuracy in data entry and timely processing.
• Maintained complete compliance with healthcare regulations, client guidelines, and internal standard operating procedures.

Bachelor of Engineering - B.E. - Meenakshi College of Engineering (2015 - 2019)