Mukesh Pvrm

Results-driven Medical Billing Specialist with 10+ years of experience in Revenue Cycle Management (RCM), specializing in Payment Posting, denial management, medical coding support, and claims processing. Proven track record of maintaining 99.8% posting accuracy, recovering underpaid claims, and improving cash flow. Expert in EOB/ERA analysis, insurance verification, charge entry, claims submission, and HIPAA compliance.

Adept at coordinating with payers, providers, and internal billing teams to resolve claim disputes and optimize the revenue cycle.

Senior Process Associate – Payment Automation - GUIDEHOUSE INDIA PVT LTD - Nagercoil

(2016-07 - 2026-02)

• Processed 1,500+ monthly insurance and patient payments by meticulously reviewing Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs); maintained 99.8% accuracy throughout tenure.
• Managed charge entry, claims submission, and insurance verification workflows, ensuring clean claims and timely reimbursements.
• Resolved payment discrepancies, underpayments, and complex denials — recovering an estimated $200K in underpaid claims annually through targeted follow-up and appeals.
• Performed adjustment posting including contractual adjustments, write-offs, and patient balance transfers in accordance with payer contracts.
• Contributed to Payment Posting initiatives by validating ERA posting logic and troubleshooting system exceptions to improve straight-through processing.
• Coordinated with insurance providers and internal teams to manage high-volume denial queues, improving claim resolution cycle time by 15%.
• Ensured strict HIPAA compliance and data confidentiality across all billing activities.
• Mentored junior associates on EOB reading, denial codes, and billing workflows.

B.Sc. - Computer Science - St Hindu College (2012-06 - 2015-04)