Naveen Mani

I have total of 6 Years of total experience out of which 2 years in IT Service Industry with experience in Manual Testing and Automation testing in both web based and windows based application and I have 4 years of expertise in denial management and defining business solutions on AR and RCM. Exceptional management skills, Interpersonal and collaborative team skills with a comprehensive background in having knowledge of US medical insurance terminologies, Medical claims, US insurance.

AR Executive and Senior AR Executive - Boston Business Solutions

(2021 - 2024)

• Meet daily with Team leaders/Supervisor and teammates to review previous day quality results.
• Good and expertise knowledge in RCM, Denials, and AR process. Highlight potential issues in the operations to management.
• Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work delivery in the future.
• Maintain current knowledge of billing requirements and system practices and recommend new procedures.
• Maintain periodic Audit and suggest measures to improve quality to satisfy client expectations.

Senior Client Partner - Access Healthcare - Chennai

(2024-03 - 2025-04)

• Worked on billing software Edgemed, Eclinical works, Optum, MDIV.
• To interact with US representative and deal with claim to solve the issue reducing AR days and increase revenue for providers.
• Provide subject matter expertise on Account Receivable process, provide mentorship, training and coaching to the team.
• Send the hourly tracker to supervisor.
• Responsible for collecting payments from insurance company and maximize monthly revenue or the provider.
• Analyze the patient account and resolving.

Quality Analyst - Prochant India - Chennai

(2025-04 - 2025-05)

• Quality assurance and auditing: Monitor AR calls, emails, and chats to ensure adherence to quality standards and regulatory requirements.
• Performance feedback and coaching: Provide constructive feedback to AR callers to improve their performance and help them resolve claim issues effectively.
• Training and development: Identify training needs and collaborate with the training team to develop and implement remedial training programs.
• Data analysis and reporting: Analyze call and claim data to identify trends, track key performance indicators like Days Sales Outstanding (DSO), and prepare reports for management.
• Process improvement: Propose and implement solutions to improve the overall AR and RCM processes, ensuring efficiency and accuracy.
• Compliance monitoring: Ensure that all collection practices and billing processes comply with internal policies and external regulations.

Software tester and QA Lead - Cybage software Pvt ltd - Hyderabad

(2013 - 2016)

• I have also worked in IT as Manual tester and Quality lead in Cybage software Pvt ltd, Hyderabad.

B.Tech - SathyabamaUniversity,Chennai (2013)

XII - VivekanandaHighersecondary,Namakkal (2009)

X - VivekanandaMatriculation,Namakkal (2007)