P Karuppasamy

Results-driven Medical Billing Specialist with 8+ years of progressive experience in Revenue Cycle Management (RCM), Account Receivable analysis, claims processing, and insurance coordination. Proven track record at Omega Health Care across roles spanning payment posting, demo & charges, and AR analysis. Adept at navigating complex insurance portals, resolving denied claims, and ensuring timely reimbursements to optimize the revenue cycle.

Account Receivable Analyst - Omega Health Care

(2025-01)

• Analyze and manage AR aging reports to reduce outstanding balances and improve cash flow
• Identify and resolve claim denials, underpayments, and billing discrepancies
• Collaborate with insurance carriers and internal teams to expedite claim resolution
• Generate performance metrics and submit regular AR status reports to management

Demo & Charges Specialist - Omega Health Care

(2020-01 - 2024-12)

• Processed patient demographic entries and charge entry for medical claims with high accuracy
• Validated CPT, ICD-10 codes, and modifiers to ensure clean claim submissions
• Maintained compliance with payer-specific billing guidelines and documentation standards
• Trained junior staff on charge entry workflows and quality assurance procedures

Payment Posting & Website Analyst - Omega Health Care

(2019-01 - 2020-12)

• Posted EOBs and ERAs accurately into the billing system with zero discrepancy targets
• Analyzed payer websites (Availity, Connex, Cigna, Emblem) for claim status updates
• Reconciled daily payment batches and resolved posting exceptions promptly

RCM Medical Billing Executive - Omega Health Care

(2017-01 - 2019-12)

• Managed end-to-end Revenue Cycle processes including charge submission and follow-up
• Verified insurance eligibility and benefits for newly enrolled patients
• Worked directly with insurance companies, patients, and healthcare providers

Bachelor of Computer Applications - Computer Applications - Bharathidasan University, Manapparai, Trichy (2014-01 - 2017-12)