Pavi
Healthcare Operations Professional specializing in US Healthcare Revenue Cycle Management
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About
Result-oriented Healthcare Operations Professional with over a decade of robust experience specializing in US Healthcare Revenue Cycle Management (RCM), specifically in Payment Posting and Quality Cash Posting. Proven track record of accurately processing insurance claims, utilizing advanced online RCM tools, and maintaining high quality standards to optimize provider cash flow. Demonstrates strong analytical skills backed by a foundational background in Computer Science.
Experience
Quality Cash Posting Specialist - Coronis Ajuba - Chennai, TN
(2023-07 - 2025-12)
- Managed the quality assurance and auditing of cash posting entries for US-based healthcare providers and medical practitioners.
- Ensured precise reconciliation of daily insurance remittances, minimizing financial discrepancies and errors in patient accounts.
- Utilized advanced proprietary and online billing platforms to streamline claim resolutions and payment accuracy.
Payment Posting Executive - CorroHealth - Chennai, TN
(2016-12 - 2023-07)
- Accurately processed and posted electronic remittance advices (ERA) and manual explanation of benefits (EOB) from diverse commercial and government insurance lines.
- Identified, thoroughly documented, and efficiently routed claim denials or underpayments to respective accounts receivable teams for timely appeals.
- Consistently achieved or exceeded core monthly productivity and quality metrics set by clients.
Payment Posting Associate - Access Healthcare Pvt Ltd - Chennai, TN
(2015-07 - 2016-09)
- Processed daily high-volume payment posting requests initiated by US healthcare clients, medical providers, and clinics.
- Maintained strict adherence to HIPAA compliance regulations regarding protected health information (PHI) and secure financial documentation.
Education
B.Sc. - Computer Science - DRBCCC Hindu College (Madras University) (2015)
Higher Secondary Certificate (HSC) - IHSM Girls Higher Secondary School (State Board) (2012)
Secondary School Leaving Certificate (SSLC) - IHSM Girls Higher Secondary School (State Board) (2010)
