Preeth Kumar

Results-driven Revenue Cycle Management professional with 3+ years of experience supporting US healthcare billing operations across behavioral health, radiology, pathology, anesthesia, hospice, and skilled nursing facility (SNF) specialties. Strong expertise has been developed in denial management, accounts receivable follow-up, appeals processing, payment posting, insurance verification, and end-to-end medical billing workflows.

Comprehensive experience has been gained in handling Medicare, Medicaid, Medicare Advantage, commercial payers, workers' compensation claims, and behavioral health insurance plans. Proven ability demonstrated in resolving complex denials, recovering aging AR balances, managing high-dollar claims, and improving reimbursement turnaround within fast-paced production environments.

Leadership responsibilities have included workflow auditing, team coordination, productivity monitoring, operational support, and training assistance for a 30+ member RCM team. Strong exposure has been gained in payer communication, clearinghouse management, ERA/EOB review, and behavioral health reimbursement processes.

Senior AR Associate at ASSEMBLY HEALTH (2025-11 – Present)

• End-to-end RCM operations are being managed across behavioral health, hospice, SNF, and radiology billing workflows.
• Complex denials, corrected claims, appeals, reconsiderations, and aging AR accounts are being resolved within payer filing timelines.
• High-dollar claim follow-ups and reimbursement recovery activities are being prioritized to improve claim resolution efficiency.
• Payment posting, ERA review, and denial categorization processes are being handled with strong accuracy standards.
• Daily productivity targets involving 50+ claims/accounts are consistently being achieved.
• AR performance is being maintained within operational targets ranging between 12–25 AR days.

Senior AR Associate at QWAY TECHNOLOGIES (2023-07 – 2025-09)

• Comprehensive end-to-end medical billing operations were managed across high-volume US healthcare projects.
• Claim scrubbing, clearinghouse rejection handling, denial resolution, appeals processing, insurance verification, and AR follow-up activities were extensively performed.
• Behavioral health payer plans and mental health billing workflows were actively handled across commercial and government payers.
• Medicare, Medicaid, managed care, workers' compensation, and commercial claims were processed through multiple payer portals and clearinghouses.
• Supervisory and auditing responsibilities were performed for a 32-member operational team.
• Workflow auditing, productivity monitoring, issue escalation, and operational feedback activities were consistently conducted.
• Coordination between operational teams and clients was maintained to improve reimbursement turnaround and workflow efficiency.
• New hires were trained on denial handling workflows, payer guidelines, AR processes, and quality standards.
• Leadership responsibilities were assigned following demonstrated operational performance and denial management expertise.

AR Associate at OMEGA HEALTHCARE (2022-06 – 2022-10)

• Initial professional exposure to large-scale US healthcare RCM operations was developed.
• Claim scrubbing, rejection handling, denial resolution, and payer follow-up activities were managed within daily production workflows.
• Foundational experience was gained in payment posting, eligibility verification, and accounts receivable management.
• Exposure to complete medical billing lifecycle processes was successfully established within a fast-paced operational environment.

Bachelor of Science (B.Sc.) in Botany – Jamal Mohamed College (2020)