Pri Ya

Wealth of 7 years experience in US medical billing process including 1. Eligibility Verification 2. Demo & charges 3. Claim submission 4. Rejection Fix 5. Patient payment posting 6. Quality Analyst

Process Expert - Provana India Pvt Ltd

(2025-07)

• Entering charges for multiple medical specialties with high accuracy and compliance.
• Allocating daily work volumes and productivity targets to team members.
• Conducting daily team huddles to discuss workflow distribution, updates, and performance metrics.
• Managing daily email communications asnd handling escalations efficiently.
• Coordinating with Client Service Managers (CSMs) to resolve client concerns and operational issues.
• Participating in weekly CSM calls to review performance, address gaps, and discuss improvements
• Ensuring adherence to quality standards and turnaround time requirements

Process Associate - CLARUS RCM

(2017-11 - 2024-12)

Senior Billing Analyst

• Performed weekly chart audits for checking of appropriate codes.
• Entered billing data and submitted bills to insurance companies private payers Medicaid and Medicare.
• Identified issues and brought any to the attention of supervisor.
• Documented and maintained all records as required.

B.COM - Computer Application - SIR THEAGARAYA COLLEGE OF ARTS AND SCIENCE (2014-04 - 2017-04)

12th - Computer Science, Accountancy & Commerce - The CHENNAI PORT AND DOCK EDUCATIONAL TRUST HIGHER SEC SCHOOL (2013-04 - 2014-04)