Ramya Janardhan babu

Dedicated and results-driven Accounts Receivable (AR) Executive with over 4.1 years of experience in healthcare revenue cycle management. Skilled in resolving billing disputes, managing claims, and maintaining strong client and payer relationships. Recognized for consistent achievement of production and quality targets, effective communication, and analytical problem-solving.

Adept at working across multiple specialties and software systems to ensure timely and accurate claim resolution while upholding compliance with HIPAA regulations.

Senior AR Associate - Guide House India

(2024-03)

Project: Pediatrix medical group | Software: Nextgen | Form Type: CMS 1500 | Specialty: Pediatrix

• Managed Accounts Receivable follow-up for pediatric claims, handling 40–60 claims per day and ensuring timely resolution.
• Reviewed denied, rejected, and underpaid claims to identify root causes and performed insurance follow-ups via calls and payer portals.
• Resolved denials related to eligibility, authorization, coding errors, and timely filing limits through EOB/ERA analysis.
• Handled appeals and reconsiderations while maintaining compliance with HIPAA guidelines.
• Improved AR aging and cash flow by reducing backlog and following up on high-dollar and aging accounts.
• Consistently met SLA targets, achieved daily/weekly collection goals, maintained a 95% quality score, and earned recognition for performance.

AR Executive - Coronis Ajuba

(2023-04 - 2024-03)

Project: CHI Conifer | Software: ACE | Form Type: UB04 | Specialty: Multiple

• Performed follow-up activities on outstanding physician claims under the direction of the Accounts Receivable Supervisor.
• Proactively followed up on unpaid claims in accordance with medical system standards.
• Identified and escalated issues causing non-payment of claims due to internal or external factors.
• Collaborated with team members to expedite resolution of outstanding claims.
• Maintained strict patient confidentiality in compliance with HIPAA regulations.
• Achieved 100% production, quality, and shrinkage metrics.
• Met and exceeded performance expectations in October and November.

Client Partner (AR Caller Executive) - Access Healthcare

(2021-12 - 2023-04)

Project: RTSE | Software: Athena | Form Type: CMS 1500 | Specialty: Multiple

• Contacted insurance companies on behalf of physicians to resolve unpaid claims.
• Prioritized and managed follow-up on outstanding accounts receivable based on claim age.
• Negotiated with insurance representatives to secure timely payments.
• Requested and reviewed Explanation of Benefits (EOB) for already paid claims.
• Ensured accurate documentation and maintained communication logs for all interactions.
• Contributed to improved cash flow and reduced claim aging through proactive follow-up.
• Recognized as Best Performer of the Month for consistent quality and productivity.
• Received R&R award for 100% production, quality, and shrinkage performance.

Bachelor of Arts - English Literature - Soka Ikeda College (2019 - 2021)

Higher Secondary - Kannada sangha higher secondary school (2017 - 2018)

SSLC (2015 - 2016)