Revathi Nair

AR Associate Competent Accounts Receivable Specialist bringing 5 years 06 months of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.

Strong written and oral communication skill. Good time management and multi tasking. Highly motivated and able to produce the best results. Quick decisions and creative thinking with strong work ethics.

Able to work individually and in a team.

Senior Provider Reimbursement Specialist - LOGIXHEALTH SOLUTIONS PRIVATE LIMITED - Bengaluru

(2022-12)

Carrier Payment Analyst is responsible for reviewing and analyzing payments received from insurance carriers. Efficiently involves ensuring accuracy and compliance of payments identifying issues and optimizing the overall billing process to improve revenue cycle performance.

• Payment Reconciliation: Analyze and reconcile payments against submitted claims to ensure accuracy
• Claims Review claims submitted to insurance carrier for completeness and accuracy
• Discrepancy Resolution: Investigate and resolve payment discrepancies by working with insurance carriers, healthcare providers, and internal teams.
• Data Analysis: Monitor Key performance indicators related to carrier payments and billing efficiency
• Reporting: Generate reports on payments performance denials and trends for management review.
• Reduced claim denial rates by thoroughly reviewing documentation before submission to insurance providers
• Contributed knowledge to help improve financial management, billing and tracking systems

AR Senior Associate - ZH Healthcare, Inc - Kochi

(2022-05 - 2022-12)

• Experienced in AR calling, Denial Management, checking eligibility and Authorization verification
• Calling Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables
• Prioritize unpaid claims for calling according to the length of time it has been outstanding
• Call insurance companies directly and convince them to pay the outstanding claims
• Check the relevance of insurance info offered by, the patient
• Evaluate unpaid insurance claims and Call insurance companies and check on the status of claims and verifying authorization

AR Trainee - Omega Healthcare Management Services Private Limited - Bengaluru

(2019-02 - 2021-03)

• Prepared and mailed invoices to customers, processed payments, and documented account updates
• Depending on the volume of billings, this may also involve specialists in Medicare and Medicaid Follow-up as well as Commercial Payor Follow-up
• Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue
• Collaborates with consumers and insurance representative to resolve outstanding obligations in a fair and timely manner
• Collects patient liabilities that occur when patients are uninsured or have deductibles and coinsurance due
• They may assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources

SSLC - Christ Global Residential School (2012-06 - 2017-06) Bengaluru, India

Pre University - Commerce - Jubilee College (2012-06 - 2014-06) Bengaluru, India

Bachelor of Commerce - Financial Accounting - KNGJDC (2011-06 - 2012-06) Bengaluru, India