Ruban Raj

Healthcare operations professional with 10 years of experience in provider credentialing, insurance claims, and client servicing. Improves workflows, resolves complex claims, and delivers accurate, timely service in SLA-driven environments.

Senior Process Executive - Cognizant Technology Solutions - Chennai, India

(2017-12)

• Managed end-to-end US healthcare provider credentialing and re-credentialing operations
• Verified medical licenses, DEA certifications, and board qualifications to maintain accurate provider profiles
• Coordinated network onboarding, contract terminations, and timely provider data updates

HC & Insurance Operations Senior Representative - NTT DATA (DELL BPS) - Chennai, Tamil Nadu

(2015-05 - 2017-11)

• Reviewed Explanation of Benefits (EOB) documents to validate coverage and claim payments
• Managed patient billing and payment posting across Medicare, Medicaid, and commercial insurance
• Investigated denied claims and prevented recurring rejections to reduce outstanding receivables

Business Executive - Axis Securities - Chennai, India

(2014-05 - 2015-05)

• Acquired clients, verified documentation, and facilitated Demat account openings
• Advised clients on equity and financial trading products
• Supported client service across account setup and investment product inquiries

Communication & Dispatching Officer (CDO) - TNHSP (Tamil Nadu Health System Project) - Chennai, India

(2012-03 - 2014-02)

• Coordinated emergency communications and hearse ambulance dispatch, monitoring response times for citizens accessing free services

B.Sc. - Computer Science - Pachaiyappa's College for Men, Chennai (2011)

Higher Secondary Certificate (H.S.C) - St. Paul's Higher Secondary School, Chennai (2008)

Secondary School Leaving Certificate (S.S.L.C) - St. Paul's Higher Secondary School, Chennai (2006)