S. Jeevitha

Hi my name is Jeevitha, I have completed my degree BE ECE, and I have 1.6 year experience in medical billing RCM,Am a quick learner.i beleive my ability to focus and learn new concept and it will help me on perform well in this role.

AR Caller / Analyst at Getmax Healthcare Solution Pvt. Ltd. (2026-03 – Present)

• Conduct systematic follow-up calls to insurance companies to resolve pending, denied, and underpaid claims, ensuring timely reimbursement for medical services.
• Analyze Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify denial reasons, appeal or resubmit claims with appropriate corrections and supporting documentation.
• Prioritize AR aging buckets (30/60/90/120+ days) and coordinate with billing teams to maximize collections and reduce days in AR.
• Verify claim status through payer portals (Noridian, NGS Medicare, and commercial payer platforms) and IVR systems to obtain real-time claim updates.
• Prepare and submit insurance appeals with clinical notes, medical records, and authorization documentation to overturn claim denials.
• Identify and escalate complex denial patterns to management, contributing to process improvements that reduced denial recurrence rates.
• Maintain detailed call logs, follow-up activity trackers, and denial summary reports for weekly performance reviews.
• Collaborate cross-functionally with coding, billing, and credentialing teams to resolve eligibility-related denials and authorization issues.

Medical Claim Analyst at Creda Solutions (2024-10 – 2026-02)

• Reviewed patient records, encounter forms, and EHRs to validate services rendered prior to charge entry submission.
• Entered and transmitted charges including CPT/HCPCS codes, ICD-10 diagnosis codes, and modifiers into billing software with high accuracy.
• Verified insurance eligibility, benefits, and prior authorizations to ensure clean claim submission and minimize rejections.
• Posted payments from ERA/EOB, reconciled patient accounts, and maintained a clean AR by resolving discrepancies promptly.
• Managed claim denials end-to-end — identifying root causes, correcting coding errors, and resubmitting claims within payer timelines.
• Collaborated directly with insurance payers to resolve complex claim rejections, significantly reducing average turnaround time.
• Tracked and reported AR aging trends, denial patterns, and claim processing KPIs to support operational efficiency decisions.
• Achieved a 15% reduction in claim rejections through proactive denial resolution and process standardization.

Robotics Research Engineer & Mentor at Otomatiks (2023-09 – 2024-08)

• Taught robotics, coding, and automation concepts to students aged 8–17 through engaging hands-on curriculum.
• Conducted practical workshops featuring Scoobot, Sensors, and Automation experiments to build STEM foundations.
• Mentored students for National-level robotics competitions held at VIT University, Vellore, resulting in multiple podium finishes.

Telecaller (WFH) at Appolos English School (2023-05 – 2023-09)

• Handled inbound and outbound calls with students and parents regarding admissions and scheduling queries.
• Maintained accurate records of all interactions using CRM tools, ensuring data integrity and follow-up accountability.
• Delivered professional and empathetic service, achieving consistently high customer satisfaction scores.

B.E. in Electronics & Communication Engineering – Gnanamani College of Technology (2019 – 2023)