Sabarish Selvan

Enthusiastic and results-driven Senior Healthcare Operations Professional with over 7 years of comprehensive experience specializing in Denial Management, Claim Adjudication, and Pre-authorization workflows. Proven track record at top-tier healthcare enterprises in optimizing revenue cycles, managing high-dollar claim pipelines, and leading critical client communications. Adept at navigating complex payer guidelines, handling international inbound/outbound provider relations, and resolving intricate billing, software systems, and coverage bottlenecks.

Senior Denial Specialist - Omega Healthcare

(2025-12)

• Manage end-to-end denial management workflows utilizing advanced tracking tools, analyzing claim rejections to identify systemic trends and execute rapid resolution paths.
• Drive the pre-authorization pipeline by meticulously validating member eligibility criteria within hospital network systems to secure valid insurance authorizations.
• Conduct extensive benefits verification metrics and proactively follow up on denied authorizations to mitigate revenue leakage.
• Liaise directly with international payers and medical provider departments to resolve complex appeals and denials, accelerating turnaround time.

Senior Process Executive / Senior Associate - Cognizant Technology Solutions

(2020 - 2025-11)

• Dedicated 6 years to administering comprehensive claim adjudication processes, specializing in Medicare procedures and Current Procedural Terminology (CPT) coding structures.
• Managed dedicated high-dollar claim queues and systematically resolved critical escalation emails received directly from global client managers.
• Conducted professional inbound and outbound Accounts Receivable (AR) calls to manage insurance appeals and effectively resolve provider claim denials.
• Actively functioned as an operational Team Lead for over a year, managing a 10-member production team and dynamically allocating resources to meet aggressive SLA demands.
• Managed member reimbursement claim workflows for international customers, guaranteeing flawless alignment with international compliance guidelines.

Client Engagements

• Attended high-level corporate client alignment calls for the Pass Project and major adjustment project lifecycles.
• Analyzed user expectations and mapped standard operating instructions and guidelines to daily team claim-handling workflows.

B.A. - English - SNS Rajalakshmi College of Arts and Science (2017)

12th Standard - State Board (2014)

10th Standard - TRA Higher Secondary School (2012)