Sathiya Ravichandran

Results-driven Medical Billing Senior Process Executive with 8+ years of experience in Revenue Cycle Management (RCM), specializing in Accounts Receivable (AR), Denial Management, Appeals, Payment Posting, and Team Management. Experienced in leading teams, monitoring productivity and quality metrics, conducting audits, analyzing denial trends, and implementing process improvements to enhance revenue recovery. Strong knowledge of insurance guidelines, Medicare, Medicaid, commercial payers, HIPAA compliance, and medical billing workflows.

Proven ability to coach team members, achieve SLA/KPI targets, and collaborate with clients and cross-functional teams to drive operational excellence.

Senior Process Executive - Cognizant Technology Solutions

(2022-09 - 2026-03)

• Trained and onboarded new team members on process workflows, client requirements, billing guidelines, and quality standards, ensuring smooth transition and improved performance.
• Prepared and presented weekly business review decks for client calls, highlighting team performance, productivity metrics, quality trends, key challenges, and action plans.
• Managed Jira tickets for process-related issues, coordinating with internal and client stakeholders to drive timely resolution and minimize operational impact.
• Developed and maintained weekly categorization and root cause analysis reports to identify error trends, denial patterns, and process improvement opportunities.
• Led a team of approximately 20 associates, overseeing work allocation, workload balancing, performance monitoring, and day-to-day operational activities.
• Consolidated productivity, quality, and operational metrics across the team and shared comprehensive management reports on a daily basis.
• Monitored SLA, KPI, productivity, and quality targets, implementing corrective actions to ensure consistent achievement of business objectives.
• Collaborated with cross-functional teams and management to improve operational efficiency, enhance process compliance, and support revenue cycle goals.
• Conducted regular team huddles, feedback sessions, and performance reviews to drive employee engagement and continuous improvement.

Process Associate - AGS Healthcare

(2021-02 - 2022-09)

• Managed AR accounts by performing timely and accurate insurance follow-up.
• Communicated with insurance companies through calls and online portals to obtain claim status.
• Resolved outstanding balances and minimized claim aging.
• Ensured client deliverables adhered to quality and productivity standards.
• Understood client requirements and project specifications to ensure quality delivery.
• Specialized in managing high-dollar and priority claims, ensuring timely follow-up, resolution of denials, and maximum reimbursement recovery.

Process Executive - Cognizant Technology Solutions

(2019-06 - 2021-02)

• Processed medical billing transactions and supported operational goals.
• Reviewed unpaid provider claims and identified denial reasons.
• Maintained productivity and quality standards in claims processing activities.
• Assisted in resolving billing and reimbursement-related issues.
• Handled claims for durable medical equipment products, ensuring accurate billing, reimbursement, and compliance with payer guideline.
• Investigated claim denials related to medical necessity, prior authorization, documentation requirements, coverage limitations, and billing errors.

Medical Billing Executive - Omega Healthcare

(2017-05 - 2019-06)

• Managed both electronic and paper claims efficiently.
• Identified root causes for insurance denials and initiated appeals with payers.
• Monitored major claim rejections, payment trends, EOBs, provider details, and pay-to-address updates.
• Worked towards minimizing revenue loss and improving claim resolution turnaround time.

Bachelor of Engineering - Computer Science Engineering - Adhiparasakthi Engineering College (2017)

Higher Secondary Certificate - Adhiparasakthi Matriculation Higher Secondary School (2013)

Secondary School Leaving Certificate - Adhiparasakthi Matriculation Higher Secondary School (2011)