Sumit Chaudhary

An experienced Sr. Quality analyst with driving excellence across the Healthcare Revenue Cycle Management—including Medical Billing, Claims Processing, Payment posting, Credits, AR Follow-up, Appeals, RCM, Analysis & Reporting, Data Management, and Quality Audits based on standard QA methodologies.

Sr. Quality Analyst - Nexensus - Delhi, India

(2024-11)

• Finding error trends
• Providing feedback
• Providing trainings to new joinings
• Creating reports
• Completing delegated tasks on time

Quality Analyst - Savista Healthcare - Noida, India

(2017-04 - 2024-11)

• Worked on several denials
• Resolved claim denials
• Identified trends
• Contributed to process improvements that enhance reimbursement outcomes
• Promoted as Quality Analyst through IJP process
• Learned about quality audits
• Making reports using 7 QC tools method

Sr. Account Receivable - Pacific Healthcare - Noida, India

(2015-09 - 2017-04)

• Completed training of RCM, HIPPA, PHI and complete US healthcare process
• Worked on multiple denials
• Followed up with insurance representative for claim status

Bachelor of Commerce - Commerce - Indira Gandhi National Open University (2017 - 2020)