Suriya S

Accomplished analysts at omega healthcare, adept in claims management and denial resolution. Excel proficiency enhances report preparation and driving process improvements. Streamlined medical record exchanges via chartswap, boosting efficiency and compliance. Excelled in patient communication, resolving billing inquiries. Recognized for transforming AR process, achieving a 20% reduction in claim denials.

Senior Process Executive (AR Voice & Analyst) - Omega Healthcare Pvt Ltd - Trichy

(2017-01 - 2025-10)

8 Month calling Knowledge & 3 years worked as analyst in denial management and 5 years worked for attorney law offices Chartswap. Specialty in Radiology (Hospital Billing). Software proficiency: MDIV, FileZilla, PC7

• Claim Follow-Up: Contacted US-based insurance companies (Commercial, Medicare, Medicaid) via phone and web portals to check the status of pending medical claims.
• Denial Management: Investigated denied and underpaid claims, identifying reasons for non-payment and executing corrective actions.
• EOB Analysis: Interpreted Explanations of Benefits (EOBs) and Remittance Advice to spot discrepancies and resolve billing errors.
• Documentation: Accurately updated patient billing systems with call notes, claim statuses, and follow-up actions.
• Appeals & Resubmission: Coordinated with medical coding and billing teams to draft appeals, correct coding, or refile claims for maximum reimbursement
• For Billing & Claims: Utilized ChartSwap to securely send, receive, and process patient medical records & Billing Records, expediting the insurance appeals process and reducing claim turnaround time.
• For Compliance & Auditing: Managed HIPAA-compliant medical records exchange through ChartSwap, ensuring strict adherence to SOC II certification standards during audits.
• For Revenue Cycle Management: Improved AR follow-up efficiency by leveraging ChartSwap to swiftly retrieve necessary clinical documentation for rejected or underpaid claims.
• For Provider/Payer Coordination: Streamlined communication with nationwide requesters and payers by configuring and processing digital medical records requests via ChartSwap
• Having great experience in the applications such as Chartswap portal, MDIV software, FileZilla Monitoring, & taking action on the mails received from the client.

Bachelor of Science - Computer Science - National College (Bharathidasan University) (2013 - 2016)