Thrishala Gujja

Motivated and detail-oriented professional with experience in Healthcare Revenue Cycle Management (RCM) and claim processing. Skilled in analyzing, correcting, and refiling denied claims while ensuring accuracy and compliance. Seeking opportunities in a dynamic organization where I can contribute to operational efficiency, enhance my expertise, and support business growth.

RCM Specialist at R1 RCM (2025-10 – Present)

• Reviewed and analyzed provider claims that were not paid by insurance companies.
• Followed up with insurance companies through websites and outbound calls to track claim status.
• Corrected claim errors and accurately refiled claims for reimbursement.
• Managed denied claims in physician billing using CMS-1500 claim forms.
• Worked extensively on unpaid claims and claim resubmissions.
• Developed strong knowledge of Revenue Cycle Management (RCM) processes.

RCM Specialist at Omega Healthcare Management (2023-06 – 2025-08)

• Reviewed and analyzed provider claims that were not paid by insurance companies.
• Followed up with insurance companies through websites and outbound calls to track claim status.
• Corrected claim errors and accurately refiled claims for reimbursement.
• Managed denied claims in physician billing using CMS-1500 claim forms.
• Worked extensively on unpaid claims and claim resubmissions.
• Developed strong knowledge of Revenue Cycle Management (RCM) processes.

Bachelor of Commerce in General – Ambedkar University

Intermediate – Manjeera Junior College

S.S.C. – A.P.S.W.R. Junior College