Veena Kv

Detail-oriented Dental Revenue Cycle Management (RCM) professional with experience in US healthcare processes including insurance eligibility verification, claim submission, payment posting, and denial management. Strong understanding of PPO, HMO, Medicaid, and Medicare plans, CDT coding, and billing workflows. Skilled in EDI, EOB, ERA, EFT processing with a focus on accuracy, productivity, and timely delivery.

Business Process Associate - Tusk Support Partners Pvt. Ltd

(2025-02 - 2026-06)

• Performed insurance eligibility and benefits verification for U.S. dental patients, including deductibles, co-pay, co-insurance, limitations, and plan details.
• Knowledgeable in HMO and PPO plans, including network rules, referrals, and coverage differences.
• Applied Coordination of Benefits (COB) rules to determine primary and secondary insurance responsibility.
• Handled claim submission and tracking through EDI systems, and posted payments using EOB, ERA, and EFT.
• Reviewed and resolved claim denials with proper documentation, maintained accurate insurance records, and ensured claim accuracy using CDT codes and insurance guidelines.

Claims Executive - Sharp Watch Investigation Pvt. Ltd

(2020-12 - 2024-01)

• Managed patient eligibility verification, coding, pre-authorization, and end-to-end claim submission and billing, including denial analysis and resubmission with required documentation.

MCA - Master of Computer Application - KLEN'S College Bangalore (2014 - 2018)