Vinodh Kumar
HEALTHCARE DATA ANALYST | RCM & CLAIMS ANALYTICS
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About
Healthcare revenue cycle professional with 6+ years of experience across accounts receivable, claims follow-up, denials, underpayments and collections, including 2 years 8 months as Senior AR Analyst at R1 RCM. Currently building hands-on analytics capability using Advanced Excel, SQL/MySQL, Python (Pandas, NumPy, Matplotlib) and Power BI. Strong healthcare domain knowledge with practical experience analyzing payer performance, denial trends, A/R aging, payments and collection opportunities.
Seeking a Healthcare Data Analyst / Healthcare Analytics role where RCM expertise and data analysis can support denial reduction, collections and revenue improvement.
Experience
Senior Process Executive - PAIX
(2024-06 - 2024-12)
- Support accurate and timely healthcare revenue cycle operations using established process and quality standards.
- Work with healthcare process data and operational information to identify issues and support process improvement.
- Apply domain knowledge of claims, payments, denials and collections to understand operational and revenue-impacting trends.
Senior AR Analyst - R1 RCM
(2021-04 - 2024-01)
- Identify and provide solutions to revenue-cycle breakdowns, supporting financial and quality improvement.
- Analyze payer-level trends and issues across accounts receivable to identify opportunities for operational improvement.
- Review net revenue and billing activities and ensure contractual transactions are completed accurately.
- Run monthly A/R aging reports to identify late-payment accounts and support collection, settlement and write-off decisions.
- Contribute to improved cash flow, reduced days outstanding and lower bad-debt exposure through focused A/R follow-up.
AR Operations - Ally Health Smart Solutions
(2020-07 - 2020-12)
- Maintain documentation and audit trails for insurance claim follow-up and supporting documentation.
- Perform post-call analysis and document claim follow-up actions accurately.
- Review authorization, medical documentation and explanation of benefits information before claim follow-up.
- Analyze A/R data to understand underpayments, days in A/R and top denial reasons; apply appropriate denial and underpayment codes.
AR / Medical Billing - AGS HealthCare
(2016-11 - 2020-04)
- Identify claim requirements needed for successful processing and support accurate claim resolution.
- Consistently meet daily production deadlines while maintaining quality and process requirements.
- Manage workload and priorities to deliver required outputs accurately and on time.
Education
Bachelor of Commerce - Accounting & Finance - Kumararani Meena Muthiah College of Arts and Science (2014-06 - 2017-05)
Higher Secondary School - Chennai (2012-06 - 2014-05)
