Vinodhan Alagarsamy

Experienced Associate with 8+ years in US Healthcare IT, Revenue Cycle Management (RCM), and Accounts Receivable Management. Skilled at translating complex requirements into actionable solutions, supporting clients with invoicing and payment processes, and delivering business value through data analysis and process improvements. Logical, analytical thinker with excellent managerial skills.

Associate - III at U S Technologies (2024-10 – Present)

Project: Clover Health - Collaborated with cross-functional teams on RCM and healthcare data exchange standards

• Collaborated with cross-functional teams to develop and maintain a comprehensive Payor requirements matrix for multiple clients
• Facilitated client meetings, created detailed documentation and improved cross-functional communication
• Led knowledge transfer sessions to enhance team capability on healthcare and data exchange standards
• Explored key aspects of RCM and patient workflows, gaining in-depth knowledge of healthcare processes and industry best practices
• Communicated measure-related enhancements to the Development Team through User Stories in JIRA
• Proficient in various code systems, including ICD-10, CPT, NDC, and RxNorm
• Prepared technology-oriented service offerings to facilitate growth of the healthcare and medical devices domain
• Delivered organization-wide impact training creating awareness about regulations and compliance in healthcare
• Provided subject matter expertise (SME) support to new and ongoing projects

Sr.Client Service Executive at Oncospark India Pvt.Ltd (2018-04 – 2024-10)

Project: Byram Healthcare - Experience in insurance appeals, verification, and accounts receivable management

• Handled experience in sending appeals and Insurance verification
• Managed Accounts receivable with strong collection strategies
• Handled calls for denied claims and resolved issues
• Verified claims status and eligibility using websites, phone calls and other communication modes
• Called insurance companies on behalf of provider and followed up on outstanding claims
• Prepared appeals, obtained referrals from appropriate insurance and primary medical group, processed patient billing
• Analyzed various denials and conducted research to ensure issue resolution
• Worked in end-to-end process for inbound customer support in healthcare
• Actively participated in knowledge-sharing sessions to improve team performance and service delivery
• Participated in weekly calibration to troubleshoot challenges and resolve client issues
• Maintained process TAT and tracked both electronic and paper claims
• Monitored major rejections or denials from Clearing Houses/Carriers
• Tracked payments and EOBs from major Carriers
• Applied optimization strategies to maximize collections
• Monitored receivables to ensure control

Master of Business Administration in International Business – Annamalai University, Chidambaram (2018 – 2020)