Srinivas Chellamuthu
Chennai
Summary
Motivated, reliable Quality Assurance Specialist with excellent time management and organizational skills with a great eye for detail seeking to expand career. To join an established business where medical billing skills, customer service skills, knowledge, analytical skills, training/instructing skills, and problem-solving capabilities will contribute to profitability.
Overview
6
6
years of professional experience
Work History
Quality & Compliance
Boston Business solutions private limited
Chennai
01.2022 - 08.2024
- Detail-oriented and experienced Medical Billing (Quality Control Analyst) with 4 years of expertise in ensuring the accuracy and compliance of medical billing processes. 2 years of expertise in authorization and patient appointment and payment posting and AR calling, and I am eager to apply my expertise in quality assurance and process enhancement to enhance revenue cycle management within a healthcare institution.
- demonstrated a natural ability for solving complex problems and completing special projects. Personal achievements include managing a clinic’s transition from paper-based to digital file management. Most notably, developing a series of electronic billing processes while adapting the electronic health records system to comply with payer requirements for file uploads.
- Maintained up-to-date knowledge of coding guidelines and reimbursement practices, ensuring compliance with regulatory standards.
- Prepare and present AR reports to senior management, highlighting key performance metrics and improvements.
- Reviewed patient bills for accuracy and completeness, identifying and correcting errors to prevent claim denials.
- Conducted regular audits of medical records to verify correct coding and billing practices, reducing financial risks.
- Conduct in-depth analysis of aging reports, identify trends, and implement strategies to reduce AR days outstanding.
- Adhered to agreed protocols and guidelines in support of healthcare practice.
- Negotiated with insurance companies on behalf of patients to obtain maximum coverage and minimise out-of-pocket expenses.
AR Caller
RM healthcare service's
Chennai
01.2019 - 01.2022
- Improved revenue cycle efficiency by identifying and rectifying errors in billing processes.
- Prepared detailed reports on account receivables, providing insights into financial health and areas for improvement.
- Negotiated with insurance companies to maximise reimbursement rates and minimise denials.
- Verified patient insurance coverages and benefits, accurately updating records to facilitate billing processes.
- Processed payments over the phone, maintaining confidentiality and adhering to data protection guidelines.
- Analysed patient accounts to identify outstanding debts and initiated collection procedures to recover funds.
- Monitored claims status through regular follow-ups with insurance companies, reducing delays in payments.
- Implemented strategies to reduce the number of days in accounts receivable, improving cash flow.
Education
Maths & Biology
Jeevan Matriculation Higher Secondary School
Chinnsalem06-2017
Computer Science, Engineering -
Mohammed Sathak Aj College of Engineering
Chennai01-2019
Skills
- Regulatory compliance understanding
- Quality assurance standards compliance
- AR caller training
- Payment posting
- Microsoft office proficiency
- Familiarity with cpt coding
- Healthcare compliance
- Medical billing expertise
- Patient communication
- Understanding insurance contracts
Change management
- Knowledge of icd codes
- Ethical decision-making
Languages
Tamil
First Language
English
Proficient (C2)
C2
Accomplishments
- Inbox health for patient outstanding payment collection.
- worked several medical billing software's.
Timeline
Quality & Compliance
Boston Business solutions private limited
01.2022 - 08.2024
AR Caller
RM healthcare service's
01.2019 - 01.2022
Maths & Biology
Jeevan Matriculation Higher Secondary School
Computer Science, Engineering -
Mohammed Sathak Aj College of Engineering
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