John Daniel S

About John Daniel S

I’m a Senior Analyst at AGS Health with over 7 years of experience in US Healthcare…

Experience

1. Senior Analyst

   AGS Health

   Jun 2021 — Present · Chennai, IN

   Working as a Senior Analyst in the AdvancedMD project, specializing in EDI claim inflow tracking, denial management, and insurance rejection resolution. Responsible for monitoring claim trends, identifying transmission issues, and implementing process improvements to enhance claim acceptance and revenue recovery.• Track and analyze EDI claim inflow and payer acknowledgments to ensure accurate and timely electronic submissions.• Investigate and resolve claim rejections and denials, performing root-cause analysis and coordinating with internal and client teams for corrective actions.• Monitor claim center performance, generate reports, and identify trends that support operational efficiency and process improvement.• Work closely with cross-functional teams to troubleshoot EDI file issues, validate claim accuracy, and ensure compliance with payer and system requirements.• Train and mentor new employees on AdvancedMD software, providing in-depth guidance on EDI rejections, claim center workflows, and best practices.• Contribute to team knowledge sharing, documentation, and onboarding to ensure consistent quality and productivity.• Possess comprehensive, end-to-end knowledge of the AdvancedMD platform, including billing, claim center operations, and reporting modules.