Raghavi Ravichandran
Career Transition to HR | Master’s in HRM | 3+yrs Healthcare Claims Expertise | Skilled in Communication & Problem Solving | Passion for Recruitment, Engagement & Employee Growth |#OpenToWork #OpenToNewOpportunity #HRM
- Role
- Customer Care Collections Senior Representative at NTT DATA
- Location
- Coimbatore, IN
- LinkedIn followers
- 500 followers
About Raghavi Ravichandran
I am a dedicated professional …
Experience
Customer Care Collections Senior Representative
Aug 2022 — Present · Coimbatore, IN
Roles and Responsibilities -Insurance Claims Processing: Verified the status of submitted claims by contacting insurance companies, followed up on pending claims, and ensured timely resolution-Payment Posting: Accurately posted payments received from insurance companies and allocated them to the correct patient accounts-Denial Management: Analyzed and investigated claim denials to determine root causes; prepared appeals, resubmitted corrected claims, and conducted follow-ups to ensure resolution-Documentation and Reporting: Maintained comprehensive records of communication with insurance companies, including claim updates, payment confirmations, and appeal results-Customer Service: Delivered professional and courteous communication with insurance representatives to foster positive relationships and expedite claim resolutions-Client Handling: Managed client calls, prepared process reports, addressed escalations, and communicated outcomes of resolved accounts-Compliance: Adhered to healthcare billing regulations and standards, including HIPAA and payer-specific guidelines, to ensure claim accuracy and compliance. Accomplishments -Achieved a monthly claim resolution rate of 95%, surpassing the departmental target of 100%, with an average quality score of 98%-Recognized for proposing and implementing process improvements that enhanced team productivity and operational efficiency.
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