Summary
Overview
Work History
Education
Skills
Languages
Software
Timeline
Generic

Prabhu Deva Selvakannan

Hamilton,Canada

Summary

Accounts Receivable Analyst / Caller with over 7 years of experience in the healthcare medical billing industry. Skilled in ensuring accurate and timely submission of medical claims working collaboratively with medical insurance companies to resolve issues, following up on outstanding claims and appealing denied claims when necessary. Proficient in making calls to insurance companies and follow up the medical claims, analyzing denial reasons, committed to improving claim approval rates and optimizing the revenue cycle to enhance the financial performance of healthcare organizations with knowledge of healthcare regulations, including HIPAA and billing guidelines.

Professional communicator with proven experience in client interaction and telecommunication. Strong focus on team collaboration and achieving measurable outcomes. Adaptable to changing needs, demonstrating reliability and effective problem-solving skills. Proficient in active listening, conflict resolution, and persuasive communication.

Overview

8
8
years of professional experience

Work History

Senior Account Receivable Analyst

Bristol Healthcare
05.2023 - 01.2024
  • Accounts Receivable Caller with expertise in Cerner medical billing software
  • Maintain adequate documentation on the client software to send necessary documentation to insurance companies to receive payments for the pending claims
  • Preparing and sending appeals, medical records, Primary EOB along with claims through Email, Mail & Fax
  • Experienced in collaborating with workers' compensation insurance providers to facilitate timely medical bill payments
  • Proficient in verifying bill details, addressing payment inquiries, and resolving any billing discrepancies
  • Efficiently tracked all call-related information within CRM systems, ensuring accurate data entry for future reference and analysis purposes.

Senior Account Receivable Caller

Access Healthcare
01.2022 - 04.2023
  • Accounts Receivable Caller with expertise in Cerner and Epic medical billing software
  • Proficient in collaborating with insurance providers to verify claim statuses and manage claim denials effectively
  • Skilled in handling patient accounts, resolving billing inquiries, and submitting corrected claims
  • Experienced in using medical insurance portals and websites to check claim statuses and verify patient eligibility information
  • Proficient in navigating various online systems to ensure accurate and timely updates on claims and coverage details
  • Skilled in communicating findings to patients and healthcare providers to resolve any issues and facilitate smooth billing processes
  • Efficiently tracked all call-related information within CRM systems, ensuring accurate data entry for future reference and analysis purposes.

Account Receivable Caller

QWay Healthcare
02.2020 - 12.2021
  • Accounts Receivable Analyst with expertise in AdvancedMD, ECW, and Dr.Chrono medical billing software
  • Proficient in collaborating with insurance providers to verify claim denials, submit corrected claims, and handle appeals.
  • Experienced in verifying patient eligibility and benefits within the medical billing process.
  • Proficient in checking insurance coverage, determining co-pays, deductibles, and out-of-pocket expenses to ensure accurate billing.
  • Skilled in communicating with patients and insurance providers to clarify coverage details and resolve any discrepancies.
  • Collaborated with the billing department to ensure accurate invoicing of customers, reducing the likelihood of payment disputes and delays.
  • Assured compliance with relevant laws and regulations governing debt collection practices while pursuing outstanding account balances from customers.

Account Receivable Caller

Access Healthcare
08.2016 - 12.2019
  • Accounts Receivable Caller with extensive experience using Athena and Medisoft billing software
  • Proficient in managing patient accounts, verifying insurance information, and following up on outstanding balances
  • Proficient in analyzing denial reasons, coordinating with insurance companies to resolve issues, and appealing denied claims when necessary
  • Skilled in tracking and updating claim statuses to ensure timely payments and optimize revenue cycle performance
  • Assured compliance with relevant laws and regulations governing debt collection practices while pursuing outstanding account balances from customers.
  • Collaborated with the billing department to ensure accurate invoicing of customers, reducing the likelihood of payment disputes and delays.

Education

Bachelor of Science - Computer Application

University of Madras
Chennai, India
04.2016

High School Diploma -

MKBH Higher Secondary School
Chennai, India
04.2013

Skills

  • Handling calls
  • Data Entry
  • Payment Calculation
  • Typing skills
  • Medical Claim Processing
  • Revenue Cycle Management
  • Invoice Processing
  • Dispute Resolution
  • Customer Service
  • Excellent Communication
  • Bill Payment and Recordkeeping
  • Microsoft Office
  • Accounting Software Proficiency

Languages

English
Full Professional

Software

Epic

Cerner

Athena

Advanced MD

DrChrono

Medisoft

ECW

Timeline

Senior Account Receivable Analyst

Bristol Healthcare
05.2023 - 01.2024

Senior Account Receivable Caller

Access Healthcare
01.2022 - 04.2023

Account Receivable Caller

QWay Healthcare
02.2020 - 12.2021

Account Receivable Caller

Access Healthcare
08.2016 - 12.2019

Bachelor of Science - Computer Application

University of Madras

High School Diploma -

MKBH Higher Secondary School
Prabhu Deva Selvakannan