Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Preethi Arjunkumar

Surrey,BC

Summary

Highly motivated professional with a strong background in Medical claims analysis, Customer service, sales, and marketing, backed by over 9 years of expertise. Detail-oriented team player with ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families. A microbiologist by training, I bring a unique blend of skills to contribute to organizational success.

Overview

11
11
years of professional experience

Work History

Senior AR Executive

Omega Healthcare
06.2021 - 02.2023
  • Recognized with "Extra Mile Employee" award within four months for outstanding contributions
  • As result of i expertise and knowledge, I was entrusted with the responsibility of nesting and training new joiners within just seven months of joining company
  • Handle US Healthcare Provider Claims, specializing in workers' compensation, accident, and injury claim settlements
  • Ensure client deliverables meet quality standards, meticulously addressing denials, rejections, and claim corrections
  • Communicate with insurance carriers to facilitate timely settlements, maintaining comprehensive claim documentation
  • Validate authenticity and eligibility of claims using expertise in workers' compensation, adhering to company procedures
  • Identify and report issues promptly, minimizing disruptions in claim processing for seamless operations
  • Maintain updated production logs for efficient tracking and analysis of claim processing metrics.

Front Office Assistant

Pill n Tab
06.2018 - 05.2021
  • Assisted customers with billing inquiries, ensuring accurate and timely resolution of issues
  • Provided exceptional customer service by explaining available products and packages, helping clients choose suitable options for master health checkups
  • Streamlined appointment management by scheduling appointments, effectively coordinating multiple calendars, and optimizing scheduling efficiency
  • Demonstrated strong organizational skills by sending appointment reminders to customers via phone calls and email, reducing no-show rates and improving overall customer satisfaction
  • Managed end-to-end customer experience by following up on scheduled appointments and coordinating medicine deliveries, ensuring timely and consistent service
  • Expertly balanced multiple tasks, including engaging with patients, responding to emails, maintaining appointment schedules, and researching information, maintaining a high level of efficiency and accuracy

Sr. AR Analyst

Augment Technology Solutions
04.2015 - 04.2016
  • Managed end-to-end medical billing process, specializing in denial management through expert use of RCM tools and proficiency in CPT and ICD support.
  • Successfully mentored teams and led client management efforts, optimizing accounts receivable and collections management.
  • Analyzed and executed comprehensive accounts receivable tasks, including cash, cheque, ACH, and wire transactions, while preparing and assessing periodic bills for third-party vendors.
  • Resolved collection issues by meticulously monitoring over-aged accounts, organizing customer accounts, and overseeing daily cash deposits and payment reconciliation.
  • Maintained stringent reporting requirements for carriers, ensuring accurate and timely compliance.
  • Effectively supervised billing accounts, ensuring accuracy in records, analyzing account discrepancies, and adhering to Account Receivable policies. Managed payment posting and charge entry for assigned clinic.

AR Caller & Analyst

AI Corporate Solutions
03.2014 - 03.2015
  • Managed end-to-end medical billing process, ensuring timely and accurate claims payment
  • Conducted thorough follow-up on outstanding accounts receivables, prioritizing unpaid claims by length of time
  • Directly contacted insurance companies to check and taken appropriate actions to process outstanding claims
  • Verified accuracy of patient-provided insurance information and evaluated unpaid claims
  • Transferred outstanding balances to patients without adequate insurance coverage
  • Requested EOB from insurance companies for already paid claims and made necessary corrections.

Mortgage Customer Service Representative

SERCO
04.2013 - 03.2014
  • Provided comprehensive customer support for one year, addressing diverse queries and requests.
  • Demonstrated expertise in Mortgage Calculations, assisting customers in understanding EMIs, repayment schedules, and interest rates.
  • Offered Debt Management Support, guiding customers in effective mortgage obligation management and exploring repayment options.
  • Facilitated Mortgage Closure Assistance, ensuring accurate and efficient completion of documentation and procedures.
  • Arranged EMI Relaxation Plans for customers in financial difficulty, enhancing satisfaction.
  • Maintained up-to-date Product Knowledge, informing customers about relevant offerings.
  • Resolved inquiries promptly and professionally, spanning account information, interest rates, and mortgage-related concerns.
  • Managed all aspects of insurance claim investigations.
  • Cultivated strong customer relationships, building trust and loyalty through personalized support and excellent communication.

Collections Sr. Representative

Dell International Services
05.2012 - 03.2013
  • Processed transactions and resolved complex issues related to insurance claims
  • Researched workflow issues by communicating with internal and external stakeholders
  • Developed a comprehensive understanding of back-office operations and contributed to designing solutions for operational inefficiencies
  • Worked with cross-functional teams to develop novel solutions to operational problems
  • Extracted, synthesized, and analysed data to identify trends and insights

Education

Bachelor of Science - Microbiology

Madras University
India
04.2012

Skills

  • Customer Service and patient Handling
  • Senior citizen care
  • Claim Analysis
  • Multitasking
  • US Healthcare RCM
  • Denials Processing
  • Appointment Management
  • Problem Solving
  • Accounts Receivable Management
  • Quality check of Claims and Payments
  • Debt Management
  • Mortgage Calculations
  • Mortgage Closure Assistance
  • EMI Relaxation Arrangements
  • Work Authorization:

Additional Information

Open Work Permit

Timeline

Senior AR Executive

Omega Healthcare
06.2021 - 02.2023

Front Office Assistant

Pill n Tab
06.2018 - 05.2021

Sr. AR Analyst

Augment Technology Solutions
04.2015 - 04.2016

AR Caller & Analyst

AI Corporate Solutions
03.2014 - 03.2015

Mortgage Customer Service Representative

SERCO
04.2013 - 03.2014

Collections Sr. Representative

Dell International Services
05.2012 - 03.2013

Bachelor of Science - Microbiology

Madras University

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Preethi Arjunkumar