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SANTHIYA Sundaram

Revenue Cycle Analyst at Digiclarity Solutions

Riyadh, Saudi Arabia

Work Experience

  • Revenue Cycle Analyst

    Digiclarity Solutions

    Sep 2023 - Present -1 yr, 3 months

    India

    • Job Details:Worked in denials, rejections, appeals and re-appeals. Making calls to payer’s end (AR caller) for clearing the payment for the denied and rejected claims. Attending client calls on a weekly basis to get the updates on various medical and insurance specialties guidelines and to train the team on the same. Audit all claims to be processed for insurance on daily basis and give proper feedback, training based on the errors and updates. Handling RCM department completely with RAC, UPIC and TPE process.
  • Revenue Cycle Management Specialist

    Gencue Technologies

    Jan 2021 - Sep 2023 -2 yrs, 8 months

    India

    • Job Details:Worked in revenue cycle management from insurance end. Handling payment posting, coding, billing and submitting to clearing house. Generating daily, weekly and monthly inventory report on behalf of RCM department for checking payment posting process.
  • RCM Specialist

    Exela Technologies

    Nov 2018 - Jan 2021 -2 yrs, 2 months

    India

    • Job Details:Handling overall Epic software for a group of doctors in U.S.A. for RCM related to E/M projects.
  • Claims Specialist

    Miramed Ajuba Solutions Pvt Ltd

    Aug 2013 - Nov 2018 -5 yrs, 3 months

    India

    • Job Details:Handling all specialty out-patient and emergency claims. Worked in ED and E/M coding projects in Edits software.
  • Education

    • Bachelor's Degree in Biotechnology

      Madha Engineering College

      Jan 2008 - Jan 2012 - 4 yr

    Skills

    • Anatomy
    • Physiology
    • Billing
    • Data Analysis
    • Reporting
    • medical terminology
    • Electronic Medical Records (EMR)
    • Practice Management System (PMS)
    • Multi-specialty Approval
    • coding
    View More

    Languages

    • English

      Fluent
    • Tamil

      Fluent
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