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I’m a Medical Billing and Denial Management Specialist with hands-on experience supporting U.S. healthcare providers in revenue cycle operations, claims resolution, and AR follow-up.

My experience includes denial management, appeals, insurance verification, EOB/ERA review, claim resubmission, payment posting, and payer communication. I currently support ophthalmology billing workflows and work closely with unpaid and denied claims to help improve reimbursement turnaround times.

Before transitioning into medical billing, I spent several years in customer service, sales, and healthcare insurance support, which strengthened my communication, problem-solving, and patient support skills in fast-paced environments.

I’m highly adaptable, detail-oriented, and comfortable working independently in remote setups while maintaining accuracy, professionalism, and HIPAA compliance.

With over 10 years of experience in the health insurance and managed care industry, I bring extensive knowledge in claims adjudication and auditing. Expertise lies in ensuring compliance and accurate payment of claims using SAS Reports. Responsible for adjudicating various types of claims, including Medicare, Medicaid, inpatient, outpatient, dialysis, skilled nursing, behavioral health, and long-term care services. Conducted audits such as concurrent, retrospective, and employee commercial plans. Successfully facilitated the deposit of over $4 million worth of claims by creating pre-release reports for clients. Conducted Audit the Auditor claim audits to ensure procedural, financial, and operational accuracy. Healthcare professional with extensive experience in medical claims processing and resolution, consistently demonstrating efficiency in handling claims and resolving discrepancies while maintaining compliance. Strong team collaboration skills, adaptability, and commitment to achieving results recognized throughout career.

Experienced in healthcare administration with a strong foundation in patient care coordination and insurance verification, adept at navigating EMR systems and ensuring compliance with HIPAA regulations. Skilled in medical coding, billing, and records management, bringing a detail-oriented approach to managing patient accounts. Eager to contribute to a Healthcare role by improving operational efficiency and patient satisfaction.

Experienced with handling customer interactions and resolving issues promptly. Utilizes communication and empathy to build strong customer relationships. Track record of maintaining high customer satisfaction and fostering loyalty.

Siva Dharshini K

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Denial coding management

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Bsc - Bio technology

HSC - undefined

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Denial coding management

Bsc - Bio technology

HSC - undefined

SSLC - undefined

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