Appavu Rajadurai

Appavu Rajadurai J Phone:--Ganapathy Nagar, Vandalur Chennai, TN 600048 Secure a responsible career opportunity to fully utilize my training and skills, while making a significant contribution to the success of the company. Education BEAnna University, Computer Science Engineering May 2007 Angalamman College of Engineering and Technology HSCJaigopal Garodia National Higher Secondary School March 2003 SSLCJaigopal Garodia National Higher Secondary School March 2000 Work Experience Necta Technologies - Jan 2008 – September 2009 ( 20 months) Joined in as a Tele caller. Supposed to call people in United Kingdom and get a lead to send them an equity package and advisor consultant if needed. Joined as fresher and got promoted as Group Coordinator in less than a year. Handled a team of 8. Responsible for the team’s production & quality. Catalyst Corporate Services – September 2009 – December 2010 (14 months) My medical billing career started here as a Eligibility verification executive. Used to download upcoming appointment from the PAS (Patient Account System) and verify eligibility and authorization. Gradually, got hands-on experience in Charges, Payments & denial management and relevant calling as well. A-One Biz Solutions – July 2011 – April 2013 (22 months) Joined as a Group Coordinator, was responsible for 4 associates deliverables covering the IV, Authorization, AR and patient calling (Oncology Provider). Hosted weekly client calls and worked on Clarifications. Later promoted as a Team Leader. AGS Health Private Limited – April 2013 – March 2017 (48 Months) Process Associate Level – 2 Worked in a 2 FTE project and got appreciated for collections. Received best performer award during this tenure Quality Analyst / Senior Quality Analyst After a successful year as an associate got promoted a QA in the year of 2014. Handled multiple AR projects and received significant awards based on the performance. Got promoted as Senior QA, and involved in process level review. Production & Quality data review to provide improvement recommendations. Was the only person who was involved in time study for all the verticals (Coding, Charge Entry, Billing, and AR) Involved in new project/process transition as a floor assistant for AR vertical providing quick resolutions. Facilitated with “Extra Miler” award Team Lead - Quality Cleared IJP to be a team leader for Quality. Handled 6 AR processes with 18 QA’s. Was responsible for/to 1. Weekly Feedback Meetings 2. Audit Strategy for newly transitioned process 3. Rebuttals 4. Score Card 5. Calibration 6. Attend Client calls from quality front Also headed an external quality team with 7 auditors who were responsible for transactional level auditing for two other organizations. Qway Technologies – March 2017 – March 2018 (12 months) Joined as a Team lead for Quality, built the QA team by conducting IJP. Planned and devised QIP, Audit Strategy (RCM). Responsible for Regular team huddles, weekly quality reports & Capacity Utilization upon request. Visionary RCM – April 2018 – Feb 2020 Joined as a Team Leader for Quality, due to organizational changes was advised to work with Operational excellence team. Was responsible for reporting/documenting, 1. Process Audits 2. Ratio Analysis 3. Time Study (Need Basis / Target issues / New project transition / Work Flow changes) 4. Work Flow review 5. Production & Quality review to check the adherence of accepted SLA’s. 6. Inventory analysis. 7. Any adhoc investigations requested by the management on process deviation or escalations (internal or external) Mednet Services LLC – Feb 2021 – Till Date Job Title – RCM Manager Responsibilities – Overview on the below listed 1. Eligibility & Benefits Verification 2. Claims Submissions 3. Rejections 4. Denial Management 5. All related log maintenance 6. Weekly Calls with the clinic.