Parameswaran R

Experienced and detail-oriented Medical Billing Specialist with over 12 years of expertise in U.S. healthcare revenue cycle management. Proven ability to manage end-to-end medical billing processes, from insurance claim submissions to AR follow-ups and financial reporting. Adept at working with offshore providers and ensuring accuracy and compliance in coding, billing, and collections. Strong knowledge of CPT, ICD-9/10, and HCPCS coding, with hands-on experience using AAPC and multiple clearinghouses.

Core Competencies:

• End-to-End Medical Billing (CMS-1500)
• Insurance Claim Submission (Primary, Secondary, Tertiary)
• AR Follow-Up & Denial Management
• Payment Posting & Data Entry
• Patient Billing & Eligibility Verification
• CPT, ICD-9/10, HCPCS Coding & Review
• Appeals & Claims Resolution
• AR Quality Management & Team Oversight
• Financial Reporting (Daily, Monthly, Annual)

Technical Proficiency:

• Clearinghouses: Gateway EDI, Availity, NaviNet etc
• Coding Tools: AAPC
• Billing Software & EMRs: NGO, OP, Tebra (Kareo), ECW

Notable Responsibilities & Achievements:

• Successfully managed billing operations for multiple U.S.-based physicians and practices.
• Led comprehensive AR processes including denial analysis and resolution to improve cash flow.
• Conducted accurate eligibility and benefits verifications to minimize claim rejections.
• Generated detailed AR financial reports to support organizational decision-making.
• Ensured correct coding by thoroughly researching medical records and referencing appropriate coding guidelines.