Summary
Work History
Education
Skills
Custom Section
Disclaimer
Timeline
Generic
J.A. MESHOK RAJ

J.A. MESHOK RAJ

Chennai

Summary

A skilled professional with expertise in data analysis and reporting, proficient in the MS Office Suite, and adept at problem-solving and denial management. Demonstrates a strong understanding of modifiers and electronic data interchange (EDI), contributing to efficient workflow processes. Committed to leveraging analytical skills to drive organisational success and enhance operational efficiency.

Work History

Senior Analyst & Team Operations

AGS Health Solutions
  • Assign all work assignments, commit the team to the work, manage the quality of the work and drive the people management activities within the team.
  • Interacts with the quality team to seek feedback on the team’s performance and team quality scores.
  • Organizes weekly team meetings to update the associates on any process changes, quality issues and team SLA and KPIs.
  • Collaborate with team management to develop strategies for reducing accounts receivable aging.
  • Weekly Meeting will be conducted with the Team to share the performance, provides ongoing feedback, and develops plans with employees to identify career development opportunities.
  • Protect the team from outside distractions, impediments or team conflicts.
  • Mentoring the team to produce good quality and production.
  • Handled Emails from CA and responds to first level escalations research about the RCT and address it with the team.
  • Worked as On Job Board Trainer and involve designing, delivering, and evaluating training programs to enhance employee skills and knowledge.
  • Worked and good knowledge multiple sw’s like EPIC, AdvancedMD, cliniPM

Junior Accounts Receivable Analyst

AGS Health Solutions
  • Prepare and submit insurance claims for reimbursement to various payers, including government programs and private insurers.
  • Address claim rejections, denials, and discrepancies by providing necessary information and appealing incorrect decisions.
  • Review claims for accuracy, completeness, and adherence to coding and documentation guidelines.
  • Monitor and track outstanding accounts receivable balances and Initiate follow-up actions to ensure timely and complete payments from patients and payers.
  • Investigate and address denied claims to determine the root causes and prevent recurring issues.
  • Collaborate with clinical and coding teams to correct claim errors and resubmit denied claims with necessary correction.
  • Worked on the insurance credits to find out the excess payments received from the insurance and make the reimbursement with the necessary procedure.

Education

Bachelor of Engineering - Information Technology

SKR Engineering College

Skills

  • Data Analysis & Reporting
  • Ms Office Suite
  • Problem-Solving & Denial Management
  • Good knowledge in modifiers
  • Electronic Data Interchange (EDI)

Custom Section

Experienced RCM Medical Billing Specialist with 10+ years in end-to-end revenue cycle operations, including eligibility verification, charge entry, coding review, claims processing, payment posting, denial resolution, and AR follow-up. Known for improving reimbursement turnaround time, reducing denials, and maintaining compliance with HIPAA, Medicare, and payer policies. Seeking to contribute expertise to a growth-oriented healthcare organization.

Disclaimer

I hereby declare that the information furnished above is true to the best of my knowledge.

Timeline

Senior Analyst & Team Operations

AGS Health Solutions

Junior Accounts Receivable Analyst

AGS Health Solutions

Bachelor of Engineering - Information Technology

SKR Engineering College
J.A. MESHOK RAJ