Mohana M

Results-driven Senior Quality Analyst with 5+ years of experience in U.S. healthcare operations and quality assurance, specializing in patient registration, insurance verification, provider credentialing, AR calling, denial management, and claims processing. Proven track record in improving operational efficiency, ensuring compliance with HIPAA, CMS, and Joint Commission standards, and delivering actionable insights through data analysis. Adept at using Lean Six Sigma methodologies to reduce errors and enhance process quality.

https://peacelove.wordpress.com

Patient Registration, Insurance Verification, Provider Enrollment, Credentialing, AR Calling, Denial Management, Appeals, Claims Billing, Payment Posting, Process Audits, Regulatory Compliance, HIPAA, CMS, Joint Commission, KPI Tracking, Dashboard Creation, Root Cause Analysis, Process Improvement, EHR Systems (Epic, Cerner, Athenahealth), Credentialing Platforms, Microsoft Office Suite, Power BI, Website Analysis Tools, Change healthcare, Waystar

• Hobbies: Reading and Blogging, Volunteering and Social Work
• Title: Senior Quality Analyst – US Healthcare
• Visa Status: L2 Visa Holder – Authorized to Work in the U.S.

• Tamil Fluent
• English Fluent
• Kannada Conversational
• Telegu Conversational