Raveena Sumasri Kotaru

• Streamlined administrative tasks by developing and implementing efficient data management systems for patient records.
• Upheld HIPAA regulations and standards for protecting patient information.
• Retrieved medical data for physicians and patients.
• Worked in Denial management , prior authorization conditions.
• Strong Knowledge on UB04, CMS 1500 forms.
• Well experienced in Medical and Hospital Billing.
• Strong knowledge on HMO,PPO and managed care plans.
• Decent Experience in Epic Tool.
• Strong knowledge on Medicaid, medicare, Tricare claims .
• Proficient in Microsoft PowerBI and decent knowledge in Tableau.
• Strong Knowledge in Revenue Cycle Management.
• Excellent written and verbal communication skill.

Strong knowledge on Revenue cycle management and Accounts Receiving Managing.

Well experienced in HPICC, ICD10 and Denial management.

Strong Knowledge on Physicians billing, medical claims, claim adjustments, claim rejections, EMR data, HIE data, UM data.

Proficient in Microsoft PowerBi, Excel, Powerpoint and Microsoft word.

Strong Knowledge on Tools like Onbase, NHXS, Epic.

Strong knowledge on COB(Coordination of Benefits), EOB( Explanation of benefits)

Strong knowledge on Evaluate the effectiveness of medical cost reduction initiatives

Supported successful grant applications by gathering relevant data and crafting compelling narratives showcasing program achievements.

Improved efficiency in claims processing by analyzing patterns in denied claims and suggesting modifications to billing procedures accordingly.

Excellent Verbal and Written Communication skills.