Suresh Maheshwaram

Experienced Senior Analyst with a strong focus on detail and analysis, boasting 3 years of expertise in the US healthcare sector, specifically in medical claims and payments analysis. Seeking a challenging role to utilize skills in SQL, Microsoft Power BI, and MS Office to drive data-driven decision-making and enhance operational efficiency. Comprehensive background in US Healthcare spanning over 3 years, with excellent planning, organizational, and communication skills. Known for self-reliance in performing analysis and making recommendations, highly skilled in data modeling and client management.

Physician Billing, IHA Medical Group, Worked on analyzing patient health accounts and billing medical claims as per payor and provider contracts via electronic and paper submission. Solved clearinghouse rejections according to rejection instructions. Facility Billing, Saint Francis Medical Center, Managed detailed data analysis using VLOOKUP to assess patient responsibility, insurance balance, contract rates, and denial codes. Provided clients with clear information regarding patient accounts and denial reasons. Pharmacy Billing, Optum Rx and CPR+ Infusion, Analyzed healthcare database to support billing and claims processes. Resolved issues related to claim denials and clearinghouse rejections.