G Durga Abhilash Varma

Spearheaded data-driven initiatives to drive revenue growth and reduce costs, receiving client accolades for delivering $250k in cost savings and 20% increase in revenue through strategic analysis and implementation of solutions. Conducted comprehensive analysis of claims data, employing advanced methodologies and tools to discern underlying patterns and emerging trends. Led the successful implementation of timely updates concerning CPT and Dx code combinations, driving a remarkable 35% reduction in claim processing time and a substantial decrease in denial percentages. Designed and developed daily Excel-based dashboards to track and analyse patient admissions and discharges, providing real-time insights for decision-makers. Developed and presented monthly dashboards, utilizing data visualization tools, to comprehensively analyse readmission rates and new patient admissions, facilitating client understanding and strategic decision-making. Analysed and provided data to healthcare providers, enabling the prescription of more cost-effective drugs, leading to a substantial 35% decrease in patient drug expenses and concurrently generating a 5% increase in new patient inflow. Cultivated and maintained strong client relationships, driving a noteworthy 10% increase in new process additions to the team. Recognized for excellence and entrusted with the added responsibility of managing additional clients by the organization.

Proficiently managed the processing of rejected claims, ensuring prompt resolution and reimbursement, all while adhering to pertinent guidelines and regulations, maintaining compliance standards.

Proficiently handling Accounts Receivable (AR) calling duties, which involves contacting Insurance companies or patients to follow up on outstanding Balances, ensuring timely payments, and maintaining positive relationships with stakeholders.

Determined and verified patient eligibility for insurance coverage and benefits, ensuring accurate billing and facilitating smoother claims processing. Effectively managed and reconciled credit balances in accounts, ensuring accurate financial records and compliance with accounting standards.

Graduated with a Bachelor's degree in Pharmacy, equipped with a strong foundation in pharmaceutical sciences, healthcare, and drug-related topics.