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Anuradha Kodukula

@anuradhakodukula

Denials Specialist at CONIFER HEALTH SOLUTIONS resolving complex healthcare claims and pursuing appeals.

At CONIFER HEALTH SOLUTIONS, I investigate and resolve complex denied, unpaid, delayed, and underpaid healthcare claims. I review EOBs, payer requirements, and account documentation to determine next steps, then prepare appeals and follow up with carriers.

I also identify recurring denial patterns and share them with management and appropriate departments. Previously, I handled revenue cycle, AR, billing, and denials work at SUTTER HEALTH, LAKE HEALTH SYSTEMS, and READING HOSPITAL SYSTEM.

Experience

Work history, roles, and key accomplishments

Current

Denials Specialist

Current

Conifer Health Solutions

Jun 2020 - Present (6 years 4 months)

Investigates and resolves complex denied, unpaid, delayed, and underpaid healthcare claims across multiple payer types. Prepares and submits appeals, conducts follow-up, and analyzes denial trends.

Epic Athena Ace PIC Excel Microsoft Word MS Access Microsoft Teams Denials Management Appeals EOB Review Code Review Medical Necessity Criteria DRG Timely Filing Payment Investigation

Senior Associate – Revenue Cycle / AR / Denials

Sutter Health

Jan 2017 - May 2019 (2 years 4 months)

Performed billing and collections for commercial insurance, Medicare, and Medicaid. Monitored claims, resolved denials and appeals, and posted payments in EPIC.

Epic Nthrive Navinet Emdeon Excel Microsoft Word MS Access Microsoft Teams Billing Collections Insurance Verification EOB Review Payment Posting

Senior Associate – Revenue Cycle / AR / Denials

Lake Health Systems

Jan 2016 - Dec 2016 (11 months)

Performed billing and collections for insurance carriers including Hospice, Medicare, and Medicaid. Investigated denials, verified eligibility, and managed accounts.