Arun Raj
@arunraj2
I improve US healthcare claim quality, reduce denials, and maximize reimbursement.
What I'm looking for
At Ceequence Tech, I audit AR calls and claim-resolution workflows, review denied and underpaid claims, and identify process gaps to improve quality compliance. I also conduct calibration sessions, team huddles, root cause analysis, and quality reporting on AR aging and denial trends.
Across more than eight years in US Healthcare RCM, including Rapid Care, I've handled charge entry, accounts receivable, appeals, insurance follow-up, medical billing, and coding accuracy. I work across Medicare, Medicaid, commercial insurance, CPT, ICD-10, HCPCS, EHR, and HIPAA requirements to support accurate claims and stronger reimbursement outcomes.
Experience
Work history, roles, and key accomplishments
Quality Analyst – US Healthcare RCM
Ceequence Tech
May 2023 - Present (3 years 3 months)
Audit AR representative calls and claim resolution workflows. Review denied, underpaid, and zero-payment claims for accuracy and compliance.
Accounts Receivable (AR) Analyst
Rapid Care
Jan 2021 - Dec 2023 (2 years 11 months)
Managed denied and underpaid claims through appeals and insurance follow-up. Worked with Medicare, Medicaid, and commercial insurance payers.
Charge Entry Executive
Rapid Care
Jan 2017 - Dec 2020 (3 years 11 months)
Posted charges into EHR and Practice Management systems. Reviewed medical records and superbills for accurate CPT, ICD-10, and HCPCS coding.
Education
Degrees, certifications, and relevant coursework
Apollo College
Bachelor of Science, Computer Science
Pursued a Bachelor of Science in Computer Science.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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