Bhagya Wijerathana
@bhagyawijerathana
Dedicated RCM professional with 6+ years in healthcare billing.
Sri LankaWhat I'm looking for
I am a dedicated and detail-oriented Revenue Cycle Management (RCM) professional with over 6 years of experience in the U.S. healthcare industry. My expertise lies in appeals and billing processes, where I have consistently managed high-volume workloads, producing over 5,000 appeals per week. As an Assistant Team Lead at Synergies Health Pvt, I have honed my leadership and communication skills, driving team performance while ensuring compliance with payer regulations.
Throughout my career, I have demonstrated a proven ability to train and mentor junior staff, ensuring accuracy and timeliness in our processes. My collaborative approach with billing and accounts receivable departments has streamlined denial processes, enhancing overall productivity. I take pride in my ability to report team metrics and performance to senior management, contributing to our continuous improvement efforts.
Experience
Work history, roles, and key accomplishments
Assistant Team Lead
Synergies Health Pvt
Jan 2023 - Present (2 years 5 months)
Supervised a team handling RCM appeals for U.S. healthcare clients, maintaining productivity by generating over 5,000 appeals weekly. Trained and mentored junior staff, ensuring accuracy and timeliness while collaborating with billing and AR departments to streamline denial processes.
Senior Appeals Executive
Synergies Health Pvt
Jan 2020 - Present (5 years 5 months)
Processed high-volume appeals with a focus on accuracy and payer compliance, communicating with insurance companies to resolve complex denials. Supported team leads in quality audits and feedback sessions.
Medical Billing Data Entry Specialist
Synergies Health Pvt
Jan 2019 - Present (6 years 5 months)
Entered and verified billing information from provider documentation, maintaining confidentiality and HIPAA compliance. Ensured timely submission of claims to minimize delays in payment.
Education
Degrees, certifications, and relevant coursework
South Eastern University
Bachelor of Science (Special), Physics
Grade: Second Class Upper Division
Completed a Bachelor of Science (Special) in Physics, achieving a Second Class Upper Division. This program provided a strong foundation in scientific principles and analytical thinking.
Pushpadana Girls College
High School Diploma, General Studies
Attended Pushpadana Girls College, completing secondary education. This period focused on foundational academic subjects and personal development.
Tech stack
Software and tools used professionally
Availability
Location
Sri LankaAuthorized to work in
Job categories
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