Ishara Nihar

Independently manage end-to-end RCM operations for two US-based healthcare clients in a fully remote setting. Handle complete medical billing cycle, AR management, denial management, and client communications.

Followed up on unpaid and denied insurance claims, communicated with insurers, and maintained accurate records in compliance with HIPAA. Resolved claim discrepancies and applied payments to patient accounts.

Prepared purchase orders, reimbursement forms, and processed supplier payments. Handled supplier invoice processing and reconciliations, and liaised with clients to resolve queries.

Researched unpaid US medical bills and secured payment by fulfilling insurance company requirements via Skype. Maintained quality above 90% accuracy and achieved KPI target of 50+ claims per day.

Built and maintained customer relationships through in-person, phone, and email communication. Conducted market research, prepared proposals, and negotiated sales agreements.

Handled emergency (SOS) customer queries with professionalism in a high-pressure BPO environment. Maintained voice quality standards and demonstrated patience in resolving complex issues.

Taught secondary-level students, developing strong communication, planning, and presentation skills.

Currently reading for an MSc in Business Management with a specialization in Human Resource Management.

Completed GCE Ordinary Level in 2014 with grades: English A, Islam A, Sinhala B, Business & Accounting C, ICT C, History, Mathematics C, and Science S.

Completed a BSc in Business Management degree.

Completed GCE Advanced Level in 2017 with grades: General English A, ICT A, and Business Studies, Accounting, Economics S.

Completed Levels 1, 2, and 3 of the AAT qualification, covering financial accounting, cost accounting, business law and ethics, management accounting and finance, corporate taxation, and audit.