Open to opportunities

Kusuma Sai Pravallika Samayamantri

@kusumasaipravallikas

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RCM-focused healthcare quality assurance professional with 3.8 years experience improving revenue cycle accuracy.

India

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What I'm looking for

I seek a mid-level healthcare RCM/QA role where I can apply claims and denials expertise, lead quality improvements, and contribute to team training and process optimization.

I am a healthcare revenue cycle professional with 3.8 years of experience supporting US-based dental clients, specializing in RCM cycle processes, claims and denials analysis, and insurance verification.

I have worked as a Quality Assurance specialist and Senior Associate, performing audits of dental appointments, validating patient coverage and claims, preparing client-facing and training documents, and implementing QA policies to meet regulatory standards.

I am a collaborative team player who leads training and development efforts, conducts root cause analysis, and applies process-improvement skills informed by basic Six Sigma Yellow Belt training and a B.Sc. in computer science.

Experience

Work history, roles, and key accomplishments

Senior Associate

iSpace Software Solutions

Handled insurance verification for US dental care, validated patient plans via insurer calls, updated insurance databases and verified claims and denials with providers to ensure correct reimbursements.

Insurance Verification Verification Attention To Detail MS Office

Quality Assurance Analyst

iSpace Software Solutions

Performed QA for US healthcare (dental) processes, audited dental appointments for accuracy and compliance, analyzed claims and denials to identify errors and improve quality metrics.

Quality Assurance RCM Auditing Client Communication Training Root Cause Analysis