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Monika Anandan

@monikaanandan

I’m an AR Caller specializing in high-volume denial management in US healthcare RCM.

India
Message

What I'm looking for

I’m looking for a US healthcare RCM role where I can own denial management and appeals, use Waystar and clearinghouse data, maintain strict HIPAA compliance, and drive faster collections by resolving payer issues and reducing DSO.

I’m an AR Caller with 2+ years of experience in US Healthcare RCM, focused on high-volume denial management and accelerating collections. I bring strong expertise in Waystar for claim tracking and ERA analysis, with a clear goal: reduce denials and recover outstanding revenue efficiently.

In my current role, I proactively monitor 30, 60, and 90+ day outstanding claims, contact insurance carriers to expedite payment, and take corrective actions when denial codes appear (CO, PR, OA, PI). I interpret EOBs and ERAs to identify root causes such as COB, Credentialing, and Timely Filing, then support resolution through appeals, corrected claims, or additional documentation.

I’m especially effective at navigating complex payer portals and managing the full billing lifecycle from denial identification to recovery. I’ve maintained 100% HIPAA compliance while processing 1000+ claims per month, and I work to eliminate recurring denial patterns by collaborating with the billing team to address root causes.

I’m confident using clearinghouse operations and Waystar denial management tools to streamline the appeals process. By leveraging clearinghouse data to prioritize high-value aged accounts, I help improve cash flow and reduce DSO—supporting stronger outcomes with major commercial and government payers.

Experience

Work history, roles, and key accomplishments

GH
Current

Claim Processing Specialist

Gemcaps Healthcare

Jul 2024 - Present (1 year 11 months)

Monitored 30/60/90+ day outstanding claims and worked with insurance carriers to expedite payment, processing 1,000+ claims per month. Analyzed denial codes (CO/PR/OA/PI), submitted appeals and corrected claims with additional documentation, negotiated payer billing discrepancies, and maintained 100% HIPAA compliance.

Education

Degrees, certifications, and relevant coursework

SC

Shanmuga Collage

Bachelor of Science, Computer Science

2017 -

Grade: 75%

BSc in Computer Science from Shanmuga Collage (affiliated with Thiruvallur University), started in June 2017, with 75%.

Tech stack

Software and tools used professionally

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