Nandhini V
@nandhiniv
Healthcare revenue cycle specialist focused on EVBV, prior authorization, and AR calling.
What I'm looking for
I am a dedicated healthcare revenue cycle professional with 3+ years' experience specializing in Eligibility, Verification, Benefits (EVBV), prior authorization processing, and AR calling. I have a proven track record of verifying insurance eligibility for high-volume patient accounts, initiating and tracking prior authorizations, liaising with payers to expedite approvals, and documenting authorization details in EMR systems to ensure accuracy and compliance.
I am proficient with Raintree, AdvancedMD and eClinicalWorks (eCW) and have collaborated with billing and coding teams to resolve denials, analyze aging reports to prioritize high-value claims, and reduce claim rejections through accurate documentation and proactive follow-up. I bring strong knowledge of CPT/ICD-10/HCPCS coding concepts, HIPAA compliance, and practical experience in claims processing and denial management.
Experience
Work history, roles, and key accomplishments
Authorization & EVBV Specialist
VEE Health Teck
Jan 2025 - Present (9 months)
Managed accounts receivable follow-ups with insurers, analyzed aging reports to prioritize high-value claims, and resolved denials through coordination with billing and coding teams to expedite payments.
Authorization & EVBV Specialist
Waterlabs.ai
Jan 2023 - Jan 2025 (2 years)
Initiated and tracked prior authorizations for diagnostics, medications, and procedures while verifying insurance eligibility and benefits for high-volume patient accounts, reducing treatment delays through payer liaison and accurate EMR documentation.
EVBV & AR Caller
Calpion Softwares Technologies Pvt Ltd
Jan 2022 - Jan 2023 (1 year)
Verified patient insurance coverage and benefits across specialties, communicated with payers and patients on coverage and payments, and collaborated with billing to improve claim accuracy and reduce denials.
Education
Degrees, certifications, and relevant coursework
PSG College of Arts & Science
Master of Science, Applied Microbiology
Completed a Master's degree in Applied Microbiology with coursework and practicals focused on microbiological techniques and applications.
Karpagam Academy of Higher Education
Bachelor of Science, Microbiology
Completed a Bachelor's degree in Microbiology covering fundamental microbiology, laboratory methods, and related biological sciences.
Shree Meenakshi Matric Higher Secondary School
12th HSC, Higher Secondary (HSC)
Completed Higher Secondary Certificate (HSC) education with a focus on the 12th standard curriculum.
Presentation Convent Matric Higher Secondary School
10th SSLC, Secondary Education (SSLC)
Completed Secondary School Leaving Certificate (SSLC) education covering general secondary school subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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