Nishanthikumar User
@nishanthikumaruser
AR Caller at ACCESS HEALTHCARE INDIA PVT. LTD., handling US healthcare eligibility, authorizations, and denial follow-up.
IndiaWhat I'm looking for
At ACCESS HEALTHCARE INDIA PVT. LTD., I verify insurance eligibility, benefits, and prior authorizations for US healthcare services. I review authorization details such as codes, approved services, units, and effective dates.
I use payer portals to check coverage, authorization requirements, and responses. When information is missing, expired, or incorrect, I follow up, document the response, and escalate unresolved cases.
Previously, as a Process Associate at PROCHANT INDIA PVT. LTD., I verified insurance and authorization details and supported follow-up on discrepancies. I also review claim-related issues and denial reasons to support corrective action and denial prevention, while maintaining information in accordance with HIPAA requirements.
Experience
Work history, roles, and key accomplishments
Senior Client Partner
Access Healthcare India Pvt. Ltd.
Jan 2024 - Oct 2026 (2 years 9 months)
Performed insurance eligibility, benefits, and prior authorization verification for US healthcare services. Reviewed authorization details, worked with payer portals, and supported denial prevention and follow-up.
Process Associate
Prochant India Pvt. Ltd.
Mar 2023 - Dec 2023 (9 months)
Performed insurance eligibility and benefits verification for US healthcare patients. Verified member details, coverage, and prior authorization requirements, and supported follow-up on discrepancies.
Education
Degrees, certifications, and relevant coursework
Madras University
Master of Business Administration, Financial Management
Grade: 81%
Pursued a Master of Business Administration with a focus on Financial Management, achieving 81%.
MAHER University
Bachelor of Commerce, Commerce
Grade: 80%
Completed a Bachelor of Commerce degree with 80%.
Availability
Location
IndiaAuthorized to work in
Salary expectations
Job categories
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