Open to opportunities

Ramya Chaaru

@ramyachaaru

I’m a healthcare revenue cycle professional specializing in denial management, claims resolution, and revenue optimization.

India

Message

What I'm looking for

I’m looking for a role where I can own denial management and RCM performance—using payer rules, eligibility checks, and appeals—to reduce denials, improve first-pass acceptance, and help teams grow through clear reporting and quality metrics.

I leverage denial management, claims analysis, and revenue cycle optimization to reduce claim denials, improve payment accuracy, and strengthen cash flow. I’m known for applying payer-specific rules and resolving claim issues through eligibility verification, EOB interpretation, and precise follow-up.

Across roles from Process Executive to Group Coordinator, I’ve supported AR/RCM outcomes through dashboards, denial trend trackers, and quality audits. I reduced denials by improving eligibility verification and streamlined workflows to cut processing time, while maintaining strict HIPAA confidentiality.

I also drive measurable recovery through appeals and payer communications—using phone/IVR, web portals, and clearinghouse processes. From identifying credentialing gaps to uncovering timely filing opportunities, I consistently boost first-pass acceptance and approvals while improving team strategies through weekly reporting and meetings.

Experience

Work history, roles, and key accomplishments

Current

Group Coordinator (RCM)

Current

Pangloss Reimbursement Management Pvt. Ltd

Sep 2024 - Present (1 year 9 months)

Coordinated client-facing denial management and AR/RCM support by monitoring payer rules, reviewing EOBs, and driving follow-up actions to improve claim outcomes. Led weekly trend reviews and maintained HIPAA-compliant documentation for audits.

Denial Management Revenue Cycle Management (RCM)Eligibility Verification EOB Review HIPAA compliance Quality Audits Reporting

Group Coordinator (RCM)

QBSS Healthcare Private Limited

Dec 2022 - Oct 2023 (10 months)

Managed eligibility verification, claim status research, and payer communication using phone/IVR and web portals to reduce denials and improve first-pass acceptance. Supported AR/RCM workflow optimization through documentation and quality tracking.

Eligibility Verification EOB Interpretation Workflow Optimization Documentation Quality

SME - Denial Management

Promantra Synergy Pvt Ltd

Aug 2021 - Nov 2022 (1 year 3 months)

Specialized in denial management by analyzing claims, researching EOBs and authorization details, and coordinating appeals to resolve billing issues. Performed audits and error trending to identify root causes and implement corrective workflow rules.

Denial Management Claims Analysis Appeals Management EOB Review DME Billing Physician Billing Quality Audits

Process Executive (RCM)

RND Softech Private Ltd

Apr 2019 - Jul 2021 (2 years 3 months)

Executed day-to-day RCM operations including eligibility verification, real-time payer portal checks, and claim follow-ups. Maintained comprehensive client documentation and supported training by sharing quality metrics and corrective guidance.

Revenue Cycle Operations Eligibility Verification Claims Follow Up Documentation Management AR Reconciliation Support Process Improvement HIPAA compliance