Sruthi Muthu
@sruthimuthu
Healthcare operations leader with 10+ years in US claims processing and team leadership.
What I'm looking for
I’m a dynamic, goal-oriented healthcare operations professional with 10+ years of BPS experience in US healthcare. I’ve handled claims adjudication and denial management while supporting key healthcare business processes like AR follow-ups, member enrollment, provider data management, and credentialing. I also bring strong leadership strengths, having worked 2+ years as a Team Lead and earned recognition for outstanding team performance.
At Cognizant, I lead IOA healthcare operations by managing day-to-day workflows, prioritizing volumes across work types, and ensuring quality issues from the quality department are resolved. I take ownership of performance measurement and report/deck generation, manage client and account relationship reviews, support internal/external audits, and identify training needs through continuous monitoring—while actively driving process improvement to optimize production and turnaround time.
Experience
Work history, roles, and key accomplishments
Lead IOA healthcare operations, managing team performance and prioritizing client requests, complaints, and quality follow-ups to meet committed timelines. Drive training and process improvements, oversee audits, and deliver weekly/monthly performance reports and client-facing decks.
AR Analyst (Denial Management)
Technosoft
Mar 2016 - Jun 2017 (1 year 3 months)
Handled AR-denial management workstreams in BPS operations, focusing on claim analysis and timely resolution of denials to support production and quality expectations.
Claims Adjudicator (BCBS RI)
Dell Services
Nov 2010 - Apr 2013 (2 years 5 months)
Adjudicated healthcare claims for BCBS RI and maintained production and quality performance, earning recognition as a Quarterly Top Performer and for Circle of Excellence in production and quality.
Education
Degrees, certifications, and relevant coursework
Presidency College
Bachelor of Science, Advanced Zoology and Biotechnology
Earned a Bachelor of Science in Advanced Zoology and Biotechnology from Presidency College.
Availability
Location
Authorized to work in
Job categories
Skills
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