Suresh Kumar Muthu
@sureshkumarmuthu
I streamline healthcare authorization workflows using data analysis, process optimization, and accurate high-volume operations.
What I'm looking for
At Omega Healthcare Management, I process more than 60 patient eligibility verification and pre-authorization requests each day while maintaining 98% accuracy in authorization handling and documentation.
I review medical records, manage authorization numbers for admissions, and coordinate with insurance providers to resolve issues efficiently. I maintain detailed approval, denial, and pending-case records while following HIPAA guidelines and organizational policies.
My work combines healthcare operations, workflow management, data analysis, and process optimization to reduce turnaround time and support reliable service delivery.
Alongside my operational experience, I have built a workforce optimization model using Linear Programming and Excel Solver that reduced operational costs by 12%, and developed Python NLP models for text analysis and information extraction.
Experience
Work history, roles, and key accomplishments
Senior Executive AR (Processor)
Omega Healthcare Management Pvt., Ltd.
Jan 2021 - Present (5 years 7 months)
Process 60+ patient eligibility verification and pre-authorization requests daily using payer portals and internal systems. Review medical records to ensure accurate documentation and compliance with insurance requirements.
Education
Degrees, certifications, and relevant coursework
Bharathidasan University
Master of Business Administration, Operations Research
2023 -
Grade: 63%
Pursuing an MBA in Operations Research with a focus on analytical and process optimization skills.
National College, Trichy
Bachelor of Science, Computer Science
2018 - 2021
Grade: 72%
Completed a Bachelor of Science in Computer Science with a strong foundation in computing and programming.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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