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Uday Vanaparthi

@udayvanaparthi

RCM Specialist at Omega Healthcare Management Services, handling hospital billing and prior authorizations with 98%+ accuracy.

India

Message

At Omega Healthcare Management Services, I handle prior authorization, hospital billing verification, and AR follow-up workflows, maintaining a 98%+ accuracy rate. I also use Epic Analytics and Reporting to track KPIs and identify recurring denial trends.

Previously, at Medstar RCM Solutions and Infinx Health Care, I worked on hospital eligibility verification and drug prior authorizations. At Infinx Health Care, I helped reduce average authorization approval time from 72 to 48 hours and contributed to reports that reduced RCM claim denials by 15%.

Experience

Work history, roles, and key accomplishments

Current

Senior Associate

Current

Omega Healthcare Management Services

Feb 2025 - Present (1 year 8 months)

Spearheaded prior authorization, hospital billing verification, and AR follow-up workflows for high-volume US healthcare networks, ensuring a 98%+ accuracy rate. Managed end-to-end AR processes, analyzed aging claims, resolved eligibility/authorization denials, and resubmitted clean institutional claims.

Prior Authorizations Hospital Billing A R Follow Up Eligibility Verification Availity SMS Clearinghouse Payer Portals Epic Analytics Outlook HIPAA CPT ICD10 Codes UB 04

Associate

Medstar RCM Solutions

Sep 2024 - Jan 2025 (4 months)

Managed pre-authorization, hospital eligibility verification, and AR tracking for US healthcare providers. Handled drug prior authorization requests for specialty and high-cost medications via CoverMyMeds, Surescripts, and payer portals, ensuring approvals within 24-72 hour TAT.

Prior Authorizations Eligibility Verification AR Tracking (Excel)Pharmacy Prior Authorization CoverMyMeds Surescripts Payer Portals HIPAA Specialty Medications Biologics GLP 1 CGRP Therapies

Associate

Infinx Health Care

Nov 2023 - Aug 2024 (9 months)

Performed real-time hospital insurance eligibility checks for 50+ patients daily across multiple specialties. Initiated and tracked prior authorization for outpatient/specialty drugs, reducing average approval TAT from 72 to 48 hours and reducing total RCM claim denials by 15%.

Insurance Eligibility Verification Prior Authorizations Pharmacy Benefit Determination Availity Payer Portals ICD 10 Medical Necessity Criteria Denial Management Data Analysis

Associate Analyst

Integrated Development Organisation

Aug 2021 - Oct 2023 (2 years 2 months)

Supported comprehensive RCM operations with accurate data entry, audit documentation, and metric logging for complex insurance verification and AR status tracking. Maintained HIPAA-compliant databases of patient benefits and clearance documentation for audit readiness.

Data Entry Audit documentation Metric Logging Insurance Verification AR Tracking (Excel)HIPAA Database Management