Headline

Quality Analyst @ AGS Health | Strategic Thinking, Communication

About

At AGS Health, contributed as a Quality Analyst since November 2023, focusing on maintaining quality standards and supporting organizational goals. Collaborated effectively to align with client requirements and ensure excellence in the RCM process. Graduated from REVA University with a Bachelor of Computer Applications, specializing in Computer Programming and Specific Applications. Proficient in strategic thinking, employee training, and communication, with certifications in programming using HTML, CSS, and database fundamentals from Microsoft.

Location

Bengaluru

AI stack

claude code

claude

gemini

geminicli

Work experience

Quality Analyst at AGS Health, Nov 2023 - Sep 2026 · 2 yrs 11 mos, Banglore

Accounts Receivable Specialist at ACN Health, May 2023 - Oct 2023 · 6 mos, Reviewed and processed high volumes of insurance claims against regulatory documentation and payer SOPs, flagging discrepancies and non-compliant submissions for corrective action. Verified patient eligibility, insurance coverage, and claim status using payer portals and internet research tools to ensure accurate, compliant processing. Analysed claim denials to identify root causes, pattern trends, and systemic coding errors; coordinated reprocessing and appeals in line with payer guidelines. Maintained accurate records in billing systems, ensuring data integrity and audit readiness in compliance with HIPAA regulations. Collaborated with internal teams to resolve billing discrepancies and communicated findings to leads, consistently meeting productivity and quality targets.

Education

Bachelor of Computer Applications, Computer Programming, Specific Applications, Reva University