Kiran Chukkapalli
St Louis
Summary
Healthcare Revenue Cycle and Claims Analyst with over 6 years of experience in claims processing and denial management. Proficient in analyzing billing workflows, enhancing reimbursement outcomes, and collaborating with cross-functional teams. Hands-on expertise with Athenahealth and reporting tools enables effective monitoring of claim trends and operational efficiencies.
Overview
8
8
years of professional experience
Work History
Healthcare Operations Analyst
Optum
Dallas
01.2025 - Current
- Work on hospital billing operations, claims review, denial analysis, and reimbursement workflows using enterprise healthcare billing platforms and payer portals.
- Review patient accounts, coding details, insurance coverage, authorizations, and claim documentation prior to submission.
- Analyze denied and rejected claims, identify billing discrepancies, and coordinate corrective actions for resubmission and payment resolution.
- Support revenue cycle operations involving commercial, Medicare, Medicaid, and third-party payer claims.
- Collaborate with cross-functional teams including coding, billing, registration, and AR departments to improve reimbursement outcomes.
- Prepare reports and operational dashboards using Excel and reporting tools to monitor claim trends, denial rates, and productivity metrics.
- Maintain HIPAA compliance and follow payer-specific billing regulations and workflow procedures.
- Prepare and submit hospital claims to commercial, government, and third-party payers in accordance with payer-specific requirements and standard operating procedures.
Senior Analyst / Healthcare Revenue Cycle
NTT DATA
08.2022 - 07.2023
- Analyzed hospital billing workflows and claims data to identify denial trends, billing discrepancies, and reimbursement issues across multiple payer categories.
- Performed root cause analysis on denied and rejected claims; coordinated with billing and coding teams to resolve issues and prevent recurrence.
- Reviewed and validated claim data elements including ICD-10 and CPT coding, provider information, and insurance coverage to reduce first-pass denial rates.
- Built Excel and Power BI dashboards to monitor denial categories, track reimbursement trends, and support management reporting.
- Documented standard operating procedures and provided guidance to team members on billing workflows and payer-specific requirements.
- Managed multiple billing workstreams simultaneously, meeting deadlines while maintaining high accuracy and quality standards.
Healthcare Claims Analyst
R1 RCM
08.2019 - 11.2020
- Worked on both hospital and physician claims processing using Athenahealth (AthenaOne) and healthcare revenue cycle management systems.
- Managed professional and facility claim for commercial insurance, Medicare, and Medicaid payers.
- Reviewed EOBs, ERAs, denied claims, and reimbursement variances to identify billing errors and claim issues.
- Performed claim edits, coding validation, modifier review, and payer-specific corrections before resubmission.
- Supported denial management, appeals processing, prior authorization review, and claim follow-up activities.
- Collaborated with coding, AR, and provider teams to resolve claim issues and improve revenue cycle efficiency.
- Monitored claim queues and productivity metrics while maintaining SLA and quality compliance.
Healthcare Billing Analyst
HCL Technologies
06.2018 - 08.2019
- Worked on DME (Durable Medical Equipment) medical claims processing for client Apria Healthcare, handling claim validation, insurance verification, authorization checks, and billing workflows.
- Processed end-to-end healthcare claims for oxygen equipment, CPAP devices, wheelchairs, respiratory supplies, and home healthcare services.
- Reviewed denied and rejected claims, identified root causes, corrected billing issues, and resubmitted claims according to payer guidelines.
- Verified ICD-10, CPT, HCPCS codes, patient demographics, modifiers, and insurance eligibility before claim submission.
- Coordinated with internal teams and payer representatives to resolve billing discrepancies and improve reimbursement turnaround time.
- Assisted in maintaining HIPAA compliance and documentation standards throughout the claim's life cycle.
- Supported process improvement initiatives to reduce denial rates and increase first-pass claim acceptance.
Education
Master of Science - Information Technology Leadership
Indiana Wesleyan University
01-2026
Bachelor of Commerce (B. Com) -
Acharya Nagarjuna University
India01-2018
Skills
- Claims Clearinghouse Systems
- Hospital Billing Operations
- Claim Submission & Rebilling
- Denial Management & Appeals
- Revenue Cycle Management (RCM)
- Claim Edit & Rejection Resolution
- Payer Portal Navigation
- ICD-10 & CPT Coding Validation
- EOB & ERA Analysis
- Epic Analytics & Reporting
- HIPAA Compliance
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Power BI
- Tableau
- Work Queue Monitoring
- Process Improvement
- Revenue cycle
- Claims management
Timeline
Healthcare Operations Analyst
Optum
01.2025 - Current
Senior Analyst / Healthcare Revenue Cycle
NTT DATA
08.2022 - 07.2023
Healthcare Claims Analyst
R1 RCM
08.2019 - 11.2020
Healthcare Billing Analyst
HCL Technologies
06.2018 - 08.2019
Master of Science - Information Technology Leadership
Indiana Wesleyan University
Bachelor of Commerce (B. Com) -
Acharya Nagarjuna University