ASHA THOMAS

[email protected] • +971 50 880 5236 • Abu Dhabi, Al Falah Street
LinkedIn: https://www.linkedin.com/in/asha-thomas11981

PROFESSIONAL SUMMARY

Analytical and results-driven Denial Management & Revenue Cycle Specialist with over 8 years of experience across UAE and U.S. healthcare systems. Expertise in submission, resubmission, denial verification, pharmacy audit, billing corrections, and AR management. Proficient in root cause analysis, eligibility verification, and evidence-based appeals with a strong grasp of payer guidelines (Daman, Thiqa, NAS, Nextcare, ADNIC, Neuron) and UAE DOH compliance standards. Skilled collaborator, optimizing revenue cycle processes through multidisciplinary teamwork, data analysis, and regulatory compliance.

WORK EXPERIENCE

Submission & Resubmission Officer – Revenue Cycle Management
09/2025 - Present
Claims Care Revenue Cycle Management , Abu Dhabi
• Analyze and resolve claim denials through evidence-based appeals.
• Manage submission, resubmission, and denial verification per payer guidelines.
• Collaborate with physicians, pharmacists, and finance teams to prevent rejections.
• Audit pharmacy submissions and perform billing corrections.
• Prepare KPI and audit reports to track RCM performance.
• File and track claims via OpenJet, Pulse, Nano PBM, and ADNIC portals.
• Ensure compliance with DOH standards and payer requirements.
Billing and Audit Executive
04/2023 - 09/2024
Burjeel Day Surgery Center , Al Reem, Abu Dhabi
• Managed full-cycle billing, denial management, and claim resubmissions.
• Conducted pharmacy and HCPCS billing audits ensuring compliance with payer standards.
• Handled high-cost medication approvals and pharmacy insurance operations.
• Developed KPI and audit reports to improve productivity and accuracy.
• Streamlined workflows and reduced rejections through process improvements.
• Used OpenJet, Pulse, and Nano PBM portals for claim operations.
Senior Accounts Receivable Associate
08/2020 - 12/2022
Cascade Revenue Management Pvt. Ltd. , Cochin, India
• Managed U.S. laboratory billing operations—denials, appeals, and resubmissions.
• Drafted persuasive appeals, achieving high claim recovery rates.
• Reduced AR aging by 30% through proactive issue resolution.
Senior Accounts Receivable Associate
10/2018 - 05/2020
WAVE Online Infoway Pvt. Ltd. , Cochin, India
• Managed physician billing, payment posting, and appeals.
• Improved first-pass resolution rates via accurate denial analysis.
• Ensured strict compliance with payer rules and documentation standards.
Accounts Receivable Associate
12/2016 - 10/2018
Guidehouse India Pvt. Ltd. , Trivandrum, India
• Performed insurance follow-ups and resolved denials promptly.
• Verified patient eligibility and billing accuracy.
• Maintained HIPAA compliance and reduced AR backlog significantly.

EDUCATION

Master of Business Administration (MBA) – Human Resource Management
01/2017 - 01/2019
Bharathiar University , Tamil Nadu, India
Bachelor of Commerce (B.Com) – Computer Applications
01/2013 - 01/2016
St. Cyril’s College , Kerala, India

SKILLS

CERTIFICATIONS

Certified Professional Coder (CPC)
01/2020
AAPC
Certified AI Medical Coder (CAIMC)
01/2024
PBM Medical Billing Association
Medicare Billing: 837I & CMS-1450
SNF Consolidated Billing
Diagnosis Coding: ICD-10-CM

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