RainMaker Consulting is a Revenue Cycle and Practice Management Solution. We are trusted partners of physician practices and healthcare professionals for all their business and financial services need.

Handled provider credentialing Projects. Also responsible for client side & insurance side email & other correspondences. Handled all major carrier, provider credentialing & contracting such as Medicare, Medicaid, BCBS, UHC etc. As part of job responsibility also handled:-• Client side escalations for global claim denial issues such as credentialing, provider data mismatch etc.• Creating & maintaining provider correct demographic entries in carrier’s online directories.• Creating & maintaining provider CAQH & PECOS profiles.• Experience of handling Medicare enrollment applications through Medicare Provider Enrollment, Chain, and Ownership System (PECOS)

Worked as ‘Collection In-charge’ for a Practice, handling all the aspects of Revenue Cycle management from end to end.Responsibilities:Special Projects:- included working on new Provider Credentialing for the Group for Medicare & HMO’s, CAQH enrollment for new provider’s & initiation of provider contracting/networking with commercial payers & case – rate contracting with PSN’s & Medicaid HMOs.• To handle a project team of 15 - 20 members.• Analyze the outstanding AR in a global perspective, identify global issues & initiate immediate actions on the same.• Worked on Cardiology, Multispecialty & Internal Medicine projects.• Report issues pending with client & follow up till they are resolved.• Plan strategy and roadmap to resolve the AR (Accounts Receivables).• Coordinate with client, onsite representatives billing team and other support teams like Quality, Billing managers ensure smooth flow of processes.• Worked END to END on Physician side Billing.• Train fresher employees on both Medical Billing process & Denials

Worked for Inventurus Knowledge Service as Process Associate (AR caller), having the responsibilities of solving the assigned Patient encounters work involves Calling Insurance Companies for the pending physician bills, Denial Management, filling Medical Bills to insurance companies through web Portals Such as Medicaid & UHC. Handled Multi-Specialty Physician billing.