Ajay Kumar M. Email and Phone Number
12 Years experience RCM End To End ,Team Building, Team Management, AR denials Prior Auth,Appeal & Greviance, Billing, Charge/payment posting, Denial Management, HRO , Quality Management, Team Handling, Manpower Management.Involved in recruitment of new hires for the organization .Handling new Client Transitioning for smooth Go live of process .Responsible for delegation of work and co-ordination within the team to facilitate smooth daily operations.Reviewing the work of team members on daily basis and providing feedback on the areas of concerns.Complete oversight of Operations, maintaining SOPs, Compliance for the entire team.Providing the necessary information to the team to carry out their job effectively through daily briefings and team meetings.Tracking all client feedback and queries and responding them on timely basis, meeting turnaround time.Facilitate Client Calls (Weekly, Bi-Weekly & monthly).Work in accordance with other departments as well for smooth daily operations.Create guidelines for the Team & Process. Monthly Review.
Gosource
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Operations ManagerGosource Oct 2024 - Present -
Deputy ManagerWns Jun 2023 - Oct 2024Pune, Maharashtra, India -
Deputy ManagerVitality Business Support Services Jan 2023 - Jun 2023Navi Mumbai, Maharashtra, IndiaManaging End to end Revenue cycle management . Stakeholder Management. Responsible for hiring/ recurting front mid level roles. Managing the Span of 200+ Employees. Including 5 TL and 3 TC . Responsible to improve P&L for my span. Preparing & sharing monthly Performance presentation with client which all include various metrics: Charges & Payment, INS AR PT AR, 90+ AR trending, Payer & procedure mix, AR Days etc. Proven track record of Managing Client KPI's and action planning. Work closely with Implementation team to ensure smooth and timely go live for new client. Monitoring weekly and bi-weekly payments and revenue shares. -
Assistant Manager OperationsVitality Business Support Services Dec 2021 - Jan 2023IndiaMaintaining SOPs, Compliance for the entire team.• Client Interaction and Account Management• Sustain Margin growth on year on year basis• Managing all aspects of Delivery including recruiting, training, career mapping, quality and operational finance.• Managing P&L.• Commitment, Strategic Thinking, Effective People Management, open for suggestion, deliberate the decisions• Coaching & development of the subordinates through training need identification. • Lead by example (courteous, energetic, punctual, and respectful, of others and team player.• Financial responsibility for the customer account assigned to the Respective Leader.Providing the necessary information to the team to carry out their job effectively through daily briefings and team meetings.Tracking all client feedback and queries and responding them on timely basis, meeting turnaround time.Facilitate Client Calls (Weekly, Bi-Weekly & monthly).Work in accordance with other departments as well for smooth daily operations.Create guidelines for the Team & Process. Monthly Review.Handling new Client Transitioning for smooth Go live of process .Experience working on Billing posting AR Collections and Denial Management Edits Rejection Invalids , correspondence, AR Follow up , Special Projects and others Medical Transcription , Medical List and summarization , DRs Process - PEER and Rebuttal Drafting , , And Arbitration ,DME , No fault , -
Team LeaderGebbs Healthcare Solutions Jan 2019 - Oct 2021 -
Quality AnalystIks Health Dec 2016 - Jan 2019 -
Operational SpecialistEclinicalworks Jun 2013 - Dec 2016
Ajay Kumar M. Education Details
Frequently Asked Questions about Ajay Kumar M.
What company does Ajay Kumar M. work for?
Ajay Kumar M. works for Gosource
What is Ajay Kumar M.'s role at the current company?
Ajay Kumar M.'s current role is LSSBB Certified | Operation Manager RCM Operations |12+ Years of experience | US Healthcare & Medical Billing | Customer Service| Transition of process| Ex GeBBs| Ex IKS| Ex -ECW.
What schools did Ajay Kumar M. attend?
Ajay Kumar M. attended Sangai International University, Maharashtra State Board Of Technical Education (Msbte), Mumbai University Mumbai.
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Ajay kumar M
Bengaluru -
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Ajay Kumar M
Cloud Architect At Hexaware Technologies | Cloud Principal Architect | Aws Certified ArchitectChennai -
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