Arjun Ray Email & Phone Number

Hyderabad, IN

India

• Review, manage and update company Policies, Procedures and Controls implementation to ensure Laws and Regulation are respected.
• Work in collaboration with Stakeholders to create new Policies that meet Company requirements.
• Create monitor and submit policies exceptions for closure for activities that occurred and are against Company’s procedures.
• Assist in internal and external Audits activities, by acting as a Liaison, preparing meetings, gathering documentation and evidences and assisting during controls review.
• Conduct Cyber-training programs for new and existing employees, and conducting campaigns such as Phishing on a monthly basis.
• Provide monthly reporting to Upper Management in regards to environment cyber posture.

Bengaluru, Karnataka, India

• Experience in Business Analyst in U.S healthcare include understanding of business requirement gathering, analysis and documenting it.
• Functional knowledge of Medicaid management information system MMIS.
• Having sound knowledge of Medicaid and Medicare domain of healthcare systems and industry of inpatient, outpatient Reimbursement methodology.
• Extensively knowledge in the Member Enrollment and Billing information
• Experience in Billing, claims payment processing in relation to HIPPA, EDI4010, 5010X12, ICD-09 & ICD-10
• Strong knowledge of ICD-09 & ICD-10 business analyst with healthcare and able to understand the processing of ICD-09 and ICD-10

Hyderabad, Telangana, India

• Responsible for account recoverable multiples healthcare providers in the USA
• Analyzed the top denials for each client and identified solutions to increase cash and AR days
• Reduced average days in A/R from 90 to 60 in 3-month time period and increased net collections from 65% to 80%.
• Worked with clearing house like, Navicure / ZirMed, Availity, Emdeon and with payers to insure that all claims were processed and received by the insurance companies in timely manner
• Reduced clearing house denials by 15% by analyzing denial reasons and submitting after correcting and guiding same to the team.
• Maintain strong relationship with all clients and presented trends to them on monthly basis

Gurugram, Haryana, India

• Ensure complete review of claims and forward to correct insurance companies.
• Contact insurance carriers or other responsible to confirm payment dates and details
• Handle all claims on denial, rejections and no response work queue and follow up, review and document accordingly.
• Contact patient for updated insurance information when necessary.
• Make adjustment to the patient and insurance account
• Perform timely and accurate submission of claims.