Infinx is Technology Lead Healthcare Revenue Cycle Company HQ in San Jose with Multiple delivery Centers. We are a team of 2000+ employees in the Revenue Cycle space and are partners with more than 50+ Imaging Groups managing their Pre-Auth,Coding & AR Follow-up.•Identify potential clients and decision makers within an organization in Revenue Cycle Management Domain.•Collaborate with clients to understand their business needs and strategic goals.•Set up and do meetings between client decision makers and company’s practice leaders/Principals.•Plan approaches and pitches (Liaise with operations to provide an optimal solution that speaks to the client’s needs, concerns, and objectives).•Responsible for establishing key relationship with C’ level executives for research, intelligence and analytics services.•Maintaining continuous client relationship through client follow-up and responding to their queries.•Researching and analyzing the market to find better business opportunities. •Provide and execute new business development strategies.•Replying to all customer inquiries in a timely and accurate manner •Creating the initial value propositions•Creating RFI’s, RFP’s and work orders•Rigorous follow up with prospects to close deals•Interacting with clients & keeping them abreast with the status of business trend

Hexaware is a global provider of IT, BPO and consulting services with revenue over $ 422.4 Million. Our 10000+ employees are the drivers of our growth, working round the clock across the globe in delivering meaningful technology solutions to our customers.Generated over $2M - $3M of new business opportunity in the Healthcare segment.Initiate the sales cycle by contacting and targeting prospective clients by means of email marketing, inviting clients in trade shows, cold calling and responsible for all initial communication with the prospective clients.Corporate level responsibilities include introducing our corporate health services to companies by setting up a meeting with the decision makers of the organisation.Responsible for doing research and analysis on the Healthcare Industry to know the current market trends and the company’s in need of our service offerings.Create database through different search engines. Find out detailed information about these companies before targeting.

Providing necessary technical leadership at process level.Ensuring process Improvement by identifying areas and Methods For Continuous Improvement (Re-engineering) And Implementing Any Changes Approved On the Process.Identifying And Implementing Appropriate Work-flow Model and Processes Adhering To Quality Standards.Coordinating Transition Support Activities Such As Identifying And Allocating Resources.Coordinating With Transition Team During Testing Phase Of Processes - Keep PM Updated On ProgressDefining And Understanding Customer Requirements And Aligning Process To Fulfill The SameInteracting With Client through Mails/Calls - Reporting/ Issues/ Queries Etc.Collecting Data for Billing Purposes - Number of Transactions, Production Man Hours Etc.Creating And Presenting WSR & SMR Report.Responsible For Creating And Updating Daily Dashboards.Maintaining And Updating Process Plan.Maintaining And Updating QMS Documentation.Preparing Invoices.Resource Estimation/ Planning (Process Level) Periodically.Ensuring Optimum Resource Utilization.Conducting Appraisals - Midterm/ Annual.Conducting One To One Meetings With Subordinates.Analyzing And Identifying Training Needs.Timely Escalation And Tracking Of Issues.Identifying Process Risks And Creation Of Mitigation Plans.Ensuring Continuous Improvement Of Process Metrics.

Working in end to end process of Medical Billing where the process contains (Demo / Charge entry, Claims transmission, Patient statement transmission, Day closing, Payment posting, Correspondence, analysis on denials, and AR follow-up).Currently handle provider’s accounts of three different specialists.Analysis on old AR claims and managing transaction executives.Working on Denial Management allocating work order to co-workersReviewed billing edits and provided insurance providers with corrected information. Provided tenacious follow-up to ensure proper payments were fully collected.Taking actions on E-mails received from clients.Communicating with team heads and authorized person regarding the team’s progress.Generating AR report on different provider accounts, analyzing claims aged over 90 days, taking action on claims and AR-follow-up on claims through calling and forwarding work orders for callers.Responsible for meeting client requirements and generation of client specific reports.Handling issues like recoupment from insurance, refund request, timely filing claim.

Inventurus Knowledge Solutions (IKS) is a global Revenue Cycle Management company that is head-quartered in New York and has delivery centres in Alabama, Mumbai, and Hyderabad and a sales and solutions office in Los Angeles. A respected outsourcing partner with extensive domain expertise and advanced outsourcing processes and technologies.Denial Management Forwarding claims to insurance.Focusing on achieving the client’s expectation level.Accurately applied payments to patient accounts. Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts.Maintaining Control logs (production log, daily log and pending logs), pending clearance from client, Quality assurance. Working on different medical billing software and trainer for new comers.Encouraging team members in taking initiative, in order to deliver the quality/quantity work beyond the client’s expectations. E-mails actions.