As a designated manager I am responsible for entire RCM Operations for all clients on board. Managing team of billers and AR executives. Taking care of recruitment, training, reporting, and client communication. Also, helping providers resolve their network participation and credentialing-related problems and keep their data up to date with all the payers to ensure smooth claims processing and faster payments. Utilizing my research and analytical skills to review claims-related Medical records to understand and resolve the coding-related errors by documenting related AMA, CMS, and Coding Guidelines of various payers.

Started in as Sr. Process Executive / AR Specialist. Working on Chiropractors and Vascular Surgeons accounts. Basically doing simple AR and Payment posting work but utilizing the knowledge of the overall process as RCM specialist. Worked a little on credentialing part as per clients requirement. Learning cycle is continue. . . ;-)

Worked as AR representative reporting to Assistant Manager Operations. Handled various roles in the RCM process, such as Client communication, day-to-day reporting, and understanding the various aspects of claims denials from payers. learned the guidelines and resolved denials and helped the billing team to avoid errors that cause denials of claims. Resolved many credentialing-related issues causing the contractual level of denials. Understood the various types of services provided by PCP and Specialists. Preparing daily, weekly and monthly reporting from PMS (Provider Management Solution). Worked and resolved many provider data management issues on the payers portal and database. Claims billing and payment analysis and reporting to provider and Office Managers to find any error in billing and updated the guidelines for billing team to resolve them.

I am managing specialized Lead generation / Verification project for LatAm Region.Reporting to The Manager.

I was managing special projects of Contacts Database Development and Validation for LatAm and EMEA regions. I was reporting to Assistant Manager.

aMarketforce is a powerful outsourcing company that serves as the back office support for sales and marketing departments of US-based companies.Currently working; As a Research Executive i am responsible for generating leads and contact information as per the client requirements.

Being a customer care executive at Vodafone, I was responsible for resolving the complaints and query of existing prepaid customers.