Jitendra Agrahari Email & Phone Number

Jaipur, Rajasthan, India

Talented operations team supervisor capable at motivating a team of workers and monitoring all performances carefully. A professional with more than 8 years of experience in management, medical billing and operations. Prioritizes excellent communication abilities to ensure no misunderstandings ever interfere with success. Experienced in analysis, business operations, evaluation, and decision making.> Managing workflow for follow-up department.> Assigning work to AR staff.> Following up on own accounts/payer being worked.> Providing direct oversight that all denied or rejected claims are followed through and worked in a timely manner.> Spotting check work to be sure of accuracy, efficiency and uniformity.> Responding to staff’s questions in a timely manner ensuring they fully understand how to perform their jobs.> Mentoring and coaching the team.> Training new staff and existing staff on techniques.> Proactively identifying trends and initiating recommendations for change to Manager.> Provides tracking and workflow management.> Exercising judgment to make decisions for select methods and techniques for obtaining solutions.> Promoting teamwork, remaining available to assist staff as needed.> Addressing client query regularly and attending weekly client call to discuss process related improvement and to make sure that issues faced by client is resolved> Monitoring & reporting on standards & performance targets & arranging weekly team meetings, focusing on targets & achievements> Ensuring that the client’s SLA is met including service delivery, timely report and quality control (100% success to achieve SLA in last two years

Noida, Uttar Pradesh, India

• Conduct regular account audits.• Maintain working knowledge of quality standards.• Develop and perform quality test processes.• Make recommendations for repairing defects.• Create, review and refine user experience documents.• Participates in weekly meetings with Clients.• Directs the accurate and timely processing of claims to meet or exceed client service level agreements.• Respond to clients on any quality related queries and manage 1st level escalations.• Leading 5 QA’s and assigning inventory and publishing all the reports on time and sharing with higher management.

Jaipur, Rajasthan, India

More then 4 years of experience in US Healthcare industry as a senior AR specialist in AR & denial management. Having good experiences in Medicare and Medicaid services ( Part A B C D ) In & out patient for different locations. Experience in DME, Hospital and Physician billing. Handing more then 20 employees in physician billing( physical therapy) auditing and preparing reports to meet the clients requirements!• Oversee all operations, paying attention to areas in need of improvement and making notes of employees who are struggling.• Interact with employees, make recommendations, and ensure all workers are fully capable and understand their duties and succeed.• Assign tasks to operational team based on individual employee talents.• Monitor progress of special projects, ensuring work is completed correctly and on schedules• Improved operational efficiency by nearly 10 percent over three years.• Provided insight into operational success on a small scale, creating reports for review by team executives.• Made recommendations to higher management staff for which employees would thrive in certain assignments.• Providing software and process training to new joiners.• Supervising the team to work on assigned cases.• Monitoring Team's production and SLA delivery.• Keeping a record of client KPIs and team's performance against the KPI

Mohali

• Medicaid, Medicare and commercial billing, ICD, CPT, working with suspended, denied and rejected claims, payments, collections, accounts balancing, eligibility verification, HIPAA requirements.• Concentration on very detailed work, find and match medical services and their codes, follow policies, procedures and guidelines to assure consistent quality billing and coding. Provide timely and accurate data to ensure reimbursement for patient services.• Complied with all HIPPA privacy and security regulation to protect patient’s medical records and information.• Submitted electronics and paper claims to insurance companies including Medicare to collect medical payments.• Managed billing calendar and scheduled claims payments.• Filed and updated patient information and medical records.• Maintained current accounts through aged revenue reporting.• Gathered information from multiple sources to simplify billing and organize accounts.• Responsible for calling insurance companies in USA on behalf of doctors and follow up on outstanding claims.• Reviewing and appealing unpaid and denied claims.

Mohali, Punjab, India

Mohali

• Make outbound customer calls to promote and sell a product or service.• Create, maintain and update database of customers with complete information and emails.• Record outbound call history and customers response in detail• Monitor competitors’ products or services and create selling strategies for own products or services.• Handle customer needs and requirements.• Assist and support sales, marketing or other departments in handling customer requests and needs.

Mohali, Punjab, India

Ccna

Noida (Up)

Postgraduate Degree, Business Administration, Management And Operations, Business Analyst

Power BI | SQL | R Programming | Advanced Excel | Python | Tableau | Statistics | SAS ,SPSS, Orange 3| Machine Learning

Bachelor Of Technology - Btech, Electrical, Electronics And Communications Engineering, Graduation

10+2, Science