Piyush Pandey Email and Phone Number
Results-driven Revenue Cycle Management (RCM) Analyst with over 4 years of experience in the US healthcare industry, specializing in optimizing financial performance and enhancing revenue cycle processes. Adept at analyzing complex data sets, identifying inefficiencies, and implementing process improvements to maximize revenue and ensure compliance with industry regulations. Proven track record in reducing claim denial rates, decreasing days in accounts receivable, and improving overall cash flow. Highly skilled in healthcare information systems (HIS), electronic health records (EHR), and medical billing practices. Possesses excellent analytical, communication, and problem-solving skills, with a strong commitment to accuracy and efficiency.
Fortrea
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Program SpecialistFortrea Sep 2023 - PresentGreater Bengaluru Area• Expertly directed end-to-end P&L oversight for RCM initiatives, ensuring adherence toproduction and quality benchmarks within designated timeframes.• Showcased proficiency in navigating claims processes with leading insurers such asUHC, Cigna, Aetna, BCBS, and Tricare.• Crafted and presented detailed performance reports to stakeholders, providing criticalinsights and data-driven strategies.• Pioneered training programs and knowledge transfer for new staff, significantlyelevating team capability and operational performance.• Conducted meticulous internal audits and offered targeted support to team members,fostering continuous improvement.• Actively disseminated updates on payer trends to the team, ensuring alignment withindustry evolutions. -
Senior Process AssociateSunknowledge Services Inc. Mar 2023 - Aug 2023Kolkata, West Bengal, India• Spearheaded full-cycle Profit and Loss (P&L) management for Revenue CycleManagement (RCM) projects, ensuring consistent delivery of production and qualitytargets across daily, weekly, and monthly timelines.• Demonstrated expertise in managing claims with major insurance providers, includingUHC, Cigna, Aetna, BCBS, and Tricare.• Delivered comprehensive reports to clients and senior management, showcasingperformance metrics and strategic insights.• Led the training and knowledge transfer (KT) for new hires, enhancing team proficiencyand operational excellence. -
Process AssociateSunknowledge Services Inc. Mar 2022 - Feb 2023Kolkata, West Bengal, India• Spearheaded full-cycle Profit and Loss (P&L) management for Revenue CycleManagement (RCM) projects, ensuring consistent delivery of production and qualitytargets across daily, weekly, and monthly timelines.• Demonstrated expertise in managing claims with major insurance providers, includingUHC, Cigna, Aetna, BCBS, and Tricare.• Delivered comprehensive reports to clients and senior management, showcasingperformance metrics and strategic insights.• Led the training and knowledge transfer (KT) for new hires, enhancing team proficiencyand operational excellence. -
Team LeadKaash Infotech Pvt. Ltd Jun 2020 - Jan 2022Kolkata, West Bengal, India• Spearheaded the identification and resolution of accounts receivable challenges,enhancing financial operations.• Led and optimized team performance through strategic coordination, auditing, andsupervision, ensuring consistent achievement of productivity targets.• Collaborated with management to assess and implement automation opportunities,streamlining the collections process.• Diligently enforced HIPAA standards, ensuring the integrity and security of sensitivedata.• Demonstrated exceptional reliability and punctuality in maintaining work schedules andadhering to break times.• Skilled in negotiating insurance claim settlements.• Proficient in verifying and updating patient insurance information. -
Customer Service SpecialistNextlimit Consultancy Services Pvt Ltd Mar 2019 - Apr 2020Kolkata, West Bengal, India• Delivered exceptional customer support, consistently exceeding expectations.• Proactively recommended strategies to enhance customer satisfaction.• Served as a key communication hub, effectively disseminating information to the team.• Expedited high-quality resolutions to customer inquiries
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Customer Care ExecutiveTeleminds Infotech Pvt Ltd May 2017 - Nov 2018Kolkata, West Bengal, India• Delivered exceptional customer support, consistently exceeding expectations.• Proactively recommended strategies to enhance customer satisfaction.• Served as a key communication hub, effectively disseminating information to the team.• Expedited high-quality resolutions to customer inquiries
Piyush Pandey Education Details
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Software -
Communication And Media Studies
Frequently Asked Questions about Piyush Pandey
What company does Piyush Pandey work for?
Piyush Pandey works for Fortrea
What is Piyush Pandey's role at the current company?
Piyush Pandey's current role is Fortrea || Ex Sun knowledge || RCM Expertise || AR Analyst || Denials & Management ||Benefit Verification ||AR Caller II Lean Six Sigma Black Belt.
What schools did Piyush Pandey attend?
Piyush Pandey attended Amity University, University Of Calcutta.
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