Prasad Jvs Email & Phone Number

Hyderabad, Telangana, India

Provider Enrollment and Credentialing process of the group practices and individual providers (New and Existing)

Hyderabad, Telangana, India

Handling Provider Enrollment and Credentialing process of the group practices and individual providers (New and Existing)Submitting credentialing, re-credentialing and revalidation applications of the providers and the group practices to the respective payers.Communicating with onshore team on obtaining all the required information to onboard the new.

Hyderabad Area, India

Managing complete AR Operations and Denial Management of all the clients across the board.Identifying major denials based on Provider Specialties, Credentialing, Contracting and communicating with the Practice Managers and working towards resolving the denials.Working on daily, weekly and monthly reports and presenting the status of the AR with the.

Hyderabad Area, India

US Healthcare Provider Services.Job Functions and Responsibilities:Managing complete AR Operations of all the clients across the board. Providing assistance and directions to the AR and Denial Management teams in identifying and resolving the major recurring denials by doing the RCA (Root Cause Analysis) and fixing the same with the help of respective.

Hyderabad Area, India

Involved in Employee Management, Hiring and Training programs, process improvement plans and participated in other innovative discussions with the Management.Assisting providers in their MUs (Meaning Use) Registration & Attestations, applying for EHR Incentive Programs with CMS by adopting, implementing, or upgrading certified EHR Technology in their.

Hyderabad Area, India

US Healthcare RCMS Provider Services.Job Functions and Responsibilities:Working on Provider credentials, identifying the denial trends by carrier wise and rectifying the provider issues with the respective carriers. Participating in Client Calls and Conferences, Direct Communication with the Clients through emails and phone calls, Maintaining and sharing.

Handling Claims related to Workers Compensation, No Fault (Auto Injury Claims), Federal and Commercial Insurance Companies. Following up with Employers, Attorneys to get the Insurance details of the patients and submitting the claims to the respective carriers, Follow-up with Workers Comp Board, MVIAC on regular basis to know the status of the cases.

Software Used: NextGen EPM (version: 5.5)Worked on Denials and Accunt Receivables with a target to reduce the AR Days and increase the revenue of the providers by accurate follow-up with Insurance Carriers and Patients to get the claims paid in full for the services rendered.

Software used: IDXWorking on outstanding AR to get the status and suggesting the actions. Resolved Claims pending issue with Tricare, DEERS by identifying the policy types. Escalating the denials to the respective departments, worked on Provider Credentials like updation of NPIs in NPPES and with the respective Insurance Carriers.

Bsc Mecs

Mpc

Ssc