Home Health Revenue Cycle Account Manager

Project transition and problems solving in US healthcare RCM

 Handling entire functions of Healthcare RCM Process from Billing till Accounts Receivable & Collections Experience working with multiple EMR and PMS systems.  Multiple projects are taking care with proper collection plan with financial agreement Taking care all training part from process transition to streamline the projects Working on different type of Aging reports based on different criteria's Working with software team to help clients to resolve their quires on Clearing and PMS Assess team's Productivity and Quality Levels and provide necessary feed backs to the team Fixing or report any unresolved issues concerning the team on a timely manner Learn the new changes and keep the team updated on the same

Worked as a private consultant as a freelancing as US Recruiter and Lead Generation

ACCESS Healthcare International – Pune, Maharashtra Run the inventory report on daily basis as per clinic & Provider wise and analysis the volume to do AR follow, Guide Team to reduce AR ageing which help to collect the optimize collections. Manage day-to-day activities with the team. Raising & responding to clients on any process related queries and manage 1st level of escalations. Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLA’s. Coordinating with the quality team to perform quality check on the A/R follows and providing the feedback to team to improve the quality. Call monitoring by taking care live call barging to check the quality of calls and help members to improve their confident. Tracking and maintaining metrics for a variety of data includes attendance, productivity, and Quality and client feedback. Mentor to analysts and senior analysts. Supervise and train junior staff or new trainees and encourage good A/R follow up skills and work ethic

 Leading a team of analysts and team coach and look over all the RCM cycle. Job involved to managed and guiding A/R associates who will be responsible for analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed Leads both Voice and Non-voice project. Worked for Liabilities and health care insurance patient billing. Monitoring the recorded calls and perform the quality check to improve the quality by providing the follow-up. Mentoring to new and senior associates on project and help to resolve their queries. Handling the 1st level of escalation

 Worked as 24 X 7 projects for both Clinical and Non-Clinical data. Coordinating with Pharmacy Technicians for new drugs and refills the orders. Tracking & monitoring the team performance and assured that they are following the right guidelines Maintain the clinical data for 30 days and delete from the system as per client specification. Review and research rejected Third-Party claims taking appropriate action to resolve. Follow all applicable government regulations including HIPAA.

 Leads the team to work along with AR and Claim submission team, Worked with multiple clinics handled Charge entry & payment posting department. Worked with a denial management team, Denials posting team. Worked with Review and web related accounts and resolved. Prepared the report as per management requirement

 Worked as an Sr. Associates for US Healthcare Provider Checking the claim status with and keeping follow-up with payer. Working with reprocess and hold claims Worked with billable and sending corrected claim. Updating the patient records by entering the procedures units and verify with the provider encounter records Worked for multiple clinics to update the patient demographics and insurance records. Carrying Patient eligibility with insurance web-portal.

 Responsible to meet doctor, Chemist shop & Stockiest to promote products. Generating the Rx to meet my sales target and meeting the company goals organizing appointments and meetings with community and hospital-based healthcare staff