Role & responsibilities:• Sales vertical• Client Engagement• Business Analysis• Products Enhancement• Drafting BRDs, Test scenarios • Bug identification and suggest solutions• Customer Management• Management Reporting• Feedback analysis

Role & responsibilities:Handling complete day & night shift Operations of US Revenue Cycle Management comprising of:• Recruitment• Billing• Charge Posting• Cash Posting• Credit Balance Handling• Rejection and Denials Handling• Claims adjudication• Complete Account Receivable process• Over all collections Handling P/L & budgeting for assigned processes

Director Automation with 19 yrs experience working with international organizations with in-depth knowledge of handling end to end Operations, Client management, Project management, Implementation, Budgeting, Resource management, P/L etc.

Role & responsibilities:Handling complete day & night shift Operations of US Revenue Cycle Management comprising of:• Recruitment• Billing• Charge Posting• Cash Posting• Credit Balance Handling• Rejection and Denials Handling• Claims adjudication• Complete Account Receivable process• Over all collections Handling P/L & budgeting for assigned processes

Handling Entire Revenue Cycle Management comprising of inbound and outbound campaign (Voice) of accounts receivable follow up; medical coding, denials, appeals, claims reprocessing etc. Handling a team of 400 plus team in India & Manila (Philippines) Managing P/L & budgeting for assigned processes Daily, weekly, monthly meetings with the client Prepare Dashboards, PPTs to be presented to the Managing Director & Clients Work with Software Team as SME cum Business Analyst for thein-house Web based application called WebCrawler & iAR Work for HIPAA compliance with the Software Team. Liaison with concerned managers and administrators of clients on day to day issues pertaining to AR operations. Ensure strict compliance to overall department protocol, federal laws and various other regulations and guidelines. Handling recruitment, ensure proper work allocation with the aim of optimum utilization of available resources and also troubleshoot issues to maintain a healthy work environment in the organization. Monitor performance of employees followed by recommendations for rectifications based on requirements, motivation of employees to ensure high productivity leading to client satisfaction Review and analysis of operational data for assessment of procedural revisions and enhancements. Also design and implement specific systems with focus on enhancement in revenue and operational efficiency. Also involved in training of new and existing technical personnel to ensure parity in terms of product and process knowledge, operating policies, protocols, standards and techniques

• Project Management of multiple projects• Defining project requirements by identifying project milestones, phases, and elements, forming project team, establishing project budget. • Handling Project Management through the full life cycle of Software Application Implementation. • Developing project plans and identify key objectives and resources. • Determining Operational objectives by studying business functions, Requirements gathering, Analysis, Design, Development, Testing, Process Modeling (Use case, Data modeling, and Class & Sequence diagrams), Implementation and Production. • Establishing and maintain strong client relationships through regular close contact and account management which will include regular face to face meetings, telephone and mail communication.• Organizing and conducting client review.

o Handling entire Revenue Cycle Management comprising of inbound campaign of patient scheduling and outbound campaign of accounts receivable follow up; medical coding and charge entry; payment posting and claim adjudication.o Worked with Software Team as System Analyst for the Web based application called CareEMR and EMR.o Worked for HIPAA compliance with the Software Team.o Provided inputs to the software team for HL7 integration.o Liaison with concerned managers and administrators of clients on day to day issues pertaining to billing operations.o Ensure strict compliance to overall department protocol, federal laws and various other regulations and guidelines.o Handling recruitment, ensure proper work allocation with the aim of optimum utilization of available resources and also troubleshoot issues to maintain a healthy work environment in the organization.o Monitor performance of employees followed by recommendations for rectifications based on requirements, motivation of employees to ensure high productivity leading to client satisfaction.o Review and analysis of operational data for assessment of procedural revisions and enhancements. Also design and implement specific systems with focus on enhancement in revenue and operational efficiency.o Also involved in training of new and existing technical personnel to ensure parity in terms of product and process knowledge, operating policies, protocols, standards and techniques.

• Handling entire operations of multiple billing departments including medical coding, charge entry, payment posting, claim adjudication.• Training of new and existing technical staff to ensure parity in terms of product and process knowledge; ensure strict compliance to quality parameters to maintain over 99% accuracy with the aim of achieving maximum client satisfaction and also increase revenue generation for the organization.• Also involved in MIS reporting, handling client communication on operational issues and ensure delivery of service in compliance to departmental protocols and various rules and regulations of the state.

• Assigned charge of streamlining the AR Process; ensure strict compliance to quality parameters in all process related work.• Training of associates to ensure parity in terms of product and process knowledge among team members with the aim of achieving maximum client satisfaction. Also involved in streamlining of the project on US medical billing process.

Achievements:Member of the team assigned to handle the pilot process on billing.Core member of the first software development team of the organization assigned to deploy software at the client end in USA.Involved in successful transition of 2 US healthcare projects in close coordination with offshore as well as Indian teams to ensure streamlining of the outsourced process to India.Worked with Software Team as System Analyst for the software called eHIMSJob Profile:Worked closely with the software Team as System Analyst.Involved in registration and charge posting; handling open accounts and conduct quality check based on requirementsAssigned charge of streamlining the billing process with the aim of improving productivity and also achieve client satisfaction through efficient service

Handling functions of registrations, charge postings, payment postings and dealing with denial issues.Worked on open (unpaid) accounts.Denials handling & follow up with the Account Receivable team.Impart training to new joinees.