Ramkrishna Soni

Ramkrishna Soni Email and Phone Number

Prior Authorization | Eligibility & Benefits Verification | PCP Referrals | Revenue Cycle Management | US Healthcare | ServiceNow | Incident Management | Oncology @ Tech Mahindra
pune, maharashtra, india
Ramkrishna Soni's Location
Rani, Rajasthan, India, India
Ramkrishna Soni's Contact Details

Ramkrishna Soni work email

Ramkrishna Soni personal email

About Ramkrishna Soni

I have 7.5 years of experience in Revenue Cycle Management (insurance eligibility, benefits and prior authorization/referrals) Passionate to work in US healthcare domain.

Ramkrishna Soni's Current Company Details
Tech Mahindra

Tech Mahindra

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Prior Authorization | Eligibility & Benefits Verification | PCP Referrals | Revenue Cycle Management | US Healthcare | ServiceNow | Incident Management | Oncology
pune, maharashtra, india
Website:
techmahindra.com
Employees:
109765
Ramkrishna Soni Work Experience Details
  • Tech Mahindra
    Senior Software Engineer
    Tech Mahindra Sep 2023 - Present
    Pune, Maharashtra, India
  • Deloitte
    Senior Consultant - Prior Authorization And Eligibility & Benefits
    Deloitte Aug 2022 - Aug 2023
    Hyderabad, Telangana, India
  • Omega Healthcare Management Services Private Limited
    Team Lead - Prior Authorization & Pcp Referrals
    Omega Healthcare Management Services Private Limited Nov 2019 - Jul 2022
    Bangalore, India
    Communicating with FC/CFM/doctor office team regrading prior authorization/referrals day to day activities (missing clinicals, denials, approvals, peer to peer etc.)Allocation of work based on payer, plan, drugs, auth status and urgency of authorizationIdentify root cause of front end auth denial issues, developing auth denial prevention strategies and collaboratively implementing solutions to prevent auth denials across practice siteMonitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiencyTrack and evaluate team productivity and performance and provide summary report to managementImplement, monitor and revise monthly goals, objectives and performance standards including team metricsServe as liaison between internal authorization, billing and account receivable teamServe as liaison between client (onshore) and offshore.
  • Omega Healthcare Management Services Private Limited
    Senior Executive - Prior Authorization & Pcp Referrals
    Omega Healthcare Management Services Private Limited Oct 2018 - Oct 2019
    Bangalore, India
    Verify eligibility, benefits, prior authorizations details and identify covered and non-covered ICD-10 diagnosis for treatment, authorizations, billing and payment purpose. Task to client in case non-covered ICD-10 diagnosisReview and obtain initial, subsequent and retro authorizations for oncology / hematology (chemotherapy, radiology & radiation), office visit and lab services. Intermediate knowledge of billing.Follows up insurance company on unpaid or rejected auth denials. Resolves issue and re-submit claims.
  • Fedora Solutions
    Junior Executive - Prior Authorization
    Fedora Solutions Sep 2017 - Oct 2018
    Ahmedabad, Gujarat, India
    Verify eligibility, benefits and prior authorizations details and identify covered and non-covered ICD-10 diagnosis for treatment, authorizations, billing and payment purpose. Task to client in case non-covered ICD-10 diagnosisReview and obtain initial, subsequent and retro authorizations for oncology/hematology (chemotherapy) servicesResolve queries and issues of process like COB, insurance issues, authorizations, authorization denials, ICD-10 diagnosis etc. Take care of Patient's Assistant Co-Pay Fund Program, Patient Key Data Field Changes (PKDFC), Business Office, Visit List and Daily Review report on day to day basis. Task to financial counselor about patient financial responsibilityDevelops and implements new procedures to improve the quality and quantity of workflowsDocuments and maintain process data to simplify daily workflows
  • Tech Mahindra
    Customer Support Associate
    Tech Mahindra Dec 2016 - Jul 2017
    Ahmedabad, India
    Handling inbound calls from customer and provide them resolution to their queries.Raise complaints of customers queries and resolve in give time.Arrange team meeting and and provide them training on weekly or monthly basis.
  • Sabarmati Ashram Gaushala Managed By Nddb Dairy Services
    Laboratory Technician Associate
    Sabarmati Ashram Gaushala Managed By Nddb Dairy Services Sep 2015 - Apr 2016
    Bidaj, Gujarat, India
    Check mortality of bovine semen.Concentration, dilution, filling, sealing, printing and freezing (production) of bovine seme dose.

Ramkrishna Soni Skills

Rcm Diagnosis Code Current Procedural Terminology Research And Development Icd 10 U.s. Health Insurance Portability And Accountability Act Google Sheets Eligibility And Benefits Chemotherapy Us Healthcare Health Policy Electronic Medical Record Emr Training Aria Google Docs Hcpcs Microsoft Office Oncology Revenue Cycle Management Healthcare Information Technology Magellan Project Implementation Medical Billing Oncoemr Healthcare Improvement Pre Certification Prior Authorization Project Management Research Healthcare Industry Health Insurance Google Drive Accounts Receivable Eligibility Healthcare Reimbursement Centricity

Ramkrishna Soni Education Details

Frequently Asked Questions about Ramkrishna Soni

What company does Ramkrishna Soni work for?

Ramkrishna Soni works for Tech Mahindra

What is Ramkrishna Soni's role at the current company?

Ramkrishna Soni's current role is Prior Authorization | Eligibility & Benefits Verification | PCP Referrals | Revenue Cycle Management | US Healthcare | ServiceNow | Incident Management | Oncology.

What is Ramkrishna Soni's email address?

Ramkrishna Soni's email address is kr****@****ail.com

What schools did Ramkrishna Soni attend?

Ramkrishna Soni attended Gujarat University, M. G. Science Institute, St. Xavier's College, Ahmedabad, Sm Panchal Science College Talod.

What skills is Ramkrishna Soni known for?

Ramkrishna Soni has skills like Rcm, Diagnosis Code, Current Procedural Terminology, Research And Development, Icd 10, U.s. Health Insurance Portability And Accountability Act, Google Sheets, Eligibility And Benefits, Chemotherapy, Us Healthcare, Health Policy, Electronic Medical Record.

Who are Ramkrishna Soni's colleagues?

Ramkrishna Soni's colleagues are Ravindrareddy Bheemireddy, Praveen Kumar, Appu Kandipilli, Anji Reddy, Vignesh Dharmapuri, Khaja Shaik, Ravikiran Panchagnula.

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