Robert Wilson Email & Phone Number

Robert has more than 13 years of work experience in various US Healthcare (Provider & Payer side process) BPS/BPO organizations.•Extensive experience in Physician Revenue Cycle Management with a strong emphasis on revenue cycle operations and processes, practice management system enhancements, workflow, productivity, global service delivery in transition with an onshore and offshore module, policies, procedures, quality, and training.designing solutions, and process workflow including preparation of SOP and reports.•Exposure to setting up the process from the scratch (i.e. getting submitter id from the Insurance and collecting money from them for the Claims submitted – end to end) in Revenue Cycle Management.•Exposure to Merit-Based Incentive Payment System (MIPS)/MACRA reporting.•Exposure to Business Process Re-Engineering to maximize revenue/collections and optimize production within the given compliance framework.•Exposure to Insurance Credential Verification process with large Insurance Companies of the US.•Exposure to Clearinghouse (EDI) process with one of the largest US Clearinghouse.•Extensive Clientele Relationship and Account Management experience.•Good interpersonal communication and documentation skills including effective interaction with all levels of management, peers, and Customers.•Expertise in the Healthcare Provider and Payer Credentialing process and ability to direct complex projects from concepts to fully operational status.•Consulting and business transformation, new business setup.Specialties: Healthcare Revenue Cycle Outsourcing and Consulting, Transition/Migrating projects/process (with onshore/offshore model), Medical Billing, Provider Enrollment/Credentialing, Credentialing Verification, AR Collections, Administration, Any health care related and open to any domain.

Listed skills include Customer Service, Rcm, Customer Relationship Management, Team Leadership, and 4 others.