Vijayakumar U Email & Phone Number

Company: - Sutherland Healthcare – Chennai – Sr Revenue cycle AnalystCore focus on Charge Entry, EDI, and AR Process.Transition of new process and stabilizing and Ensuring Client satisfaction on collection and quality. Mentoring the team and training.Quality audit on Charge Entry, EDI and AR Process.Demonstrate good judgment and handless unexpected situations and educating and mentoring team against process deviation. Working on Pennsylvania Medicaid submitting claims via online and working on denied claims resubmitting with valid info to get claims paid.Period: Jan 2014 to Apr 2015 (1 year(s) - 4 month(s))Software Worked: EPIC & IDXCompany: - ISPL (Advantum Health) – Chennai – Team LeaderWorking on Worker’s Compensation and No-fault claims.Working on Auto Accident Insurance claims.Calling Attorney’s office for info related to arbitration packages & patients’ information.Creating Arbitration package for patients on denied claims.Calling claims adjuster & case manager regarding claims follow up.Core focus is on Intake, Training, Medical Records review, AR analysis, Quality, Demo & Charge Entry & Payment Posting.Mentoring the team with updates and Specification based on the audit feedback. Training the Employee on RCM Process, Subject matter level trainings, Organizational polices and procedure. Fixing the Denial by finding the root cause and updating the same to SOP, the same would be updated for Entire RCM Team for fast payment. Mentoring team members in No-Fault, Workers compensation and Arbitration works and provide proper feedbacks.Ensuring the team quality and mentoring team, demonstrate good judgment and handless unexpected situations and educating and mentoring team against process deviation. Work on automation projects with hand in hand with managementTransition of New Process and Stabilizing. Client coordination and ensuring the best cash flow. Period: June 2015 to May 2019 (4 year(s) - 0 month(s))Software Worked: ECW, Prime suite, Intergy, Medisoft, IDX & CentricityCompany: - Miramedajuba – Chennai – Senior Account ExecutiveHandling Denials & AR Follow up, Focus was on cash goal & quality.Requesting Pre-Authorization & Retro Authorization Via Call and Online.Faxing and Appealing Claims to Insurance. Filing and following on claims.Working on Hospital claims regarding follow up and end to end action.Identifying trends and resolving issues in bulk.Period: Nov 2021 to Feb 2023 (1 years(s) - 3 month(s))Departments Worked: Physician Billing & Hospital BillingSoftware Worked: ACE