Handling Staff/Team size 200+Working with cross-functional/multidisciplinary teamsResponsible for all aspects of daily operations ( Transition, New projects, Denial management/AR Calling, credentialing, Authorizations, Coding, Charges Billing, payment posting, training, collection)Developing and implementing revenue cycle management policies and procedures that ensure accurate billing, timely collections, reducing Denials/AR cost and compliance with regulatory requirementsTransitions planning, mapping & executing for new projects, identifying opportunities to streamline the process reducing unwanted costs, and enhancing operational efficiency by performing Research, Gap & Root cause analysisInteraction with clients/management: understating their needs and replying to the queries by providing strategic optimized solutions.Working closely with the business development teams to provide insights into potential client needs.Meeting with stakeholders/managers/leaders: and discussion on dashboards, progress, performance & challenges, and addressing their issues.Establishing timelines to meet the deadlines/TAT (Turnaround Time) and conducting performance reviews to ensure the successful transition of responsibilities. Collaborate with stakeholders to understand the requirements outlined in RFPs (request for proposal).Regulating SLA, Evaluating and reviewing SOW (Statements of Work) to ensure alignment with organizational goals. Identifying and communicating potential challenges or risks outlined in SLA. Ensuring the quality of work that meets the client's expectations & compliance (HIPAA/PHI), and focusing on the Client’s satisfaction by delivering a quality service.Ensuring SOPs (Standard Operating Procedure) are comprehensive, clear, and in compliance with industry standards & (HIPAA/PHI).Conducting programs for employees, training, skill development, appraisals, feedback, stress management, solving the team’s internal problems.

• Handling 9 clients along with 50+ employees.• Responsible for all aspects of daily operations (Denial management/AR & Billing, Collection).• Meeting with senior management & clients on issues and performance.• Meeting with Team leaders/senior staff and making strategies to reduce the issues.• Generating Monthly reports of total revenue for clients.• Evaluating dashboards to assess the progress, and performance of the process• Setting high standard business metrics & K.P.I.• Ensuring quality of work that meets the S.L.A (service level agreement) & compliance (HIPAA/PHI).• Ensuring daily tasks, production, Gap analysis & research of solutions for issues.• Benchmarking for outstanding claims of AR and making plans for denial management & issues.• Formulating SOP (Standard Operating Procedure) for Denial Management/AR and Billing. As well as with the software team (for the automation of transactions)• Daily/Weekly/Monthly, performing Root cause analysis (RCA) to resolve process issues and Improvement of the quality process, strongly following the guidelines of carriers/insurance and the client’s instructions.• Quality control: Covering all issues before releasing claims, setting trigger points to target the issues of coding, demographics, and insurance requirements to Reduce the Denials/Rejections.• AR: Denial analysis, reducing calls, focusing on high dollar claims, improving the appeal process, and AR benchmarking to control agins. adhere to the client’s direction/instruction,

Responsibility:• Working on Denials & Rejection• Calling insurance, Resolving claims• Helping senior & colleagues in daily production

Responsibility:• Patient’s Demo, Charge and payment posting. • QC of charge & payment posting.• Helping to colleagues

Responsibility: selling insurance

Process: Inbound & outbound callingDesignation: customer care executiveResponsibility: Providing the product info and resolving problem of customer

Financial advisor and Selling insurance