Experience

OmniMD

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Director RCM Product & Services | Chief Privacy Officer

  • Aug 2019 - Present

  Hawthorne, New York, United States • Oversaw and developed strategies for organization's Revenue Cycle software & managed services and reporting. • Designed, developed, and maintained EHR, RCM product and services, and patient engagement solutions. • Introduced Benchmark and C-suite Dashboards for Managing Products & Services • Interpreted and managed key performance metrics to track, progress, and isolate critical issues for improvement. • Implemented continuous improvement initiatives to exceed SLA performance and… Show more • Oversaw and developed strategies for organization's Revenue Cycle software & managed services and reporting. • Designed, developed, and maintained EHR, RCM product and services, and patient engagement solutions. • Introduced Benchmark and C-suite Dashboards for Managing Products & Services • Interpreted and managed key performance metrics to track, progress, and isolate critical issues for improvement. • Implemented continuous improvement initiatives to exceed SLA performance and communicated results. • Directed teams involved in requirement analysis, workflow processes, content development, and training for clinical and billing personnel. • Acted as a liaison for high-profile customers, fostering relationships between product, operation teams, and clients. • Achieved RCM benchmarks—DRO <40 Days, Aging <45 Days, CCR >97% • Introduced Payment Gateway Integrations (Global Payments & Bill Flash) • Ensured compliance with healthcare regulatory guidelines and standards, including SLI, ONC-ATCB, MIPS/MACRA, PQRS, CQMs, PCMH, e-prescription, and CMS. • Developed and revised DMO and SOPs to enhance process quality and deliverables. • Successfully led ONC Certified 2015 Edition EHR • Achieved EHNAC Certification for 4 consecutive times for OmniMD (2015 onwards) • Proactively conducted root cause analysis to identify foundational issues in revenue cycle products and services, presenting potential solutions and optimizing people, processes, and technology. • Supervised, trained, oriented, and evaluated the performance of assigned personnel, including business analysts and product/service delivery supervisors. • Conceptualized and introduced Pre-authorization software and services. • Conceptualized and executed a medical billing blog.

• Project Manager | Chief Privacy Officer

  • Jul 2008 - Jul 2019

  Hawthorne, New York • Oversaw 400+ end-to-end delivery of technology and services, implementing ambulatory EHR, PM, and RCM. • Introduced Revenue Cycle Management business line, handling operations, business development, and analytics. • Established and managed projects involving PCMH, PQRS, CQMs, EDI, ICD-10, ICD-9, HL7, CPT, HCPCS, EDI, ERA, Payment Gateways • Acted as a key liaison between clients, management, and technical teams, ensuring efficient exchange of techno-functional information. •… Show more • Oversaw 400+ end-to-end delivery of technology and services, implementing ambulatory EHR, PM, and RCM. • Introduced Revenue Cycle Management business line, handling operations, business development, and analytics. • Established and managed projects involving PCMH, PQRS, CQMs, EDI, ICD-10, ICD-9, HL7, CPT, HCPCS, EDI, ERA, Payment Gateways • Acted as a key liaison between clients, management, and technical teams, ensuring efficient exchange of techno-functional information. • Established SOPs and Daily Modus Operandi for Customer Service, Implementation, and RCM operations. • Functioned as a Business Analyst, customizing and improving systems in compliance with federal mandates and client needs. • Advised on project scopes, timelines, and workflows, collaborating with stakeholders for productive relationships. • Prioritized customer satisfaction through proactive issue resolution and regular communication. • Achieved EHNAC Certification for 3 consecutive times for OmniMD (2015 onwards) • Assisted customers for PCMH Certification (DOCS Medical Mt. Sinai) • Negotiated and introduced multiple clearinghouses for EDI. • Coordinated data exchange via HL-7 & FHIR Platform

• Manager—Implementation, Training, and Support

  • Jan 2007 - Jul 2008

  Gurgaon, India • Led EMR/EHR and peripheral app implementations for 400+ medical practices in the US and Middle East. • Collaborated with sales as a pre-contract consultant, aiding in planning and walkthroughs.



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• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Assistant Production Manager--Operations

  • Feb 2005 - Jan 2007

  CTech Delhi & Michigan



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• IT Services and IT Consulting

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Cipla

• India
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Management Trainee

  • Jun 1998 - Jan 1999

  New Delhi, Delhi, India