Experience

Crypton Global Services, LLC

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Director | Operations | Revenue Cycle Management |

  • Aug 2014 - Present

  Lewes, Delaware  Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts  Specific areas of responsibility include Revenue Cycle Training, Credentialing Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, practice management system file maintenance, and third party revenue cycle vendors.  Responsible for… Show more  Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts  Specific areas of responsibility include Revenue Cycle Training, Credentialing Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, practice management system file maintenance, and third party revenue cycle vendors.  Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. It includes: Analyzes claims, utilization, medical cost data, Develops strategic, cost effective programs, and makes system or network changes to enhance competitive position.  Monitors aged accounts and verifies appropriate collections procedures are being followed, manages revenue cycle projects at the Practice level, such as audits and budgets.  Regularly provides upper management with revenue cycle status including reports, metrics, and presentations. Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies.  Establishes internal goals and identifies external benchmarks  Resolves escalated reimbursement issues with Payers, Practice, US Oncology, and systems for optimal management of accounts receivable.  Develops, implements, and maintains the Practice’s revenue cycle standard operating procedures(SOPs). Show less



InfiCare Software Technologies

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Team Lead-Accounts Receivable

  • Dec 2013 - Aug 2014

  Dulles, VA  Handling Clients, Meeting collection targets.  Handling Accounts Receivable team to meet the target on time along accuracy.  Keeping track of performance of each candidate and team.  Providing Supervision, Motivation as well as Assistance to the team members.  Leading team meetings, weekly and monthly and deciding targets for individuals as well as whole team.  Handling Group of Lawyers/Attorneys, Adjusters, Collection Agencies, and Income Tax Department.  Provide… Show more  Handling Clients, Meeting collection targets.  Handling Accounts Receivable team to meet the target on time along accuracy.  Keeping track of performance of each candidate and team.  Providing Supervision, Motivation as well as Assistance to the team members.  Leading team meetings, weekly and monthly and deciding targets for individuals as well as whole team.  Handling Group of Lawyers/Attorneys, Adjusters, Collection Agencies, and Income Tax Department.  Provide Assistance to Clients to get Insurance Contracts, License Validation or Revalidation.  Providing Updates and changes per US Healthcare Reforms to Doctors. Show less



InfiCare Staffing

• United States
• Staffing and Recruiting
• 1 - 100 Employee

• Senior Executive-Accounts Receivable

  • Nov 2010 - Dec 2013

  Dulles, VA  Maintaining Billing and Accounting of Services performed by doctor to their patient or clients.  Keeping track of Money Owed by Patient or Client and collecting money and processing their Payments via Credit cards and updating Accounting software.  Maintaining Appointment tool and schedulers and creating customers accounts in Doctor’s Accounting Software’s.  Preparing Bank Deposits, tracking Checks, calculating interests and entering these transactions to their respective… Show more  Maintaining Billing and Accounting of Services performed by doctor to their patient or clients.  Keeping track of Money Owed by Patient or Client and collecting money and processing their Payments via Credit cards and updating Accounting software.  Maintaining Appointment tool and schedulers and creating customers accounts in Doctor’s Accounting Software’s.  Preparing Bank Deposits, tracking Checks, calculating interests and entering these transactions to their respective accounts.  Preparing Client Collection Reports on Weekly, Monthly and Yearly basis and also, preparing several productivity reports, Standard target reports, Time Budgeting reports.  Contacting Health Insurance, Workers Compensation Adjusters, Auto Accident handling Lawyers and Attorneys for the payments of treatment given to Patient or Clients and negotiating with them for the Final Payment.  Auditing accounts, billing systems and transactions to rectify errors and mistakes.  Working on Bad Debt accounts of the Patient who have been bankrupt or will be bankrupt soon and providing those discounts and concessions or EMI’s for the payment of doctor’s Final Bill. Show less