Experience

CIVXDATA

• United States
• Outsourcing and Offshoring Consulting
• 1 - 100 Employee

• Project Lead

  • Jan 2021 - Present

  • Lead a team of analysts and team coach to do AR follow, Billing, Charge posting, Credentialing and the BDM across all the verticles. Guide team to reduce ageing and optimize collections. • Manage day-to-day activities with the team. • Strongly believe in end to end process. • Respond to clients on any process related queries and manage 1st level escalations. • Perform quality check on the A/R follows or EOB denial analysis work done by the team before it is sent to the clients. • Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLA’s. • Tracking and maintaining metrics for a variety of data includes attendance, productivity, etc. • Develop processes to improve productivity and quality of the team. • Mentor analysts and senior analysts. Supervise and train junior staff or new trainees and encourage good A/R follow up skills and work ethic. • Participate in the new pilots projects & work towards proper transition of knowledge to team. • Work with managers to resolve any personnel problems or conflicts that may arise in the team. • In addition to administrative responsibilities, the Team leader may be expected to perform follow-up work as well depending upon the requirement. • Identify trends within the portfolio to aid collections and improve the productivity. Show less



eClinicalWorks

• United States
• Software Development
• 700 & Above Employee

• Integration Project Manager

  • Jan 2012 - Aug 2018

  Key Responsibilities: Performs overall revenue management including: satisfying timely filing requirements and maximizing billing revenue and collections, and resolution of denied/rejected claims.  Submits claims via the Greenway Clearinghouse. Supervise submission by billing specialists.  Monitors reports to ensure clean claims submissions.  Monitors monthly aging reports and conduct follow-up on unpaid claims and take appropriate action to correct and re-bill for reimbursement.  Identifies, researches and resolves system issues through direct contact with payors and software vendors.  Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance, and best practices for FQHC billing.  Develops, implements, and maintains NHCLV revenue cycle standard operating procedures (SOPs).  Researches and maintain billing compliance and regulations, primarily for FQHC Medicare and Medicaid.  Performs regular audits of daily billing reports to identify coding and billing errors. Work with billing clerk and other NHCLV staff to address; notify on-site management of problems and troubleshoot as needed.  Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.  Provides monthly updates of revenue cycle status including reports, metrics, and presentations. Works with Top Management as needed to accomplish.  Provides training as required to on-site staff regarding: billing and other revenue cycle related tasks, standard operating procedures (SOPs).  With other members of the management team, develop continuous process and priorities for quality improvement to improve revenue cycle outcomes.  Handle and be knowledgeable of all software utilized in the management of operations related revenue.  Performs special projects and other duties as requested. Show less