Experience

MedConverge LLC
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Manager

  • Sep 2021 - Present


Advantum Health

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Associate Manager

  • May 2018 - Sep 2021

  End to end experience in handling Credentialing and enrolling Providers/ groups/ Facilities with all insurance companies. Well-versed with CAQH onboarding and Maintenance. End to end experience in handling Credentialing and enrolling Providers/ groups/ Facilities with all insurance companies. Well-versed with CAQH onboarding and Maintenance.



IKS Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Team Coach - AR

  • Jun 2016 - Aug 2017

  Handled AR team size of 25. Handled AR team size of 25.



iRCM Healthcare Solution

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

• Subject Matter Expert - AR

  • Sep 2015 - Jun 2016

  End to end RCM knowledge. Specialized in Radiology/ Pathology & Multi Speciality. End to end RCM knowledge. Specialized in Radiology/ Pathology & Multi Speciality.



NuNet3

• Spain
• Restaurants

• Analyst-AR

  • Jul 2013 - Jul 2015

   Working on behalf of HMS(Health Management System) which is Medicaid Claims Recovery Department located in US  Worked as Claims Recovery Specialist  We deal with all the Medicaid Reclamation Claims and played a very prominent role in generating revenue for the Company  Apart from Calling, Took initiatives in terms of Training  Providing Training to New Hires in terms of Process Flow, Communication & Soft skills  Live Monitoring Calls on Daily, Weekly basis to check the quality of the calls  Providing feedback to the team to check the adherence of the feedback provided  Clarifying all Process, quality related queries, raised by Front Lines Techs  Providing quick resolution techniques to various process issues  Mentoring the newly recruited associates during the Nesting phase  Achieving targets Show less

• Senior Associate - AR

  • May 2010 - Jun 2013

   It’s a Medical Billing Agency and worked as Claims Recovery Associate for US Providers  Worked on behalf of providers who were located in US and it’s an End to End Process  Starting from Generation of a claim for a patient and forwarding to the insurance company until the claim get paid there will be a regular follow up on the Claim  Calling Insurances companies for enquiring the status of the claim and get the Payment Details  If the claim is denied, Denial Management based on the reason of denial and regular follow up for the status  Providing Training to New Hires in terms of Communication & Soft skills.  Clarifying all quality related queries  Providing quick resolution techniques to various process issues.  Achieving targets. Mentoring new hires within team. Show less