Tarun Gahlaut

• Managed AR processes for over 70 healthcare providers across diverse specialties, ensuring accurate and efficient claim processing.
• Managed a team of accounts receivable and billing professionals, including training and performance evaluations.
• Hands-on experience with RCM platforms, e.g., Kareo (Tebra), ECW, Unik Practice, Therabill, Thera Office, Trizetto, WebPT, and Prompt to streamline operations and overall efficiency.
• Resolved discrepancies in payments and claims effectively and efficiently, contributing to timely reimbursements and minimized errors.
• Collaborated with cross-functional teams to enhance workflow efficiently.
• Collaborated with internal teams to address client concerns, disputes, and payment delays promptly and professionally.
• Ensured adherence to healthcare regulations and insurance policies, reducing denial rates, and improving claim resolution within the given time frame.
• Lead two new process transitions with direct client contact related to requirements.
• Mapping and adhering to Standard Operating Procedures, ensuring conformance to Service Level Agreements.
• Analyze denials, including No Auth, Duplicate, Bundled, COB, Non-Covered, Timely Filing, etc.
• Contact insurance companies to check claim status, understand the denial reason, and take corrective action.
• Follow up on unpaid or denied claims within the standard billing cycle timeframe.
• Perform eligibility and benefit verification through web portals or over the phone.

• Oversee end-to-end claim verification processing (RCM).
• Verifying medical records, and the insurance coverage, for accurate reimbursements.
• Resolved denied claims and billing errors, ensuring compliance with updated healthcare policies and regulations.
• Reconciled payments between patients and healthcare providers, maintaining a 95%+ resolution rate for claim discrepancies.
• Handling team queries and internal auditing.

• Worked in investment research, Forex market.
• Trade repair/correction for retail and corporate accounts. This could involve a single Excel sheet analysis or multiple.
• Execution of the client’s trading instruction on a daily basis for both onshore and offshore clients.
• Managed over 10 to 15 client calls per day for market updates.
• Taking care of the control reports to minimize the risk of false trades.
• Prepare Error Allocation and P&L reports on Microsoft Excel, and provide insights to help the team perform better.
• Responsible for sharing the Business Correction Report with departments across operations.
• Monitored portfolio performance, making timely adjustments based on changing market conditions or client objectives.
• Streamlined investment processes for better efficiency and increased return on investments.
• Maximized returns for clients by staying abreast of industry trends and emerging market opportunities.
• Developed strong client relationships, resulting in an expanded client base and increased assets under management.
• Contacted potential clients to pursue sales and gather funds.

• Worked as a Financial Analyst in the Margin Department for the U.S. Capital Market.
• Issue margin calls due to customer transactions, and issue maintenance calls as required by FINRA.
• Follow up on the collection of funds and securities.
• Advice brokers when a customer violates rules and regulations.
• Monitor for unsecured accounts and services, including wire transfers, ACH transfers, ACH returns, and type-to-type fund transfers.
• Review the house and fed calls issued by the margin team, and ensure that these are performed/processed as per the instructions in BPS.
• Sending the wires to the treasury teams for the credit amount that is agreed upon with the counterparties.
• Working on emails to resolve clients' queries.
• Follow up with the onshore team to conduct the meeting and troubleshooting on a weekly and monthly basis.
• Follow up with the front office and the middle office to resolve the break.
• Processing journal entries between the types of accounts to resolve the break.
• Having sound knowledge of databases like Natixis and E.

Trade.

• Worked as an Associate Analyst in accounts payable.
• Updating the SOP and client escalation sheet on a daily basis.
• Assign and allocate the daily team tasks.
• Updating the client matrix as per the allocated service level agreement.
• Participated in regular training sessions to stay current on industry trends, improving personal expertise and job performance.