Abhai Singh

• Manage new hires, fostering a culture of continuous improvement and professional development.
• With the adoption of revenue cycle metrics, I analyzed financial reports to identify trends, and I made recommendations that altered policy.
• Oversee day-to-day operations of the revenue cycle management team.
• Design and execute targeted training programs that enhance staff productivity.
• Collaborated with other departments to integrate new technologies.
• Create a dashboard on MicroStrategy, using a dynamic filter to show data through.

• Manage Team during OJT phase, weekly performance discussion, feedback session of Nesting & Mentorship till the level of expertise.
• New Hire Training and ensuring all the batches graduate as per the timeliness defined and meet the training threshold as agreed upon with the client.
• Preparing reports of quality percentile and production number while batches on ramp up.
• Manage Productive/Unproductive data though MBR calls.
• Manage change management and update (Deliver) process related changes to Operations.
• Comparative study to take next course of action.
• Issue advisories to those users who are not able to achieve their production and quality with the help of HR policies.
• Adhere to organizational policies and procedures.
• Preparing reports of quality percentile and production number while batches on ramp up.
• Participate in various projects and continuous process improvement activities.

• Avoiding any rejection or denial to submit with required documentation.
• Hands on dx codes and procedure codes.
• Hands on clearing house and encoder pro.
• Hands on claim submission form UB04.
• Hands on every denial with all required aspects.
• Hands on denial analytical skills.
• Hands on filing the source documents correctly and in serial order according to the patient visits.
• Hands on accurate and timely documentation of claims data in Patient Financial Services.
• Hands on Claim denial handling, Explanation of Benefit (EOB), Coordination of Benefit (COB) interpretation.
• Hands on Diagnosis coding, HCPCS Codes, Revenue Codes, ICD-9 Coding.
• Achievement- Transitions - Hyderabad (Waco)& Rush Acute (Hospital site).
• Preparing SOP from very first day Following up on Application ID’s Processing account with trainees.
• Leading the call from BSO with CBO & Site After 15 days processing accounts regularly then do time & motion to set target.
• Successfully transited one process with 21 FTEs and successfully initiated the transition of one process.

Responsible for the accurate processing and completion of medical claims. Process claims that route out of automatic adjudication within current turnaround standards.

Apply, deductible, coinsurance, copay, and out-of-pocket with payer over call.

Maximums, inside limits, and exclusions, & state variations.

Claim adjudication, which is filed by the hospital, analyzes the claim before releasing it for payment.

• Deftly managing the operations and customer servicing as per SLA within prescribed TAT using SAP ISU(billing and invoicing), SAP CRM based Software for British Gas (Gas & Electricity), UK.
• Performing billing and invoicing an SME accounts.
• Performing COT and acquisition on accounts.
• Worked on SAP for Acquisition, COT, Billing and Invoicing for British Gas UK.
• Responsible for generating Exception clearance report from SAP.
• Responsible for effective service delivery, productivity - accuracy targets.
• Handling day to day Administrator activities.
• Responsible for Updating Exceptional List based on new business segment updates and circulating to the team.
• Auditing transactions posted on customer’s account on weekly basis, ensuring that the correct action.