A H Navas

A skillful Revenue cycle management professional, with abundant knowledge on the process, keeping renovated with recurrent changes/updates happening in the billing process, aiding the providers and hospitals collects the maximal reimbursement for their exceptional service, a motivated leader to the team, a great resource to the serving organization to obtain client success.

Assistant Manager RCM Operations

• Possess strong end-end process knowledge on RCM, Proficiency in AR process and good knowledge and working experience in departments such payments, EDI, Credits and patient AR/collections.,
• Have worked across difference specialties/different US state providers, and experienced in professional/institutional/FQHC billing and ABA billing.
• Working experience of major EHR softwares like eCW, CR, Kareo, Modmed, Traknet and more other practice management tools.,
• Working knowledge including multiple clearing houses like waystar, office ally, trizetto., Managing experience of 10+ clients at once from various specialties including Family Practice, Internal Medicine, Cardiology, OB/GYN, surgical, Ophthalmology, FQHC, ABA, Mental Health, Podiatry….
• Renovating own RCM knowledge by keeping an eye on regular billing updates from CMS/major payers to implement when needed.

• Exposure of managing team size of 50+ from all RCM departments including AR, Payments posting, EDI, Credits & collections/patient AR staff and partially managing the coding team.,
• Monitoring team performance and correlate the effect of it in client's numbers on collection and reduced 60+ AR.,
• Mentoring the teams to achieve the organization goals and training them if required.,
• Guiding teams to find the root cause and fix the persisting denials to bring down the denial rate of the clients.,
• Reviewing performance scorecards/KPI to study the improvements required to implement for team's/clients' better performance.,
• Monitoring company's SLA are being followed and maintaining the strict adherence to HIPAA compliance across organization/team staff.,
• Meeting with the team leads/coaches/team members when needed to address/present the topics regarding process improvement.

• Presenting the scorecards to the clients portraying and maintain real time good level of quality numbers.,
• Providing the stats on their account with planning/giving suggestion to robust the collections.,
• Take initiatives/plans to reach the practice goals and to educate the clinic staff on the parts that need their involvement to resolve issues related to clinic front end such as Authorization, eligibility, credentialing related denials/issues.,
• Meet with them regularly on discussing things when needed and make sure they are in complete trust on us taking care of their practice management.,
• Working towards achieving Improved/timely collection for practices

• Cycling/Biking
• Reading books
• Following World sporting events and leagues
• Travelling

• English - Highly proficient
• Tamil - Native speaker

The information provided above given by me are true and reflecting the rightness of data.