AJAY RABDE

• Lead a team of 20 revenue cycle specialists in managing all aspects of revenue cycle operations, including billing, coding, claims processing, and collections.
• Develop and implement strategic initiatives to optimize revenue cycle processes, reduce denials, and enhance cash flow.
• Monitor team performance and provide regular feedback, coaching, and training to ensure adherence to best practices and performance goals.
• Collaborate with cross-functional teams, including finance, billing, coding, and IT departments, to identify and address revenue cycle improvement opportunities.
• Analyze key performance indicators (KPIs) and financial metrics to track performance, identify trends, and drive continuous improvement.
• Oversee the resolution of complex billing and coding issues, working closely with payers and providers to resolve disputes and mitigate revenue losses.
• Stay abreast of industry trends, regulatory changes, and best practices in revenue cycle management to drive innovation and ensure compliance.

Senior Client Partner- From May 2018 – December 2020

Client Partner- From May 2017 – May 2018

• Handling Daily and Monthly Reports
• Team Handling
• Project Development (Pilot Project)
• Accounts Receivable (AR) Follow-up and Denial Management
• Credit Balance Management
• Electronic Data Interchange (EDI) Rejection Handling
• Appeal Submission
• Correspondence Management
• Chart Swap Process Optimization
• Specialization in Radiology Revenue Cycle

• Eligibility Verification and Prior Authorization
• Scrubbing and EDI Rejection Management
• AR follow up on the account as per Aging.
• Denial Management.
• Appeal Submission.
• Correspondence Management
• Worked on urology and orthopedic Specialty project.