Summary
Overview
Work History
Education
Skills
Interests
Accomplishments
Strengths
Leadership
Timeline
Generic

Alwal Bharath Kumar

SME
Zamistanpur

Summary

Experienced with optimizing workflows, ensuring smooth and efficient operations. Utilizes analytical skills to identify areas for improvement and implement effective strategies. Knowledge of industry best practices and strong collaborative abilities.


Overview

9
9
years of professional experience
1
1
Language

Work History

Process Specialist (SME)

Cognizant Technologies Solutions
03.2020 - Current
  • Roles and responsibilities
  • Core expertise lies in Medical Billing - Revenue Cycle Management. This primarily involves Denial Management, Billing Rejections, AR Calling, Insurance and eligibility Verification, and PAP
  • Worked on AR collections end to end process by reviewing denials and preparing appeal packets for denial payments.
  • Worked on adjustments, write-off, transfer of financial responsibility to patients as required. Also performed follow-up activities on outstanding physician claims.
  • Working in Insurance & Eligibility verification department for DME supplies and also provide support to the AR team.
  • Working as an internal quality auditor and allocating the work to the team..
  • Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to the supervisor.
  • Attends Client calls on the escalations received to the team and provide end to end solution to the Client.
  • Providing support to team in reducing the number of errors with quality of work.

SA (Senior Analyst)

R1 RCM Solutions
02.2019 - 03.2020
  • Roles and responsibilities
  • Work on denial management and resolve high-dollar-value accounts.s.
  • Handling team activities of production consolidation, allocation of work, and client escalation reviews.
  • Worked on higher SLA (Service level agreement) to get a revenue per aging claims.


Analyst and Sr. Analyst

Sutherland Health Care Solutions
07.2016 - 01.2019
  • Roles and responsibilities
  • Worked under Revenue Cycle Management System for three projects as AR caller (Accounts Receivable), on both Hospital and Physician claims.
  • Interacted with US insurance companies (Commercial & Government funded) regarding billing, denials, and payments.
  • Efficient in analyzing the denials and bringing in possible resolution of claims to receive the expected payments.


Education

MBA - Finance

St. John's PG College
01-2021

Bachelor's degree - computer applications

Osmania University
Hyderabad, Telangana
01-2015

Skills

  • MS Office
  • Windows 7,8,10, XP
  • GE Centricity
  • Epic
  • Citrix
  • Midas
  • Xpeditor
  • Cerner

Interests

Hobbies: Travelling, Reading Books

Accomplishments

  • Star of The Month
  • Amber Award

Strengths

  • Quick learner & self-motivated.
  • Ability to perform multiple tasks in the work pressured environment.
  • Able to work independently or in a team environment & adaptability to any environment.

Leadership

    

  • Provided training to users and team leaders of Medtronic in Pune.
  • Provided Training to the pilot batch on the Client updates and on software navigation.
  • Attend client calls and prepare SOP, prepare update trackers for the new projects.
  • Prepare weekly production and Quality reports and publish it to the management.
  • Mentored new Joiner's and helped them to reach their targets with 100% quality.

Timeline

Process Specialist (SME)

Cognizant Technologies Solutions
03.2020 - Current

SA (Senior Analyst)

R1 RCM Solutions
02.2019 - 03.2020

Analyst and Sr. Analyst

Sutherland Health Care Solutions
07.2016 - 01.2019

MBA - Finance

St. John's PG College

Bachelor's degree - computer applications

Osmania University

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Alwal Bharath KumarSME