Amit Chaudhary
Ghaziabad
Summary
Dynamic Team Leader with extensive experience, excelling in RCM AR operations in US healthcare and denial resolution. Proven track record in achieving SLA adherence and enhancing team performance through effective communication and proactive training initiatives. Skilled in data analytics and people management, driving results in high-pressure environments, currently handling a team of 20 members.
Overview
10
10
years of professional experience
Work History
Team Leader AR
Pacific an Access Healthcare Company
Noida
02.2024 - Current
- Meeting client SLAs, achieving daily numbers with accuracy, and the project should be completed within the given TAT by the client.
- Managing attendance, shrinkage and Attrition rate for uninterrupted service delivery to US healthcare clients.
- Developing training materials and updating SOP to support new and existing team members
- Creating and sharing reports to update the management on the team's progress and performance.
- Communicate clear instructions to team members toward the company goals, client, and management instructions.
- Provide Process updates clearly and in timely manner
- Organize training sessions for team members when skill gaps were identified.
- Monitor team members' participation in team
- Daily Inventory distribution and project assignment
- Completing daily quality assurance duties to provide feedback for improvements
- Creating and distributing monthly, quarterly and annual reports to management regarding performance
Team Leader AR
SCRIBE4MD PVT LTD
Noida
05.2023 - 08.2023
- Oversaw daily AR workflow and managed team performance.
- Prepared performance reporting and client updates.
- Communicated process updates effectively.
- Developed training materials to support new employee onboarding processes.
- Analyzed team performance metrics to identify areas for improvement and training needs.
- Offered training and support to keep team members motivated and working toward objectives.
- Participated in regular meetings with senior leadership to provide updates on team progress.
- Managing attendance, shrinkage and Attrition rate for uninterrupted service delivery to US healthcare clients.
Sr AR Analyst
Optum Global Solutions
Greater Noida
06.2022 - 04.2023
- Follow up on Daily ERA and Callable Inventory with Resolution
- Follow up Payment Retraction and Refund Cases
- Posting the correct adjustments on the retraction cases
- Interacting with Practice for escalations
- Allocating work Order
- Calling all type of Insurance (Federal & Commercial)
- Sent Appeal to Insurance Company with all Supporting Documents
- Achieving production target with good quality Score
- Calling Medicare, Medicaid and Commercial Insurances
- To post Denials and work on the paper denials
- Work on Financial classes like PPO and HMO
- Experience on eCW, MDIV, ACE and APM medical billing Softwares.
Sr. AR Analyst
Pacific an Access Healthcare Company
Noida
05.2016 - 06.2022
- Managed daily ERA and callable inventory, including payment retractions, refunds, and accurate adjustment postings.
- Handled insurance follow-ups and escalations with practices, including work order allocation and priority management.
- Performed outbound calls to Federal (Medicare, Medicaid) and Commercial insurance providers for claims resolution.
- Processed denials, worked paper denials, and submitted appeals with complete supporting documentation.
- Achieved production targets with high quality scores while working across financial classes (PPO, HMO).
Education
Graduation -
UPTU
Lucknow, Uttar Pradesh India07.2011
Senior Secondary School - Science and Mathematics
CBSE
Bulandshahr, Uttar Pradesh India07.2007
Skills
- AR & RCM Operations
- Denial Resolution
- Physician Billing
- Hospital billing appeal package creation
- Eligibility and Benefits Verification
- SLA Adherence
- Observation
- Monitoring skills
- Proactive approach
- Decision making skills
- Communication
- Interpersonal skills
- Multi-tasking
- Excellent People Management
- Team supervision
- Data analytics (Microsoft office)
- Creative thinking
- Technological expertise
Custom
- Reading books
- Gardening
- Playing cricket
Languages
- Hindi
- English
Timeline
Team Leader AR
Pacific an Access Healthcare Company
02.2024 - Current
Team Leader AR
SCRIBE4MD PVT LTD
05.2023 - 08.2023
Sr AR Analyst
Optum Global Solutions
06.2022 - 04.2023
Sr. AR Analyst
Pacific an Access Healthcare Company
05.2016 - 06.2022
Graduation -
UPTU
Senior Secondary School - Science and Mathematics
CBSE