Summary
Overview
Work History
Education
Skills
Languages
Additional Information
Affiliations
Clearinghouse
EHR system
Timeline
Amita Singh

Amita Singh

Thane,India

Summary

Carrying extensive experience working in or multi-specialty, clinics and hospitals, specialized in analyzing data to identify trends and optimize payment collection processes. Skilled at establishing efficient workflows to ensure the timely processing of claims and resolving client escalations effectively. Consistently sharing suggestions and ideas for improving clients billing process. Leading a team of RCM expert supervisors guiding them to initiate successful projects with payers.

Overview

6
6
years of professional experience

Work History

Team leader

Viewgol
Thane, India
11.2022 - Current
  • Initiated and led successful credentialing projects with multiple payers (Molina Healthcare, Manage Medicaid plans, DentaQuest, United Healthcare and many more.)
  • Initiated and led successful underpayment projects for payers like UHC, Bright health, Aetna, Medicare, BCBS and many more resulting in boost of client revenue.
  • Created end to end workflow for Rejections, Denials & Medicare RTP claims for Hospital & clinics for smoother go live of process.
  • Investigating in billing nuisances from coding perspective and based on research and payer guidelines to provide suggestion to customer.
  • Worked towards streamlining Data logics & Dashboard to meet client expectations on reporting & internal use.
  • Handling client escalations and creating process improvement plans based on client concerns & severity of escalations.
  • Creating internal training curriculum based on client specialty and Pre analysis on data.
  • Driving Transition training calls.
  • Conducting training session for supervisors (Training team, Ops & QAs) to help eliminate Knowledge gap.
  • Initiated multiple deep dive analysis to understand the increase in 90+ data which helps provide better clarity of the data to client and helps to prioritize the trends and issues.
  • Creating logics to place edits/rules in EHR to ensure clean billing.
  • Extending help to Quality to build audit parameters & report audit logics.
  • Creating Adhoc report.
  • Setting goals & objectives for team.
  • Identifying training needs and opportunities for team members to enhance their skills and grow professionally and implementing the same.
  • Handling client calls.
  • Created multiple customized reports to reflect revenue generated through projects.
  • Resolved conflicts effectively, promoting harmony within the workforce.
  • Negotiated successful outcomes in challenging scenarios, demonstrating strong problem-solving skills.

Payer outcomes Liaison

Viewgol
Thane, India
11.2021 - 11.2022
  • Finding Issues & Trends in Data
  • Comparing the spike in 90+ Data on monthly basis & conducting deep dive analysis to provide resolution on highly impacted payers & Trends.
  • Helping Client build Edits/Rules in PM software based on payer requirements & changing guidelines
  • Worked on High dollar accounts to eliminate delayed processing and payments
  • Based on projects & their conclusion brought updates in process.
  • Leading Calibration call with Ops & QAs to lower the error %

QA analyst

Viewgol
Thane, India
07.2021 - 07.2021
  • Auditing claims & publishing daily, Weekly, Monthly & Quarterly reports
  • Conducting QAT based on client updates & on the areas were users scoreless in Quality.
  • Counselling bottom performers to understand their challenges & help them improve their score.
  • Created Policy & procedures for new clients based on their discovery document & documents shared by them.
  • Seeking updates on client calls and updating them in update tracker.
  • Also conducted training based on available documents before soft go live.

AR Analyst

Viewgol
Thane, India
08.2020 - 07.2021
  • Calling Payers to discuss and find resolution of denials impacting the claim.
  • Worked on building Appeal Process
  • Worked on Billing & Rejections
  • Worked on Special projects like small dollar movement in patient account, correcting Incorrect adjustments, posting low Dollar adjustments.

Sr.AR Analyst

Gebbs Healthcare solutions
Airoli, India
02.2019 - 07.2020
  • Following up with payers on denials & Rejections
  • Handled Appeals & Paper & Website claim billing & handling appeals team.
  • Worked on High Dollar accounts.
  • Providing assistance to peers & newly onboarded employees.

Education

SSC - High School

Smt Gujana english high school, Thane, Maharashtra
2010/2010 - 2011/2011

HSC - Commerce

K.B Girls college, Thane, Maharashtra
2011/2011 - 2013/2013

BMM - Journalism

K.G Joshi Bedekar college, Thane, Maharashtra
2013/2013 - 2016/2016

Skills

  • Leadership proficiency
  • Decisive decision-making
  • Grooming Folks & peers
  • Knowledge sharing
  • Task delegation
  • Cross-Functional Collaboration

Languages

Hindi
English

Additional Information

Specialties Worked:

  • Urgent Care
  • Retina
  • Acute
  • Ambulatory
  • CAH I & CAH II
  • RHC
  • Multi-Specialty

Affiliations

  • Weightlifting

Clearinghouse

  • NextGen Clearinghouse
  • Dental Xchange
  • Nthrive
  • TriZetto
  • Waystar
  • Availity

EHR system

  • NextGen
  • Experity
  • eCW
  • Dentrix
  • NexTech
  • Thrive
  • Cerner


Timeline

Team leader - Viewgol
11.2022 - Current
Payer outcomes Liaison - Viewgol
11.2021 - 11.2022
QA analyst - Viewgol
07.2021 - 07.2021
AR Analyst - Viewgol
08.2020 - 07.2021
Sr.AR Analyst - Gebbs Healthcare solutions
02.2019 - 07.2020
Smt Gujana english high school - SSC, High School
2010/2010 - 2011/2011
K.B Girls college - HSC, Commerce
2011/2011 - 2013/2013
K.G Joshi Bedekar college - BMM, Journalism
2013/2013 - 2016/2016

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Amita Singh