Ankur Mishra
Greater Noida
Summary
Detail-oriented Assistant Manager offers more than a decade experience in RCM Industry. progressive record of accomplishment in leadership roles. Establishes clear guidelines and enforces consistent policies to keep staff satisfied and on-target to achieve important objectives. Excellent relationship-building, multitasking and decision-making skills.
Overview
14
14
years of professional experience
Work History
Assistant Manager
WNS Private Limited
Gurgaon
07.2024 - Current
- Worked with cross-functional teams to achieve goals.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Developed and implemented SLA policies to ensure quality of service across all departments.
- Implemented corrective actions as per CAPA system.
- Monitored changes in relevant federal and state regulations, rules, and laws related to HIPAA compliance.
- Generated regular reports summarizing completed work activities for management review.
- Analyzed provider reimbursement requests for compliance with payer policies and procedures.
- Maintained accurate records of all claim resolution activities.
Assistant Manager
Pacific – An Access Healthcare Company
Noida
10.2022 - 07.2024
- Managing all verticals of the Revenue Cycle Management business.
- Handling the team of 130+ members.
- Focus on employee training and development, prepare and implement developmental plans.
- Ensure minimal staff attrition and high levels of engagement, Ensure the team is aware of the combined end goals and establish operation objective to meet the client deliverables, Optimizing resource utilization.
- Ensure TAT is met, set targets for team leads and processors.
- Timely Client communication, Monitor the quality and provide feedback to team leaders and processors
RCM Account Manager
SAVI– Athelas
Udyog Vihar
11.2021 - 10.2022
- Developed and maintained relationships with key accounts to ensure customer satisfaction.
- Created comprehensive reports on account performance and presented them to senior management.
- Provided training and guidance to new Account Managers.
- Negotiated contracts with clients to maximize profitability.
Account Manager
Assurecare Healthtech LLP
Ahmedabad
10.2020 - 11.2021
- Developed strategies to increase revenue from existing accounts.
- Resolved customer complaints in a timely manner.
- Managed multiple accounts simultaneously while meeting deadlines.
- Created comprehensive reports on account performance and presented them to senior management.
- Developed and maintained relationships with key accounts to ensure customer satisfaction.
Team Leader- RCM
Pacific- An Access Healthcare Company
Noida
06.2018 - 10.2020
- Managing a team of 20 people
- Coordinated team activities and delegated tasks to ensure efficient completion of projects.
- Developed strategies for problem solving and conflict resolution among team members.
- Conducted regular performance reviews to assess individual team member progress.
- Provided coaching and feedback on employee performance, encouraging professional development.
- Created training materials and conducted group trainings on new processes or procedures.
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
Team Manager- RCM
Akua Behavioral Health
Noida
11.2016 - 06.2018
- Developed and implemented team-building strategies to promote collaboration and cohesion.
- Monitored team performance, tracked progress towards goals, identified areas of improvement and provided feedback to employees.
- Provided guidance, coaching and mentoring to individual team members as needed to help them reach their full potential.
- Established effective communication channels between departments to ensure information is shared accurately and efficiently.
Quality Analyst
E4E Healthcare Business Private Ltd (Now known as Nthrive)
Noida
08.2012 - 11.2016
- Team always met the SLA since joined as a quality analyst, Six Sigma Lean, Yellow Belt certified Quality Analyst, Kaizen Certified Sr
- Quality Analyst, Team had won best team award in quarterly R&R Award (In E4E Healthcare) Thrice, Won Kudos Award thrice
Account Receivable Analyst
Genascis India Private Limited (Now known as Horizon)
Noida
06.2011 - 08.2012
- Worked on RCM, Resolution of denied claims.
- Worked on different payers, Like Medicaid, Medicare and on commercial payer.
- Preparing appeal, F/U on the appeal and denial claims, Also worked for charge posting.
- Worked on denial management
Education
Bachelor of Computer Science -
MJPRU
01.2012
Skills
- Experience of more than a decade in the field of US Healthcare’s medical billing
- Strong ability to analyze with a deep knowledge of billing, medical terminology, Medicare & Medicaid
- Exceptionally good at dealing with the client's queries and complaints with the strong power to resolve problems
- Profound ability to demonstrate and present good interpersonal skills
- Employee Performance Evaluations
- Business Development
- Task Delegation
- Employee Scheduling
- Excellent communication skills both verbally and written
Accomplishments
- Team always met the SLA since joined as a quality analyst.
- Six Sigma Lean, Yellow Belt certified Quality Analyst.
- Kaizen Certified Sr. Quality Analyst.
- Team had won best team award in quarterly R&R Award (In E4E Healthcare) Thrice.
- Won Kudos Award thrice.
Roles And Responsibilities
- Worked on a Kaizen Project – “Simplified Pathways of Client SOP”.
- Handled the project single-handedly and successfully implemented.
- Impact-Quality of the entire team went up to 98% and never missed the SLA after implementing the Kaizen Project.
- Production of the team increased by 10% as well.
Languages
Hindi
First Language
English
Upper Intermediate
B2
Timeline
Assistant Manager
WNS Private Limited
07.2024 - Current
Assistant Manager
Pacific – An Access Healthcare Company
10.2022 - 07.2024
RCM Account Manager
SAVI– Athelas
11.2021 - 10.2022
Account Manager
Assurecare Healthtech LLP
10.2020 - 11.2021
Team Leader- RCM
Pacific- An Access Healthcare Company
06.2018 - 10.2020
Team Manager- RCM
Akua Behavioral Health
11.2016 - 06.2018
Quality Analyst
E4E Healthcare Business Private Ltd (Now known as Nthrive)
08.2012 - 11.2016
Account Receivable Analyst
Genascis India Private Limited (Now known as Horizon)
06.2011 - 08.2012
Bachelor of Computer Science -
MJPRU