Anoop Kumar Chaturvedi
Gurugram
Summary
Strategic leader with extensive team management experience. Builds training, mentoring and development opportunities to drive performance. Shares robust resource planning and project delivery expertise.
Overview
13
13
years of professional experience
Work History
Sr. AR Team Leader
Cosentus india private limited
Grurugram
11.2022 - Current
- Results-oriented Team Leader with 2+ years of experience managing high-performing teams
- Prepared performance reports and developed metrics to track departmental growth.
- Proven track record in team engagement, process improvement, and timely project delivery.
- proficient in resolving conflicts, coaching team members, and optimizing operations.
- Focused on cultivating a workplace culture where employees excel and drive organizational achievements.
- Facilitated weekly team meetings to assess performance, establish goals, and pinpoint development opportunities.
- Improved team collaboration by organizing team-building activities and creating an inclusive environment.
- Managed performance reviews and provided actionable feedback for continuous improvement.
- Oversee, allocate, evaluate and manage staff assignments to ensure consistent achievement of productivity standards and goals.
- Engage with managers to evaluate feasible automation levels and determine essential personnel for meeting collection objectives.
- manage escalations effectively inter or intra-departmental and monitor SLA KRA shrinkage and attrition
- Oversee leave tracker and monitor production data daily and weekly.
- Cut team attrition rate by 25% through active employee engagement.
- To prioritize the pending claims for calling from the aging basket.
- possess extensive knowledge of healthcare applications (EDI, EpicAdvance, MD, ECW, client payer path, EHR, Por, Allscripts, , CPW, Medics, , Change Healthcare, , Trizeto, Advanced AMD, Officially Practice Suite, client share points, payer portal, PPM)
- Extensive experience with Excel, power Bi.
Sr. Associate
Wipro Limited
Noida
03.2021 - 12.2021
- Making calls to insurance companies to follow up on pending claims and denied claims.
- Working on Correspondence EOB.
- Create proper notes for future follow-up.
- Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
- Monitor all outstanding balances on denial cases.
- Insurance calling, Eligibility Verification, follow-up on appeals.
- Identifying the root cause for claim denials is one of the important processes in Accounts Receivable management.
Senior claim management
EMD-s INDIA PRIVATE LIMTED
Noida
01.2020 - 12.2020
- Managed administrative tasks related to the billing process.
- Managed unrecovered balances on rejected cases.
- Performed claim audits to ensure team quality compliance.
- Oversaw outstanding balances and analyzed collection options.
- Determined reasons for claim denials, an essential process in Accounts Receivable management.
- Following up on the AR on a timely basis is very important for uninterrupted cash flow.
- A good Accounts Receivable management team will keep track of all claims that have been filed.
- Also, it will execute an action plan immediately if the claims are not paid within the 30-day time limit.
- The team will also ensure that there is no underpayment or overdue payment.
- Initiate telephone calls to insurance companies requesting the status of claims in the queue.
- I have good knowledge about healthcare applications.
- Monitor all patient demographic error and eligibility and verification.
- Work with new team members resolve the Global query.
- Worked on aged inventory and resolve pending case posting cases.
- Maintain records of all benefits and resolve all issues in claim processes.
- Coordinated with respective team leader for correct correction.
Senior Analyst (Healthcare AR with Denial RCM)
R1 RCM global private Ltd.
Grurugram
01.2019 - 12.2020
- I do make a call to the insurance company for the patient plan, and I check copay, coinsurance, and deductible.
- If the payment is not received, I follow up on the calls to secure payments.
- Discuss with the insurance company for patient payment.
- Contact CLIENT's Agents to obtain or correct diagnosis or procedure information.
- Send Dunning letters and emails to the customer.
- If the payment is not received, follow up on the calls to secure payments, resolve any issues and discrepancies in the claim by contacting various parties and resubmit the claims.
- Worked on denial claims (Capitation, Coverage terminated, Duplicate Claim, Medically not necessity, Missing/Invalid Diagnosis code, No authorization, Past timely filing, This care may be covered by another payer per coordination of benefits).
- Monitor vital signs and patient demographic details.
- Makes follow-up calls to patients and provides accurate information.
- I do work on auth claims and pending denial claims.
- Working on email cases for patient collection payments.
- Manage all insurance transactions.
Claim Associate (claims and AR RCM)
United health Group
Noida
01.2013 - 12.2018
- Follow up on outstanding account and pending cases.
- I do check patient Responsibility copay, co-insurance, deductible.
- Analyzing medical insurance claims for Quality assurance.
- I do appeals if provider is not satisfied with the denial reason.
- I used to apply critical thinking and critical decision making for completing transactions.
- Checked all claim details and policy information and investigated all details for insured.
- Coordinated with respective team leader for correct correction.
- Following up on the AR on a timely basis is very important for uninterrupted cash flow.
- The team will also ensure that there is no underpayment or overdue payment.
- Monitor all patient demographic error and eligibility and verification.
- Work with new team members resolve the Global query.
- Maintain records of all benefits and resolve all issue in claim processes.
Education
Bachelor of Art -
Kanpur University
01-2011
Skills
- Leadership & Team Management
- Project Planning & Execution
- Performance Coaching & Development
- Conflict Resolution & Problem Solving
- Time Management & Prioritization
- Strategic Planning & Decision Making
- Communication & Interpersonal Skills
- Client Relationship Management
- MS Office Suite
- CRM tools
- Project Management Professional
- RCM medical billing applications
- Employee Performance Reviews
Disclaimer
I, Anoop Kumar, hereby declare that the information contained herein is true and correct to the best of my knowledge and belief.
Awards
- Best Team Member, United Health Group, 2018
- 100% Quality, R1 RCM Global Pvt Ltd., 2019
- Best Team Member, EMDs Private Limited, 2021
Languages
English, C1 Advanced
Timeline
Sr. AR Team Leader
Cosentus india private limited
11.2022 - Current
Sr. Associate
Wipro Limited
03.2021 - 12.2021
Senior claim management
EMD-s INDIA PRIVATE LIMTED
01.2020 - 12.2020
Senior Analyst (Healthcare AR with Denial RCM)
R1 RCM global private Ltd.
01.2019 - 12.2020
Claim Associate (claims and AR RCM)
United health Group
01.2013 - 12.2018
Bachelor of Art -
Kanpur University