Arun Dominic N

Oversee large-scale operations in U.S. medical billing and provider credentialing, ensuring accuracy, compliance, and efficiency across all processes. Handling the team over 60 AR executives and more than 30 credentialing specialists.

• Lead medical billing and revenue cycle management, driving improvements in AR collections and claim accuracy.
• Manage Provider credentialing and enrollment for Medicare, Medicaid, and commercial payers, including re-enrollments, EDI enrollment and EFT enrollment.
• Maintain and update CAQH profiles to ensure timely payer approvals, and smooth credentialing processes.
• Oversee denial management and appeals, reducing rejections, and increasing first-pass claim resolution.
• Provide strong leadership, training, and team development, enhancing staff skills and productivity.
• Build and sustain strong client relationships ensuring compliance with CMS and payer guidelines.
• Skilled in SAP, MS Office, Imagine, NextGen, Epic, ECW & Modio leveraging technology to streamline operations.

Managed medical billing and credentialing teams, monitored audits and compliance, and strengthened client relationships through performance improvement initiatives.

Handled client communication, resolved escalations, and ensured smooth delivery of billing and credentialing services.

Led a team in AR and credentialing processes, conducted audits, and improved productivity through training and performance monitoring.

Trained a team in U.S. credentialing processes handled audits to ensure quality and compliance, and managed task allocation and performance monitoring.

• Trained new team members, and improved efficiency by identifying gaps and implementing solutions.

• Joined with All Zone Healthcare as Fresher and with great efforts taught US Medical Billing & US Communication, after 1+ years of experience, considering my interest Promoted as Associate, Responsible for Resolving conflicts by recommending and providing the alternative solutions. Manage and streamline additional costs. Created and implemented a New-Hire training manual for company used to Train all newly hired executive staffs to Perform AR functions Involved in Medical Billing.
• Expert in Denials Management and Clearing House Rejections