Avinash Singh Bisht
New Delhi
Summary
Insightful 11years experience in Medical Billing/RCM (End to End Project), Operations,Business Process Management and Training. Demonstrated ability to quickly learn organizational processes, workflows, policies and procedures of the company. Ensuring that the process surpasses achievement of client SLA's & service quality norms for all valuable clients.
Overview
11
11
years of professional experience
Work History
Associate Operations Manager
R1 RCM Global Private Limited
01.2023 - Current
- Project Handling
- Have good knowledge of People Management & Work Management.
- Rich hands in implementing process improvements and quality initiatives
for desired performance levels and resolving performance bottlenecks. - Ability to conceptualize and implement solutions for streamlining the
operations & enhancing efficiency. - Help other team leads with the reporting and client calls.
- Oversees Commercial span along with appeals team.
- Conducting bi-weekly calls with clients and provide assurance if there is any concern or ongoing issue.
- Closing client complaints and escalation with RCA adhering timelines.
- Conducting brainstorming session based on that worked on major improvement areas.
- Conduction of Process Training, Refresher Training, Process Improvement.
- Refresher Training, Cross training, In House Compliance Training in multiple locations.
- Random audits of accounts of team members and provide feedback accordingly.
- Ensuring to meet client SLA's Like Aged AR, Unwork & overdue claims are addressed timely.
- Document all process related updates in Client SOP and update the team accordingly on regular basis.
- Ensuring operational/Client KPI's are met.
- Training planning according to the trainees on an individual basis and as a group.
- Payment Collection from insurance and patient ,also ensuring payment targets are met.
Assistant Operations Manager
R1 RCM Global Private Limited
08.2020 - 12.2022
- Responsible for leading, mentoring & monitoring the performance of team members to ensure efficiency in process operations and meeting of individual & Team Target, Appraisal.
- Conducting daily meetings with the Team Leaders/ members and discussing about their report statistics and the respective feedback and setting targets for Team Leaders as well as motivating them to achieve those targets
- Involved in processes, documentation, audits, and monitor statutory compliance areas while
maintained overall client relationship management and mentored of all teams - Responsible for Attrition Management, Avoiding Absenteeism and Adhering to attendance
management procedures - Workflow management, ensuring assignment adherence and completion of high priority
accounts on daily/Weekly basis. - Focus to meet clients SLA's like, AR Days/ Unwork and Overdue accounts, adopting different strategies to ensure meeting the goal.
Process Trainer/Management Trainee
R1 RCM Global Private Limited
01.2018 - 08.2020
- Training to New hires on Basic Health Care & AR Training.
- Provide Tools training on process specific tools.
- Floor support to new hires during the Ramp up phase to meet their production and quality.
- Handling transition & Client calls for quality updates for process improvements.
- Create process SOP's to make process streamline.
- Handling a spam of 30 FTEs and ensure smooth running of Business.
- Responsible for the contribution to the smooth-running business, leading a team in a Positive manner.
- Providing inputs at meeting both internal and external, promoting good business practice.
- Sharing information to team members via useful and productive staff meetings.
- Created base materials to support CLASS training programs.
- Provided subject matter expertise on all company offerings.
- Delivered robust training courses via classroom and e-learning programs.
Analyst/ SR. Analyst
Horizon BPO/ R1 RCM Global Private Limited
10.2012 - 12.2017
- Follow up with insurance companies to resolve the denial through web or calls.
- Meeting daily targets with quality work.
Answered to the daily query / complaint mails by client, following the SOP. - Effectively managed and participated in multiple projects like High dollar, CBO
escalation. - Excellent Knowledge working with Analytical tools.
Other duties as assigned or directed. - Created Quality Log along with Production for process/Individual Improvement.
- Training to new Joiners on different facilities and payer groups.
- Medical Claims management and analysis based on the status through respective
Payers. - Working with other department like Billing and Cash posting to ensure claims billed correctly and payments received and posted on timely manner
Education
Bachelor of Arts - Arts
Delhi University
North Campus08.2013
Skills
- Profitability and Revenue Generation
- Employee Supervision
- Process Improvement
- Policy Enforcement
- Performance Tracking
- Service Delivery Management
- Operations Management
- Team Building
- Compliance Monitoring
Accomplishments
- Won Monthly and Quarterly R&R Eight Times.
- Rewarded for working for high dollar and escalation projects on above & beyond category.
- Awarded With MAP (Most Admired Person).
- Rewarded for Creating CLASS Batch (Training Batch) Content.
- Supported First CLASS Batch During Nesting Phase.
- Zero Attrition for 1st quarter of 2023.
Languages
English
Hindi
Timeline
Associate Operations Manager
R1 RCM Global Private Limited
01.2023 - Current
Assistant Operations Manager
R1 RCM Global Private Limited
08.2020 - 12.2022
Process Trainer/Management Trainee
R1 RCM Global Private Limited
01.2018 - 08.2020
Analyst/ SR. Analyst
Horizon BPO/ R1 RCM Global Private Limited
10.2012 - 12.2017
Bachelor of Arts - Arts
Delhi University
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