ROHIT CHITRALA
SUBJECT MATTER EXPERT
Hyderabad
Summary
Seeking a challenging position in a reputed organization where I can learn new skills, expand my knowledge, and leverage my learnings. To get an opportunity where I can make the best of my potential and contribute to the organization's growth.
Working as Subject Matter Expert in AR Caller, had experience into RCM end to end for 8yrs. Effective communication and negotiation skills for interacting with clients and internal teams. Problem-solving abilities to address complex billing issues and payment discrepancies. Leading AR teams, tracking payments, and results. Have Good knowledge on Excel. Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
Work History
Subject Matter Expert
Reventics Private Limited
Hyderabad
06.2022 - 04.2024
- Working as Subject Matter Expert in AR Caller, had experience into RCM end to end for 8yrs
- Effective communication and negotiation skills for interacting with clients and internal teams
- Problem-solving abilities to address complex billing issues and payment discrepancies
- Leading AR teams, tracking payments, and results
- Have Good knowledge on Excel.
- Facilitated interdepartmental communication, working closely with billing and coding teams for seamless claim processing
- Collaborated with team members to identify trends and address recurring billing issues
- Displayed adaptability by staying current with industry trends and insurance policy updates, incorporating new knowledge into daily AR Caller tasks for optimal results
- Expedited claim resolution by conducting thorough research on denied or underpaid claims
- Reduced outstanding account receivables by diligently following up on unpaid claims with payers
- Contributed to development of more efficient AR Caller strategies, sharing best practices within the team
- Scheduled client calls and preparation of process documents
Updating team with new updates which are discussed in weekly call with client
Maintained SOP for existing Project and created SOP for new process
Prepared a Road Map for 40 AR scenarios for freshers to improve their quality and knowledge
Conducted Team meeting and refresher training on weekly basis
Created general notes format for freshers and appeal format to increase the appeal success rate.
Senior AR caller, Data Marshall
05.2021 - 06.2022
- Assigned work Inventory and consolidating final team's production
- Shared monthly reports with clients, prepare team production consolidation report and forward it to quality
- Finding the trend, then doing analysis on RAW data received from clients
- Created a platform for the team to do knowledge sharing among the team.
- Exceeded monthly collection targets consistently by maintaining a strong understanding of each client's specific financial situation and tailoring strategies accordingly
- Enhanced the AR collection rate by implementing effective calling strategies and negotiation tactics
- Trained new AR callers, sharing best practices and fostering a collaborative team environment for continuous improvement
- Analyzed complex claim issues and collaborated with cross-functional teams to resolve disputes efficiently
Senior AR caller, Infinx pvt ltd
08.2019 - 04.2021
- Worked as Sr. Associate in AR calling and Eligibility. Where I used to follow-up with
Insurance for claim status and patient's Eligibility. - Worked on appeals and end to end process.
- Worked on high dollar claims and 120+ age bucket claims.
- Worked on federal and commercial payers, Hands on experience with payer portals. As well as Avality, Navinet,T riZetto. Worked on rejections and taking appropriate action in clearing house.
- Researched billing errors and discrepancies to initiate corrective action
- Collaborated with billing department to ensure timely and accurate invoicing, leading to fewer payment delays from clients
- Improved cash flow by diligently monitoring account statuses and promptly initiating follow-up actions on outstanding payments
- Trained new AR callers, sharing best practices and fostering a collaborative team environment for continuous improvement
Advantum Health
08.2018 - 08.2019
- Worked as Credentialing specialist for provider side on Advance MD software
- Where I need to update provider profile and contact payers to make In-network behalf of provider.
- Developed strong organizational and communication skills through coursework and volunteer activities
- Resolved problems, improved operations and provided exceptional service
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
- Identified issues, analyzed information and provided solutions to problems
- Provided professional services and support in a dynamic work environment
- Demonstrated creativity and resourcefulness through the development of innovative solutions
Sutherland
06.2016 - 08.2018
- Worked as credentialing specialist for payer side on APEX software
- Where I need to check providers, profile, Criminal History and credential the provider with our payer.
- Developed strong organizational and communication skills through coursework and volunteer activities
- Demonstrated a high level of initiative and creativity while tackling difficult tasks
- Skilled at working independently and collaboratively in a team environment
- Cultivated interpersonal skills by building positive relationships with others
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Proven ability to develop and implement creative solutions to complex problems
- Learned and adapted quickly to new technology and software applications
Education
High School Diploma -
St. Mira High School
04.2011 - 04.2011
Some College (No Degree) - M.P.C
Sri Chaitanya Jr College
01.2011 - 01.2013
Bachelor of Science -
Little Flower Degree School
01.2013 - 04.2016
Skills
Microsoft Office Expert
undefinedPersonal Information
- Father's Name: Chitrala Durgesh
- Mother's Name: Chitrala Uma Devi
- Date of Birth: 05/13/1995
- Nationality: Indian
Training
- BIG DATA - C.V.Rao institute at Gachibowli
- Mobile Application Development - Little Flower degree college
Timeline
Subject Matter Expert
Reventics Private Limited
06.2022 - 04.2024
Senior AR caller, Data Marshall
05.2021 - 06.2022
Senior AR caller, Infinx pvt ltd
08.2019 - 04.2021
Advantum Health
08.2018 - 08.2019
Sutherland
06.2016 - 08.2018
Bachelor of Science -
Little Flower Degree School
01.2013 - 04.2016
High School Diploma -
St. Mira High School
04.2011 - 04.2011
Some College (No Degree) - M.P.C
Sri Chaitanya Jr College
01.2011 - 01.2013
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