Deepak Kumar Thakur

• Maintain the confidentiality of patient information in accordance with posting guidelines, company policy, and procedure, and HIPAA regulations.
• Attending client calls.
• Analyze and maintain the delivery of agreed client SLAs.
• Production Monitoring and Quality Assurance: Tracking and analyzing the performance of the team, and sharing regular feedback with the team.
• Review Reports - Develop processes to improve the productivity and quality of the team.
• Team Meeting – Updating all the updates to the team on a daily basis, as per the client specifications.
• Allocation of work: Prepare downloads of the respective process, allocate the work to the subordinates, and ensure a smooth flow of production.
• Escalations Management - Identifying issues, resolving them, and addressing the root of the problem with effective CAPA (corrective and preventive actions).
• Performance Review - Periodic one-on-one meetings on user performance, supervising staff, and supervision duties to include: performance management, coaching, training and development, workflow planning, and disciplinary actions, monthly one-on-one meetings with the team, and providing constructive feedback.
• Month End - Overall responsibility for ensuring the timely completion of month-end duties, such as client invoicing reports and month-end closing reports, is maintained in a timely manner.

• Tracking and analyzing the performance of the team, and sharing regular feedback with the team.
• Develop processes to improve the productivity and quality of the team.
• Analyze and maintain the delivery of agreed client SLAs.
• Updating all the updates to the team on a daily basis, as per the client's specifications.
• Attending client calls.
• To bridge the knowledge gap of the team members.
• Sharing weekly balancing reports with the client.
• Work with the poster and provide EOBs for ERA/EFT enrollments.
• Supervise staff. Supervision duties include performance management, coaching, training and development, workflow planning, disciplinary actions, and monthly one-on-one meetings with the team, as well as providing constructive feedback.
• Need to work on client issue trackers updated on the Smartsheet.
• Prepare an internal client escalation tracker to monitor the ATL, SME, quality, and productivity.
• Ensure timely completion of month-end duties, including sharing MTD balancing reports.
• Maintain the confidentiality of patient information in accordance with posting guidelines, company policy and procedure, and HIPAA regulations.

Additional Work: -

• Leading new client implementation for initials: 3 months.
• Directly handling staff, Aug projects posting.
• Successfully established the RCM Automation Center (HPAC).

• Understands, articulates, implements, and shares process updates with the team effectively.
• Conducting daily team briefings regarding process updates and basic hygiene of the process.
• Ensure the team follows all insurance payment posting procedures for electronic and manual processing, including researching and posting take-backs, refunds, and forward balances.
• Working on ERA system glitches and escalating to the client to set up the errors in file maintenance.
• Identify process gaps and help fix them.
• Coordinate with other support functions to resolve any issues being faced in the team.
• Ensure staff reviews EOBs and accurately posts appropriate payment and denial codes.
• Ensure tracking of the manual checks, and ensure conversion to EFT and ERA.

• Working on client emails and responding back with proper data and reports.
• Respond to clients on any process-related queries, and manage first-level escalations.
• Monitoring and managing workflow, and reporting.
• Need to ensure payments get posted and reconciled on a daily basis.
• Ensure that each and every person on the team learns all the areas of payment posting so that they can easily handle the critical scenarios without any discrepancies.
• Allocating and updating the payment logs, and checking the data as per the client norms.
• Analyze reports to ensure accurate daily, weekly, and monthly balancing.
• Working with AR to get checks reissued for non-cashed payments.

• Helping the team members with process knowledge.
• Providing resolutions to associates' queries.
• Identify incomplete information necessary to post remittance, and take the necessary steps to resolve questions, inconsistencies, or missing data.
• Ensure all pending and variance items are resolved within designated time frames.
• Able to navigate through insurance websites for payment processing.
• Able to research payments.

• Posting accurate payments, adjustments, and denial codes in appropriate accounts in the NextGen software.
• Posting of all patient payments to the correct dates of services billed.
• Review and interpret the explanation of benefits (EOB) from insurance carriers.
• Post-collection payments received from insurance carriers.
• Reconciling the electronic funds transfer (EFTs) and insurance correspondences.
• Ensure electronic deposits match the payment total and bank deposits.
• Electronic posting reconciliations and conducting reviews of my own entries to be proactive about any errors.
• Perform an audit at the close of each day to ensure all activities from the lock box are balanced.

• Configure the enrollment process of all hospitals under the scheme.
• Ensuring training of hospitals on TPA software/portal.
• Compiling day-to-day patients' data in Excel and reporting it to the manager.
• Maintaining feedback data of the hospital. (Given by the patient)