DISHANT KUMAR

Clients oriented:

• Managed end-to-end revenue cycle processes, including patient intake, charge capture, claims submission, payment posting, denial management, and AR follow-up.
• Partnered with clients to design and implement customized RCM workflows tailored to provider specialties and payer policies
• Ensured compliance with US healthcare regulations such as HIPAA, CMS, and coding standards (ICD-10, CPT, HCPCS)
• Acted as the primary liaison between healthcare clients and internal RCM operations teams.
• Led regular business reviews, performance reporting, and strategic planning sessions to strengthen client trust, and identify growth opportunities.
• Delivered actionable insights to reduce days in accounts receivable, and improve net collection rates.
• Monitored KPIs such as clean claims rate, denial rate, collection ratio, and patient payment timelines.
• Handled escalations with urgency and precision, resolving client concerns, and safeguarding retention.
• Identified process gaps and implemented automation or training to resolve recurring issues, and enhance performance.
• Generated client dashboards and executive summaries for data-driven decision-making.
• Presented quarterly performance metrics aligned with client ROI expectations.
• Guided clients through RCM technology upgrades and transition support for improved workflows.
• Directed internal audits to verify accuracy and mitigate revenue leakage.

Team-oriented:

• Led and motivated a high-performing Accounts Receivable (AR) team to consistently exceed production targets, accuracy goals, and key performance indicators (KPIs)
• Coordinated with medical billing, coding, payment posting, and IT teams to ensure seamless RCM service delivery.
• Conducted regular performance reviews, audits, and one-on-one coaching sessions to optimize individual and team output.
• Monitored the financial health of client accounts, proactively identifying trends, and guiding the team to implement corrective strategies.
• Championed a supportive team culture, fostering collaboration, mutual accountability, and continuous improvement.
• Acted as a bridge between management and operational teams, ensuring client expectations were met, while balancing team morale and capabilities.

Recognition and impact:

• Recognized as a trusted and respected Team Lead, celebrated by both management and team members for empathy, dependability, and leadership presence
• Recognized as a trusted person by the healthcare providers, and always appreciated by the clients for my contribution.
• Played a key role in cross-functional planning and decision-making, contributing to process improvements and client satisfaction.

• Conducted comprehensive audits of Accounts Receivable (AR) and Payment Posting teams to ensure accuracy, compliance, and optimal performance
• Delivered targeted training for experienced new joiners on industry-specific software and tools, enhancing operational readiness
• Designed and led structured Denial Management and Basic RCM training programs for new hire batches, including performance assessments.
• Tracked and submitted detailed reports on attendance, quality scores, and production metrics to management, influencing performance strategies and team planning.
• Maintained cross-functional coordination to relay audit findings, share best practices, and support continuous improvement initiatives.

• Managed accounts receivable follow-up and denial resolution across diverse physician practices and specialties, ensuring timely reimbursements and client satisfaction.
• Analyzed revenue and denial trends for provider clients, generating performance insights and sharing strategic feedback with management for financial optimization
• Appeals were denied and underpaid insurance claims were addressed through accurate documentation and persuasive communication, driving consistent recovery outcomes.
• Collaborated with cross-functional teams to streamline follow-up processes and reduce avoidable denials.
• Proposed and implemented innovative ideas to improve team productivity, claim resolution cycles, and revenue performance.
• Recognized for contributing to a culture of operational excellence and client-centric service delivery.

• Supported multiple healthcare clients in AR follow-up and denial management across various claim scenarios
• Assisted team members in resolving software and denial-related queries, fostering continuous learning.
• Initiated learning and development in report preparation and client presentations.
• I acted as an off-paper team coach for four months, driving performance and guiding peers before transitioning to a new role.

• Handled hospital claims with precision across accounts receivable workflows, including follow-up and denial resolution.
• Investigated and resolved denied and unpaid claims within defined turnaround times (TAT) to ensure timely reimbursements.
• Executed appeals for non-covered and underpaid claims, leveraging payer guidelines to maximize recovery outcomes.

• Processed mental health and substance abuse facility claims, ensuring compliance with payer-specific guidelines, and timely follow-up.
• Conducted eligibility and benefit verification, and manually submitted UB-04 forms with accurate claim data.
• Investigated and resolved underpaid facility claims, applying knowledge of reimbursement policies to secure higher payouts.
• Filed appeals for non-covered and underpaid claims, maximizing recovery by leveraging payer protocols, and persuasive documentation.

• Conducted claim reviews and payer follow-ups to resolve denied, pending, and unpaid cases.
• Verified eligibility and benefits to ensure accurate claim submissions.
• Addressed and corrected EDI-rejected claims for successful resubmission.
• Researched insurance contact details and protocols; initiated timely outreach to payers.
• Consistently met quality and productivity standards set by management

• Provided inbound support to business members for product and service-related inquiries under the Wal-Mart B2B process
• Delivered clear and efficient assistance, ensuring customer satisfaction and resolution of account-level issues
• Gained foundational experience in client communication, issue handling, and professional service etiquette