Hari Bahadur
Mohali
Summary
Assistant Manager with 7.8 years of experience in Revenue Cycle Management within the US healthcare sector. Expertise in Payer Enrollment, specializing in Medicare, Medicaid, and commercial processes. Proficient in CAQH and ERA/EFT setup processes. Skilled in optimizing workflows, ensuring compliance, and driving operational efficiency, while fostering and maintaining strong industry relationships
Overview
8
8
years of professional experience
Work History
Assistant Manager
Knack Global
06.2024 - Current
- Managed a team of 100+ FTEs, overseeing a total headcount of 110-115 employees.
- Monitored and tracked client progress, communicating updates in weekly progress meetings.
- Developed and implemented process improvements that led to a 100% increase in SLA performance and a reduction in errors.
- Prepared and presented reports on enrollment success metrics and progress charts.
- Acted as the primary point of contact for clients, addressing inquiries, resolving issues, and fostering strong relationships.
Sr. Team Lead
Knack Global
08.2021 - 05.2024
- Leading and managing a team of 80+ credentialing professionals, working closely to improve performance.
- Skilled in process optimization, compliance, and client communication.
- Conducted regular training sessions and performance evaluations to enhance team efficiency and effectiveness.
- Prepared and presented reports on key performance metrics, trends, and provided recommendations for strategic decision-making.
- Served as the primary point of contact for clients, addressing inquiries, resolving issues, and fostering strong relationships
Team Lead
Knack Global
04.2021 - 06.2023
- Led a high-performing team, overseeing daily operations and ensuring alignment with company objectives.
- Fostered a collaborative and supportive environment, driving team engagement and productivity.
- Monitored performance, providing coaching and feedback to enhance individual and team efficiency.
- Managed project timelines and ensured timely completion of tasks while maintaining high-quality standards.
- Acted as the main point of contact for team members, resolving issues and facilitating smooth communication across departments.
- Implemented process improvements that optimized workflow and increased overall team performance
Assistant Team Leader
Knack Global
08.2020 - 03.2021
- Supported the Team Lead in managing day-to-day team operations and ensuring alignment with team goals.
- Assisted in monitoring team performance, providing guidance and support to team members.
- Helped streamline workflows and implemented process improvements to boost team efficiency.
- Facilitated communication between team members and upper management, ensuring clear and effective reporting.
- Contributed to training and mentoring new team members, promoting a positive team culture.
- Played a key role in resolving operational issues and ensuring smooth team performance
Subject Matter Expert
Knack Global
08.2019 - 07.2020
- Project management and effective reporting.
- Closely monitor team performance against client expectations, developing and implementing improvement plans as needed.
- Lead a team of 20 members, tracking and managing team performance.
- Highly skilled in MS Excel.
Senior Process Associate
Knack Global
08.2018 - 07.2019
- Contacted insurance companies to follow up on outstanding claims and unpaid balances.
- Reviewed and verified insurance claims, ensuring accuracy and completeness of information.
- Coordinated with insurance providers to resolve claim denials, underpayments, and discrepancies.
- Documented all communications and actions taken to resolve billing issues in the system.
- Analyzed AR aging reports and prioritized follow-ups based on payment deadlines.
- Ensured compliance with industry regulations and company policies while handling sensitive financial information.
Process Associate
Knack Global
08.2017 - 07.2018
- Follow-up on Outstanding Claims: Contact insurance companies, patients, and clients to follow up on overdue payments or denied claims.
- Verify Claim Information: Review and validate insurance claims for accuracy, ensuring all necessary documentation is provided to facilitate payment.
- Resolve Denied and Underpaid Claims: Work with insurance providers to resolve claim denials, underpayments, and discrepancies, and ensure timely reimbursement.
- Record and Update Information: Maintain accurate records of calls, communication, and actions taken to resolve payment issues.
Skills
- Team Leadership
- Process Improvement
- Quality Assurance
- Client Relationship Management
- Data Analysis and Reporting
Personal Information
- Father's Name: Sh. Tika Ram
- Date of Birth: 08/04/88
- Gender: Male
- Nationality: Indian
- Marital Status: Married
HOBBIES AND INTERESTS
- Playing Cricket
- Listening to music
Expertise Area
- Physician Billing & Hospital Billing
- Provider Enrollment (Credentialing)
- Familiar with Nextgen /eFR, Care Tracker, and StatCred Data Applications
DISCLAIMER
I hereby declare that the above-furnished details are true and correct to the best of my knowledge.
Timeline
Assistant Manager
Knack Global
06.2024 - Current
Sr. Team Lead
Knack Global
08.2021 - 05.2024
Team Lead
Knack Global
04.2021 - 06.2023
Assistant Team Leader
Knack Global
08.2020 - 03.2021
Subject Matter Expert
Knack Global
08.2019 - 07.2020
Senior Process Associate
Knack Global
08.2018 - 07.2019
Process Associate
Knack Global
08.2017 - 07.2018
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