Harsha Prakash Kutty

• Understanding the client/process requirements ensuring maximum customers satisfaction by closely interacting clients & understand their requirements and customizing the services accordingly.
• Downloading daily work.
• Preparing work order and allocating work to the team members.
• Maintaining team Production/quality/attendance to identify top and bottom performance.
• Working on improving junior/low/bottom performers Preparing daily/weekly/monthly reports and decks. Responsible for client mails./communications.
• Getting training from on shore team on new process and new software.
• Maintaining the SOP/update trackers
• Giving training on updates to the team members and conductiing PKTs to identify the gaps.
• Provided internal applications training for the new joining who already have RCM background.
• Porvided RCM Healthcare training to fresher's.
• On monthly basis planning leaves of team members
• Acting as resource for the other staff members. Enforcing all company approved policies and procedures Constantly looking for ways to improve processes.
• Completing team-related paperwork.

Provider Credentialing

• Maintained and updated all credentials files as needed.
• Calling insurance to check participation status of the individual provider and group.
• Fill out enrollment forms and sending out to insurances to get the provider/group credentialed or re-credentialed.
• Checking status of the application on regular basis.
• Maintaining credentialing grids and sending the updated status on bi-weekly basis.

Prior Authorization

• Initiating prior authorization request on call or through web portal.
• Checking status of the prior authorization request on daily basis.
• Prepared month reports for authorization process.
• Responding to client emails.

Eligibility and Benefits Verification

• Responsible for eligibility and benefits process
• Responding to internal and client e-mail on daily basis.
• Auditing the worked accounts on daily basis.
• Communication process updates, feedback to the team members.
• Prepared monthly eligibility and benefits report.

• Worked on collections.
• Worked on denial management.

• Worked on collections.
• Team handling responsibilities.
• Worked on denial management.
• Worked on rejections.
• Worked on patient statements.