Kundan Mishra
Faridabad,HR
Summary
Experienced Operations Manager and talented leader with 9 years of expertise in enhancing business plans and day-to-day activities. Known for exceptional planning and problem-solving abilities. Results-driven and resilient in developing teams, improving processes, and increasing productivity. Track record includes successfully managing all payment-related services, ensuring the delivery of payment-related projects, and effectively partnering with internal and external stakeholders to respond to compliance oversight requests.
Overview
10
10
years of professional experience
Work History
Operations Manager
B L Star Pvt Ltd
01.2023 - 10.2024
- Assists with the development and implementation of revenue cycle strategies, processes and improvements initiative to continuously improve the RCM process to maximize billing and collections.
- Have a strong hold on Manage internal & or external stakeholders to meet the business objectives/goals.
- Should have a very good knowledge & Control on Production/Quality & Attrition Management.
- Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact.
- Responsible for P&L and meet monthly/quarterly/yearly GC and GM.
- Supervise, schedule, and prioritize tasks and responsibilities of the Payment services department staff to meet workload and scheduling needs of the department.
- Recruiting, training, coaching, performance monitoring, performance evaluations and discipline of payment services staff as needed to fulfil the goals of the Department.
- Directly lead a team of payment operations managers and Serve as the escalation point for payment issues, and work closely with the payments and front-line teams to quickly resolve issues.
Manager
Medico
05.2021 - 12.2022
- Manage a team of billing and Payments posting professionals, including hiring, training, and performance evaluations.
- Conduct audits and quality checks on payment posting activities.
- Report all Medicare credits quarterly to Medicare on appropriate form and supplies all supporting documentation.
- Ensure compliance with healthcare regulations (e.g., HIPAA) and billing guidelines.
- Investigate and resolve discrepancies or issues related to payments and adjustments.
- Develop training programs for new hires and ongoing education for payment posting specialists.
- Foster a culture of continuous learning and professional development within the team.
- Crosstrain team members to enhance skill sets and ensure coverage.
- Stay up-to-date with changes in healthcare regulations, industry standards, and technology to ensure the organization's revenue cycle processes remain efficient and effective.
Assistant Manager
Medico
05.2019 - 04.2021
- Sharing monthly reports with practices to evaluate health of practice and ensure increase in revenue by suggesting additional billable codes which can be billed together with existing established service and get paid.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Conducted performance evaluations and provided constructive feedback to employees.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Established team priorities, maintained schedules and monitored performance.
Process Lead
Medico
04.2017 - 04.2019
- Manages workflow for follow-up department (Cash posting / Billing).
- Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies
- Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare payors
- Assist in running and balancing credit cards daily
- Send all batch reconciliation information to the Finance department
- Assist in performing check deposits and assembling logs daily
Sr Associate
Medico
05.2016 - 03.2017
- Post all personal, insurance and liability payments from Remittance and EOB’s to appropriate accounts with minimum errors
- Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances
- Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances
- Scan all EOB’s into system and creates hardcopy file for original EOB's by day
- Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment follow up can take place
- Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary will contact the sender to clarify where the payment should be posted
- Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off
- Assist in updating the Direct Deposit Daily
Associate
Conneqt Business Solutions
01.2015 - 04.2016
- Performed cash, card, and check transactions to post the payments in practice management.
- Downloading EOB/ERA from the web portals and applying payments into the patient chart.
- Managed efficient cash register operations.
Education
Bachelor of Science - Information Technology
Maharishi Dayanand University
Rohtak01-2015
Skills
- Six Sigma Green Belt Certification
- Contract Management
- ISO Certified Quality management
- Maintenance Planning
- Workflow Optimization
- Data Analysis
- Health and safety compliance
- Process Improvement
- Customer Service
- Financial Management
- Inventory Management
- Performance reporting
- Business and Operations Management
Profile
KUNDAN MISHRA, MANAGER- Cash Posting | Charge Entry | RCM Transition Operations
Certified Lean Six Sigma Yellow and Green Belt with ISO certification in management system audit techniques & best practices, > 9 years of experience in RCM Operations, Charge/ Cash Posting Operations, Capacity planning, Work force management, Inventory management, People management, Delivery management, Team handling, Analytics and reporting.
Timeline
Operations Manager
B L Star Pvt Ltd
01.2023 - 10.2024
Manager
Medico
05.2021 - 12.2022
Assistant Manager
Medico
05.2019 - 04.2021
Process Lead
Medico
04.2017 - 04.2019
Sr Associate
Medico
05.2016 - 03.2017
Associate
Conneqt Business Solutions
01.2015 - 04.2016
Bachelor of Science - Information Technology
Maharishi Dayanand University
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