Lokesh Chauhan
Subject Matter Expert
Azadpur
Summary
Subject Matter Expert with over 6+ Years of experience in the RCM Collection Process of the US Health care Industry. Expert in Handling the Payer Rejections, claims denials, strong problem solving, and RCA ability to provide the solution to the Team members on time. Experienced in multiple PM systems of US Healthcare. Maintaining and analyzing all types of SQL database queries.
Overview
4
4
years of professional experience
4
4
years of post-secondary education
Work History
Subject Matter Expert
Optum Global Solution India Pvt. Ltd
7 2019 - 07.2024
- Designed and created database systems after reviewing end users' requirements for RCM.
- Deployed SQL Joins, Case Expressions, Subqueries, and Tables.
- Expressions to retrieve information from relational databases. tables when appropriate.
- Analyze the data of non-paid claims to have a fair idea of pending revenue.
- Monitoring day-to-day Collection of Open Invoices.
- Inventory Allocation (90+, Denials, High Dollar Value, etc.)Monitor Team Performance and Feedback to the Users.
- Preparing Strategy to Bring in More Collection.
- Prioritizing the Collection of High Dollar Open Invoices.
- User Feedback and Performance emails on a weekly basis.
- Preparing Collection Outcome Summary for Leadership.
- Strategy for collection to AR Reduction in 90+ buckets.
Senior Analyst
R1RCM Global Private Limited
04.2018 - 07.2019
- Research and analyze the data of non-paid claims.
- Follow up with insurance companies to resolve the discrepancy in pending claims of RCM.
- Research and resolve payment discrepancies.
- Assign inventory and made regular updates in SOPs when needed.
Senior Customer care Executive
Concentrix Daksh Services India Pvt. Ltd.
06.2015 - 01.2018
- Performs varied Transactions services tasks associated with all payment processing functions.
- Handle and troubleshoot customer complaints and other related problems.
- Works on Project to improve the efficiency and effectiveness of the AP Process.
Education
B Com -
Institute of Open Learning (Delhi University)
07.2013 - 05.2017
Skills
US Healthcare
Personal Information
- Date of Birth: 03/26/1993
- Gender: Male
- Nationality: Indian
- Marital Status: Single
Timeline
Senior Analyst
R1RCM Global Private Limited
04.2018 - 07.2019
Senior Customer care Executive
Concentrix Daksh Services India Pvt. Ltd.
06.2015 - 01.2018
B Com -
Institute of Open Learning (Delhi University)
07.2013 - 05.2017
Subject Matter Expert
Optum Global Solution India Pvt. Ltd
7 2019 - 07.2024
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