Mohammed Maqdoom I
Chennai
Summary
Dynamic Revenue Cycle Manager with extensive experience at Access Healthcare, excelling in leadership and workflow optimization. Proven track record in enhancing team performance and resolving claim disputes, resulting in expedited reimbursements. Skilled in decision-making and conflict management, consistently achieving monthly targets while maintaining compliance with healthcare regulations.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Manager
Access Healthcare
Chennai
10.2022 - Current
- Oversee aging, denials, rejections, and correspondence with 160 employees in various projects.
- Point of contact for client mail handling: process update, audit, priority reports.
- Responsible for the month-end report to be shared with the client, projecting the status of the monthly targets achieved, and highlights in each sub-process.
- Manage A/R reports, and ensure timely follow-ups on outstanding claims.
- Work with payers to resolve claim disputes, and expedite reimbursements.
- Supervise and train revenue cycle staff to improve performance and accuracy.
- Set performance benchmarks, and ensure staff meet productivity goals.
- Conduct annual and half-yearly reviews for the employees in the team.
- Maintain compliance with healthcare regulations (HIPAA, Medicare, Medicaid, etc.).
- Keep updated with industry changes, and implement necessary adjustments.
Revenue Cycle Supervisor and Assistant Manager
AGS Healthcare
Chennai
04.2018 - 10.2021
- Oversee the Aging, Denials, Rejections, and Correspondence team, consisting of 103 employees.
- Point of contact for client mail handling: process update, audit, priority reports.
- Responsible for the month-end report to be shared with the client, projecting the status of the monthly targets achieved, and highlights in each sub-process.
- Responsible for the daily status report on all the subprocesses and the weekly status report for the touch base call with the client.
- Set goals for team leads to track team members' performances in daily production and quality.
- Conduct a mock call for new hires to the project, and conduct annual and half-yearly reviews for the employees on the team.
- Evaluate the employee's performance, advise on improvement, and take disciplinary actions when necessary.
Revenue Cycle Team Leader
AGS Healthcare
Chennai
02.2016 - 03.2018
- Monitor the daily productivity and quality of the team, consisting of 40 employees.
- Distribute the daily worklist for employees to work.
- Conduct meetings to educate, train, motivate, and set goals for the team to have the daily tasks addressed effectively.
- Identify trends in the ATB for production improvement.
- Assist the team in addressing the daily productivity.
- Documenting the client instructions and basic AR process to create a process handbook.
Process Associate
AGS Healthcare
Chennai
08.2012 - 01.2016
- Identify billing errors, and resubmit claims to the payer.
- Follow up with payers on payment, denials, and basic claim status.
- Analyze and review EOBs for payments and denials.
- Manually create appeal letters for denials, and submit them to the payer.
- Assist new hires in process clarifications.
Education
MBA -
Madras University
01.2014
B.com -
New COLLEGE
01.2012
Higher Secondary -
Sacred Heart Matriculation Higher Secondary School
Chennai01.2009
SSLC -
Don Bosco Matriculation Higher Secondary School
Chennai01.2007
Skills
- Leadership
- People management
- Decision making
- Conflict management
- Workflow optimization
Languages
Urdu
First Language
Tamil
Proficient (C2)
C2
English
Proficient (C2)
C2
Hindi
Beginner (A1)
A1
Timeline
Revenue Cycle Manager
Access Healthcare
10.2022 - Current
Revenue Cycle Supervisor and Assistant Manager
AGS Healthcare
04.2018 - 10.2021
Revenue Cycle Team Leader
AGS Healthcare
02.2016 - 03.2018
Process Associate
AGS Healthcare
08.2012 - 01.2016
MBA -
Madras University
B.com -
New COLLEGE
Higher Secondary -
Sacred Heart Matriculation Higher Secondary School
SSLC -
Don Bosco Matriculation Higher Secondary School
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