Mohit Kumar

Responsibilities:

• Led and supervised a team size of 30 FTE in Hospital Revenue Cycle Management, overseeing accounts receivables processes
• Provided guidance and mentorship to team members, ensuring adherence to revenue cycle goals and objectives to fulfill the SLA’s
• Conducted regular performance evaluations and facilitated ongoing training programs for professional development
• Collaborated with Quality teams to streamline and optimize hospital accounts receivables workflows and new guidelines and SOP’s
• Managed and monitored key performance indicators, ensuring team targets were consistently met also managed the on boarding for new Joiner’s
• Investigated and resolved escalated issues related to hospital accounts receivables, fostering effective problem resolution

Achievements:

• Successfully led the team in achieving and exceeding accounts receivables targets in the Hybrid work module
• Implemented process improvements resulting in enhanced efficiency and reduced aged receivables
• Performed an internal Audit for entire process of 100+ FTE and Identified problematic threads for individual’s performance and initiated the PIP programme for betterment.

Attributes:

• Results-oriented leader with a focus on achieving revenue cycle objectives to fulfill the SLA’s on time
• Strong interpersonal and communication skills for effective team collaboration
• Commitment to maintaining high standards of accuracy and compliance in hospital revenue cycle practices.

Responsibilities;

• Served as a subject matter expert specializing in Federally Qualified Health Center (FQHC) billing practices
• Provided subject matter expertise, training, and support to team members on healthcare-specific receivables procedures
• Managed and optimized the entire FQHC accounts receivables process for accuracy and efficiency
• Conducted comprehensive analysis of FQHC billing data, identifying trends and areas for improvement
• Developed and implemented streamlined processes specific to FQHC billing for maximum reimbursement
• Investigated and resolved FQHC payer disputes, ensuring accurate and timely reimbursement

Achievements:

• Implemented process improvements resulting in a 5% reduction in aged FQHC receivables
• Successfully led training programs resulting in enhanced team proficiency in FQHC billing and collections
• Received recognition for expertise in navigating complex FQHC billing requirements, improving overall billing accuracy by the Account Manager (U.S Team)

Attributes:

• Analytical thinker with a focus on continuous process improvement
• Strong interpersonal skills for effective collaboration with cross-functional teams.

Responsibilities:

• Developed standard operating procedures and document workflows to drive current and future processes.
• Conducted detailed analysis of healthcare AR data, identifying trends and areas for process enhancement
• Collaborated with Internal Audit team to address complex healthcare billing and collections challenges
• Investigated and resolved healthcare payer disputes, ensuring accurate and timely reimbursement

Achievements:

• Implemented process improvements resulting in a 7% reduction in aged healthcare receivables
• Successfully led training programs resulting in enhanced team proficiency in healthcare billing and collections
• Recognized by Omega Healthcare Management for expertise in navigating complex healthcare payer requirements, improving claim resolution ration.

Attributes:

• Analytical thinker with a focus on continuous process improvement
• Strong interpersonal skills for effective collaboration with cross-functional teams
• Commitment to maintaining compliance and accuracy in healthcare receivables practices.

Responsibilities:

• Completed analysis of Aging AR 90+ data, identifying trends and opportunities for process improvement
• Collaborated with Coding teams to resolve abstraction cause to claims for coding discrepancies .
• Worked on credit and collection strategies to optimize cash flow
• Prepared and presented detailed reports on receivables performance to management

Achievements:

• Successfully reduced aged receivables by 6% through strategic collection initiatives
• Implemented streamlined invoicing processes, reducing billing errors by 4%
• Received recognition for leadership in achieving team targets and improving overall departmental efficiency

Attributes:

• Proactive problem solver with a focus on optimizing AR processes
• Commitment to maintaining high standards of accuracy and compliance

Responsibilities:

• Responsible for end-to-end billing processes to ensure accuracy and efficiency through a Reconciliation drive.
• Prepared detailed analysis and audits of billing data, reconciling accounts and maintaining data integrity
• Resolved billing discrepancies and disputes, collaborating with cross-functional teams
• Maintained accurate records of billing activities, ensuring compliance with regulations and organizational policies

Achievements:

• Successfully reduced billing errors by implementing proactive reconciliation processes
• Received recognition for maintaining high levels of data accuracy and compliance

Attributes:

• Detail-oriented, organized, and adaptable
• Strong numerical and analytical skills
• Demonstrated commitment to data accuracy and compliance.