NALINI GANJI
Hyderabad
Summary
As a highly competent with 10 years of hands-on experience in US Healthcare end to end RCM. To obtain a good position in an esteemed organisation, which would enhance my skills and provide an opportunity, which is technically challenging and makes the best use of my skills and abilities towards the growth and success of the organization.
Overview
12
12
years of professional experience
Work History
Team Lead
PrimEra Medical Technologies
04.2025 - Current
- Motivated team to consistently meet high standards and targets, fostering a culture of excellence.
- Developed and implemented initiatives that improved team effectiveness and engagement.
- Preparing daily work flows for team & coordinating the daily allocation of work
- Preparing team performance scores and Volume reports
- Controlled attrition and managed performance improvement plans, ensuring team quality through regular calibration sessions.
- Participated in weekly and ad-hoc client calls.
- Handling new client enquiries and acting as the face of scope of the activity assigned to me
- Preparing the monthly reporting packages after month close, daily status report, providing data for MBR & QBRs
- Preparing comprehensive EOM reconciliation for one of the largest customers
- Worked on charge posting, Payment posting, Rejections and Denials
- Sought comprehensive understanding of the end-to-end RCM process.
Sr. Team Lead
INFINX
11.2018 - 01.2025
- Motivating the team to achieve high standards and targets
- Implementing initiatives that improved team efficiency and streamlined workflow
- Preparing daily work flows for team & coordinating the daily allocation of work
- Preparing team performance scores and Volume reports
- Preparing the monthly reporting packages after month close, daily status report, providing data for MBR & QBRs
- Preparing comprehensive EOM reconciliation for one of the largest customers
- Participated in client calls on a weekly and ad-hoc basis.
- Controlled attrition, handled PIP cases, and managed quality calibration sessions.
- Having knowledge on RCM end to end process
- Searched for comprehensive understanding of end-to-end RCM process to improve service delivery
- Worked on charge posting, Payment posting, Rejections and Denials
SME
ALLMED RCM SOLUTIONS
05.2018 - 11.2018
- Coordinated migration to INFINX on 2nd Nov 2018, improving operational workflows and process integration.
- Monitored staff performance and developed improvement plans.
- Provided expert advice on subject-specific issues to enhance organisational efficiency.
- Facilitated training sessions for junior staff, improving their understanding and skills.
SME
SPARC CYBERTECH
06.2016 - 02.2018
- Coordinated patient billing processes to ensure accuracy and compliance
- Oversaw denial management for claims processing, minimising delays
- Evaluated team performance in payment posting audits
- Trained newcomers on streamlined payment posting methods for improved accuracy
- Ensured timely recording of payments received (Manual Posting & ERA Posting)
- Conducted eligibility checks for patient insurance
- Conducted audits on copay reports to ensure accuracy
Medical Biller
DATA MARSHALL
04.2015 - 05.2016
- Eligibility and Benefits verification
- Executed claims rebilling to ensure accurate payment resolution
- Obtained and uploaded medical records to support documentation requirements
- Payment Posting (Manual Posting & Receipt Posting)
- Assigned tasks to team members and consolidated workload for efficient processing
Education
MCA -
OU P.G College
Hyderabad05-2010
Skills
- Customer escalation handling
Declaration:
I hereby declare that all the details furnished above are true to best of my knowledge. If given an opportunity, I would perform up to the best of your expectations. Place: Date: GANJI NALINI
Timeline
Team Lead
PrimEra Medical Technologies
04.2025 - Current
Sr. Team Lead
INFINX
11.2018 - 01.2025
SME
ALLMED RCM SOLUTIONS
05.2018 - 11.2018
SME
SPARC CYBERTECH
06.2016 - 02.2018
Medical Biller
DATA MARSHALL
04.2015 - 05.2016
MCA -
OU P.G College