Nishant Sharma
Ghaziabad
Summary
RCM professional with over 8.5 years of experience in inpatient, outpatient, and physician billing. Expertise in managing end-to-end processes from patient registration to accounts receivable follow-up, including claims, denials, appeals, and EOB analysis. Demonstrated success in enhancing accuracy and compliance while optimizing reimbursement through effective quality control and process improvements.
Overview
7
7
years of professional experience
Work History
Operations Team Leader
CurePro Business Solutions
Noida
06.2024 - 04.2025
- Directed and managed complete revenue cycle management, encompassing patient intake, billing, accounts receivable, and collections.
- Boosted collection rates by 25% through streamlined denial resolution processes.
- Automated claim scrubbing and submission, decreasing claim rejections by 18%.
- Led a team of 38 RCM analysts and supervisors across various departments.
- Engaged with payers and providers to resolve escalations and credentialing concerns.
Sr. Quality Analyst
Coronis Ajuba
Noida
08.2023 - 05.2024
- Conducted weekly briefing sessions and refresher training to enhance team knowledge.
- Coordinated with operations team on process updates for consistent communication.
- Prepared weekly and monthly dashboards to track performance metrics.
- Provided effective, constructive feedback to agents, facilitating performance improvements.
- Released audit reports and feedback in a timely manner to ensure accountability.
- Demonstrated composure during rebuttals and discussions to maintain professionalism.
- Initiated process improvements and quality mechanisms to optimize efficiency.
Promoted as Operations Asst Team Lead
CGM ARIA (MDeverywhere)
Noida
04.2021 - 07.2023
- Prepared minutes of meeting and updated standard operating procedures based on client requirements.
- Conducted internal audits to ensure compliance with organizational standards.
- Provided floor support to enhance team performance and client satisfaction.
- Delivered training sessions and updates to maintain high-quality work standards.
- Audited client issue logs and escalated accounts daily for prompt resolution.
- Managed correspondence and appeals to streamline communication processes.
Accounts Receivable Analyst
CGM ARIA (MDeverywhere)
Noida
02.2018 - 04.2021
- Managed high aging claims to ensure timely resolution and optimal collection.
- Mentored new team members to enhance team capabilities and performance.
- Coordinated with insurance companies and patients to maximize revenue collection.
- Handled correspondence and appeals to maintain service quality and compliance.
Education
B.com -
Shobhit University
Merrut07-2017
High School Diploma -
NIOS
Noida07-2013
Skills
- Denial resolution
- Process improvement
- Quality assurance
- Training and development
- Internal auditing
- Problem solving
- Performance monitoring
- MS Excel (VLOOKUP, Pivot Tables for AR analysis)
Languages
Hindi
First Language
English
Proficient (C2)
C2
Accomplishments
- Trained and mentored more than 10 new team members, helping them achieve full productivity within one month
- Promoted to team lead within two years due to consistent high performance and team mentoring
- Awarded Top Performer of the Quarter for achieving 100% of the productivity target for two consecutive quarters
Affiliations
- Designed monthly knowledge sharing sessions within the team to keep updated on payer trends and denials
- Volunteered as the point of contact during audits, ensuring proper documentation, and timely response
- Initiated a monthly root cause analysis (RCA) for frequently recurring denials
- Developed Excel dashboards to track daily and weekly AR productivity and TAT
Timeline
Operations Team Leader
CurePro Business Solutions
06.2024 - 04.2025
Sr. Quality Analyst
Coronis Ajuba
08.2023 - 05.2024
Promoted as Operations Asst Team Lead
CGM ARIA (MDeverywhere)
04.2021 - 07.2023
Accounts Receivable Analyst
CGM ARIA (MDeverywhere)
02.2018 - 04.2021
B.com -
Shobhit University
High School Diploma -
NIOS
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