N UMAMAHESWARA REDDY
Team Leader in RCM
Vishakapatnam
Summary
I have Total 8+ years of progressive experience in Revenue Cycle Management (RCM), specializing in medical billing, accounts receivable, and denial management. Proven ability to lead high-performing teams, streamline processes, and ensure compliance with healthcare regulations and payer requirements. Adept at performance monitoring, training staff, and collaborating with cross-functional departments to improve collections, reduce AR days, and enhance revenue flow. Strong communication and problem-solving skills with a consistent track record of meeting or exceeding KPIs in fast-paced healthcare environments.
Overview
9
9
years of professional experience
Work History
Team Leader
Comtron US LLP
Vishakapatnam
04.2023 - Current
- Handling two lab clients with a team of 24 members, consistently achieving collections 1.2M+
- Resolved customer billing disputes and managed escalations, ensuring a high level of customer satisfaction
- Collaborate with other departments to ensure timely and accurate payments of claims
- Resolve any billing and coding disputes that arise
- Monitors accounts for receivable aging reports keeping within industry standards
- Develop and implement strategies to improve revenue cycle process
- Analyze revenue cycle data to identify trends and areas of opportunity for improvement
- Assign and oversee special projects as needed
- Day-to-day operational activities
- Monitoring Team Production and quality
- Generated invoices upon receipt of billing information and tracked collection progress
- Client reports/Dash board & Automation reports
- Conducted one-to-one feedback sessions for team Bi-weekly/once in month
- Monitoring overall functioning of processes, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
- Conducting internal process audits & process reviews for ensuring strict adherence to the process parameters/systems as per defined guidelines
- Managed leave requests and absences and arranged covers to facilitate smooth flow of operations
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards
- Worked with team to identify areas of improvement and devised solutions based on findings
- Present detailed breakdown of departmental inventory status or project updates as needed; outlining course of action being taken to address aging inventory, providing overview of action plans and communicating challenges
- Create daily production tracking reports to extract and capitalize on all available data to increase work efficiencies and reduce cost of delivery, while also monitoring KPI's and expanding business reporting capabilities
- Project management - Collaborate with client and internal Team Configuration teams while leading through the First Source transition; assisting with robotic design process and increasing automation efficiencies, data reconciliation and reporting, process mapping, tracking metrics and KPI's, inventory forecasting and staffing
- Evaluated team member performance against established objectives during regular reviews, offering praise for achievements or identifying areas requiring further development.
- Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
- Motivated team members to surpass their targets, recognizing and rewarding their achievements.
Senior Analyst
Comtron US LLP
Vishakapatnam
07.2020 - 03.2023
- Analyzing the claim & acting according to that follow up
- Converse with Insurance Rep & sort the denial or other details
- Identifying global issues & Trends
- Addressing older DOS claims
- Handling two projects with team of 5 members
- Production and quality improvement
- Handle all claims on denials, rejections, and no response worked and follow up, review and document accordingly
- Transfer the outstanding balance to the patient if he/she doesn't have adequate insurance coverage or patient responsibility
- The main objective is to maximizing collections and timely reimbursement
- Performing deep dives on the outstanding AR & finding trending and resolving the same
- Analyzed claims & solved them towards payment and looked after denial management
- Identifying and implementing strategies for building team effectiveness by promoting a spirit of cooperation between team members
- Determining training needs of employees to enhance their operational efficiency leading to increased productivity
- Instrumental in bringing down the total days outstanding in Accounts Receivables along with identification of AR where more revenue can be collected
- The position involved Daily work order, Month end reports Dashboard, Project status reports(Financials Summary)and Client's meetings and involved with Ad hoc requirements
AR Agent/AR Senior Analyst
ACN Health Care
Vishakhapatnam
08.2016 - 07.2020
- Analyzing the claim & acting according to that follow up
- Converse with Insurance Rep & sort the denial or other details
- Identifying global issues & Trends
- Addressing older DOS claims
- Preparing Inventory and allocating to the Team
- I have worked on multiple projects as AR fresher
- I have worked on Credit balance for 6 months
- I have worked on Ambulance billing for 9 months
- Attending Weekly calls with client
Skills
Revenue cycle Management
End To End healthcare Operations
Fixing Denials at the first level
Lateral Thinking
Organizing
Effective people management
Customer Satisfaction
Continuous improvement of the operational process
Training and leadership development
Identifying route cause analysis and fixing the issue
Excellent in preparing reports/PPT/Dash Board
Operations analysis
Workflow Analysis
Problem-solving
People management
Process improvement
Interests
Adventure Activities
Physical Fitness
Sports
Bicycle Riding
Timeline
Team Leader
Comtron US LLP
04.2023 - Current
Senior Analyst
Comtron US LLP
07.2020 - 03.2023
AR Agent/AR Senior Analyst
ACN Health Care
08.2016 - 07.2020
B.Tech -
Vikas College of Engineering & Technology
05.2001 -
Education
B.Tech -
Vikas College of Engineering & Technology
Vijayawada, India 05.2001 -
Client Softwares
- Medgen EHR
- Labgen LIS
- EMR