PARVEZ RANA
Assistant Manager Operations
Delhi
Summary
Dynamic Assistant Manager with over 15 years of extensive experience in accounts receivable management and medical billing operations, effectively enhancing team performance and streamlining processes. Expertise in developing and monitoring key performance indicators drives efficiency and accuracy within the revenue cycle while ensuring timely resolution of claims and denials. Strong leadership and decision-making capabilities foster collaboration with clients and team members, promoting a culture of continuous improvement. Committed to delivering exceptional service while upholding the highest standards of accuracy and compliance in all operations, contributing to overall organizational success.
Overview
17
17
years of professional experience
5
5
Certifications
3
3
Languages
Work History
Assistant Manager
RKA INFOTECH PVT LTD
03.2024 - Current
- Designation: Assistant Manager Duration: 1 MAR 2024 to present WORKING PROFILE:
- Developed and monitored KPIs to ensure that goals and objectives were met on time and within budget.
- Maintaining the data for unpaid claims and share the reports for Clients and Ops manager.
- Managing the Day to day activities like (Evaluate employee performance and identify hiring and training needs).
- Supervise and motivate staff to perform their best, Communicate with clients and evaluate their needs.
- Handle Patients billing related enquires; Discuss the issues with Onshore team and Ops Manager regarding work related issues.
- Taking care Offshore Grievances for work related issues, managing the Eligibility, Authorization Denials management, AR to make sure get it done in proper time frame.
- Providing Training material to new Employees and trained them and share the feedback accordingly.
- Managed FTE and setting goals and delegating tasks to ensure that deadlines were met.
TEAM LEADER
RKA INFOTECH PVT LTD
03.2020 - 02.2024
- WORKING PROFILE:
- Ensured team members had the resources, tools, and training needed for success
- Resolved conflicts in a professional and timely manner
- Evaluated team performance and provided constructive feedback to help team members improve
- Handling Ar Team, Authorization work and same work responsibility as above mentioned
- Monitored team performance and performance metrics to identify areas of improvement
SR.SUBJECT MATTER EXPERT
RKA INFOTECH PVT LTD
02.2017 - 02.2020
- Designation: SR.SUBJECT MATTER EXPERT Duration: 20 FEB 2017 to 28 FEB 2020 WORKING PROFILE: (Same Responsibilities as above mentioned & updated).
PLANT HEAD (General Manager)
ACCURA CARE PHARMACEUTICALS PVT LTD
05.2015 - 09.2016
- WORKING PROFILE: Working as a General Manager (plant) Create revises, review & approves SOPs for dept. & other area. Review and approves validation protocols Demonstrate excellent written & verbal skills with ability to management representative & General Manager Production, lead the TEAM to obtain WHO GMP certificate & ISO 9001 certificate. Establishment of tablet, capsules, oral liquids, Injections, Ointment & Oral Powder dept. & Q.C Dept. - FDA approval in tablets, capsules, Injections, Ointment & Q.C Dept. Coordinating business operations, monitoring and motivating staff, managing
SME (SUBJECT)
RKA INFOTECH PVT LTD
12.2014 - 05.2015
- WORKING PROFILE: 1. Working on Physician Billing practices handling denials managements, pending with Errors, Rejections, Denial aging, or Follow up the claims, Appeal work and 99% collection record in AR collection (Pulmonary) practice. 2. Handling target works for different projects and charge credit, High dollars account direct interaction with Doctor as per given TAT with proper SLA. 3. Working Medical Transcription work for doctor and also handling patient calling for payment & collection, Quickly identified and resolved medical billing, coding and insurance discrepancies. 4. Reporting to client with annually collection reports and implements new things in billing work, Responsible for cash management, supply ordering, and customer service relations, Reviewed patient bills for accuracy and Completeness, and obtained any missing information 5. Reporting to client for Revenue Cycle Management, Maintained the highest levels of accuracy and patient Confidentiality. 6. Handling Credentialing work with proper documentation with insurance companies, Followed the guidelines and be in compliance with local, state or federal laws and regulations. 7. Responsible for providers and/or practices that required special accounts receivable clean-up, selected to Participate in a high-visibility project, which resulted in refunds in the hundreds of thousands of dollars. 8. Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance, Corrected And resubmitted claims denied by insurance company, Coding of inpatient and outpatient procedures from Operative reports by using ICD 9/10 and CPT codes and applying modifiers when needed. 9. Handled provider and client appeal/reconsideration request, Maintained accurate records and resolve billing Issues. 10. Answered all patient telephone inquiries regarding their bills and insurance questions.
Sr. Medical Billing Associate
ALPHA BITA TECHNOLOGY PVT LTD
06.2013 - 11.2014
- WORKING PROFILE: 1. Working on Physician Billing practices handling denials or follow up the claims. 2. Telephonic Interaction and troubleshooting with US Clients directly. 3. Working on payment posting, Charge credit, Patient calling, Rekey and Third level work of AR and direct Interaction with US Nurses and staff.
Medical Billing Associate
SAVI INDIA INFOSERVICE PVT LTD
08.2012 - 06.2013
- Designation: Medical Billing Associate Duration: Aug.2012 to June 2013 WORKING PROFILE: 1. Working on Denial Management, Claims follow-up for Physician Billing. 2. Working on Patient calling, direct interaction with US clients of daily, weekly and monthly rejection reports of claims. 3. Working Third level work of AR (printing the HCFA, Medical Records, Appeal work, ACD form, Paper claim billing etc.)
Sr. AR Analyst
Accretive Health Services Pvt Ltd
11.2009 - 04.2012
AR Analyst
PORTECK INDIA INFO SERVICE PVT LTD
09.2008 - 11.2009
- WORKING PROFILE: 1. Working on billing projects, Claims, Charge credit, Rekey the pending claims & check the claims status on call. 2. Prepared the Invoices of (DOSHI DIAGNOSTIC IMAGING GROUP) HCFA, Emedny Forms, Billing work
Education
Bachelor of Arts - History & Economics
Shobhit Institute of Engineering And Technology
Meerut05.2015
No Degree - 10+2
Daya Nand Public School
Punjab(PSEB) 04.2001 -
Skills
- Leadership Skills
- Decision Making
- Time Management
- Ability to Multitask
- Ability to Work in a Team
- Teamwork
- Fast Learner
- Leadership
- Ability to Work Under Pressure
- Communication Skills
- Coordinating
- Planning
- Troubleshooting (Problem Solving)
- Customer Service
- Revenue Cycle Management
- Operations
- Accounts Receivable
- Management
- Current Procedural Terminology (CPT)
- Business Operations
Certification
Six sigma white Belt certified from (www.miscertified.com)
Hobbies:
Strategic board games (Chess), Team sport,Watching movies,Reading books
Timeline
Assistant Manager
RKA INFOTECH PVT LTD
03.2024 - Current
TEAM LEADER
RKA INFOTECH PVT LTD
03.2020 - 02.2024
SR.SUBJECT MATTER EXPERT
RKA INFOTECH PVT LTD
02.2017 - 02.2020
PLANT HEAD (General Manager)
ACCURA CARE PHARMACEUTICALS PVT LTD
05.2015 - 09.2016
SME (SUBJECT)
RKA INFOTECH PVT LTD
12.2014 - 05.2015
Sr. Medical Billing Associate
ALPHA BITA TECHNOLOGY PVT LTD
06.2013 - 11.2014
Medical Billing Associate
SAVI INDIA INFOSERVICE PVT LTD
08.2012 - 06.2013
Sr. AR Analyst
Accretive Health Services Pvt Ltd
11.2009 - 04.2012
AR Analyst
PORTECK INDIA INFO SERVICE PVT LTD
09.2008 - 11.2009
No Degree - 10+2
Daya Nand Public School
04.2001 -
Bachelor of Arts - History & Economics
Shobhit Institute of Engineering And Technology
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