Healthpac
Pradeep Kumar
SENIOR EXECUTIVE- ACCOUNTS RECEIVABLES
Govindpuri Kalkaji
Summary
Dynamic and result oriented Senior Executive with extensive experience in US Healthcare Revenue Cycle Management (RCM) and transition project management. Adept at training teams, ensuring operational readiness, and improving process efficiencies and revenue outcomes.
Overview
3
3
years of professional experience
5
5
years of post-secondary education
Work History
CGM ARIA Health Services
Senior Executive
03.2023 - Current
- Worked in transitioning RCM processes from clients to offshore teams.
- Developed and documented Standard Operating Procedures (SOPs) to ensure smooth handoffs between teams.
- Provided training and guidance to teams during the transition phase to ensure adherence to new processes.
- Worked closely with clients to ensure smooth communication and resolution of issues during the transition period.
- Worked on denials and Correspondence.
- Generated reports on increasing accounts receivable and pending high-value claims.
- Analyzed team quality errors and implemented corrective actions to improve production outputs.
SAVISTA GLOBAL SOLUTIONS (P) Ltd
Executive
12.2021 - 03.2023
- Worked on denials, rejections, appeals, and requests for additional information from insurance carriers with a high success rate
- Handled authorizations efficiently in a fast-paced environment
- Conducted thorough research and investigations to identify and resolve claim denials
- Implemented process improvements to address payer trends and procedures, resulting in accurate payments
- Ensured timely reimbursement by consistently following up on outstanding claims.
Education
Master of Arts in English -
INDIRA GANDHI NATIONAL OPEN UNIVERSITY
01.2020 - 01.2022
Bachelor of Science -
DELHI UNIVERSITY
Deshbandhu College 01.2014 - 01.2017
Skills
Project Management
Teamwork
Leadership
Effective Communication
Critical Thinking
Software
ECW
MMD
HST
WEBPM
Languages
English
Hindi
Accomplishments
- Earned the Star Performer Award for Exceptional Team Contribution at CGM.
- Earned the Star Award for Exceptional Team Contribution in the 2nd Quarter at Savista RCM.
- Secured 2nd prize in the Stage Play Competition organized by Manav Rachna University and Shivaji College, Delhi University.
Timeline
CGM ARIA Health Services
Senior Executive
03.2023 - Current
SAVISTA GLOBAL SOLUTIONS (P) Ltd
Executive
12.2021 - 03.2023
Master of Arts in English -
INDIRA GANDHI NATIONAL OPEN UNIVERSITY
01.2020 - 01.2022
Bachelor of Science -
DELHI UNIVERSITY
01.2014 - 01.2017
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