Rohit Singh
RCM Medical Billing Coordinator
Rohtak,HR
Summary
With over eight years of extensive experience in the medical billing and AR operations, Quality Analyst AR & Team Lead AR. I am a dedicated and detail-oriented professional committed to ensuring the workflow and operational efficiency of our organization. My career has been marked by a good track record of excellence in managing claim denials, processing claims, quality assurance and team leadership. My comprehensive understanding of the US healthcare industry, coupled with my strong analytical and technical skills, positions me as a valuable asset in Billing Coordinator position.
Overview
10
10
years of professional experience
Work History
Sr. AR Executive
Pacific BPO, An Access Healthcare
12.2023 - Current
- Achieve both individual and team targets while maintaining a quality score benchmark of 97.00%.
- Analyzed open item AR reports and worked on denial EOB from insurance companies to initiate appropriate actions in patient accounts.
- Managed end-to-end projects on Revenue Cycle Management, ensuring accurate and timely completion of tasks.
- As an AR Caller at Access Healthcare, I play a key role in managing end-to-end projects on Revenue Cycle Management. This included tasks such as eligibility and benefit verification, charge entry, denials management, claims rejections, claims recoupments/refunds and obtaining prior authorizations.
- Review the production log to identify the latest denial trends and implement resolutions for these claims to prevent timely filing issues.
- Provide any additional information requested by insurance companies, including attaching required documentation
- Compile and distribute daily team production logs to Ops management and QA team.
AR Team Lead
Pacific BPO Pvt. Ltd.
10.2021 - 08.2022
- Conducted daily team huddles to review production and discuss process updates.
- Analyzed reimbursement and denial patterns, proposing solutions.
- Produced monthly AR reports for management.
- Collaborated with billing and coding teams to resolve issues.
- Established strong client relationships, addressing concerns promptly.
- Explored coaching and developmental needs with team members.
- Monitored and assessed team performance, reporting to management.
- Addressed issues promptly during shifts.
- Developed and executed leave plans to prevent unauthorized absences.
AR Quality Analyst
Pacific BPO Pvt. Ltd.
02.2016 - 09.2021
- Conducted quality control evaluations through collaborative client calls.
- Monitored voice calls, delivering constructive feedback.
- Produced and distributed Daily/Weekly/Monthly Audit reports.
- Organized regular team meetings to discuss quality scores and error trends.
- Delivered targeted error-based training sessions to agents.
- Prepared and arranged monthly Process Knowledge Tests (PKTs).
- Led training sessions for new joiners on software and SOPs.
- Organized Critical to Quality (CTQ) sessions for new team members.
- Recognized patterns during audits and escalated them to supervisors.
- Assessed team member performance and communicated findings to supervisors.
AR Executive
Pacific BPO Pvt. Ltd.
06.2014 - 01.2016
- Improved AR collections by implementing efficient follow-up processes and maintaining strong client relationships.
- Managed various denial scenarios for claim processing and payment.
- Handled claims from diverse insurance providers, including Worker’s Compensation (WC) and No-Fault (NF) cases.
- Created appeals and essential documentation to facilitate payment collection.
- Utilized Vericle and eCW billing software alongside Emdeon & Gateway EDI as Clearing House.
- Provided assistance, guidance and mentoring to new team members.
Education
Bachelor of Arts - Arts
Maharshi Dayanand University
Rohtak, India 04.2001 -
Skills
Ability to Work Under Pressure
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Sr. AR Executive
Pacific BPO, An Access Healthcare
12.2023 - Current
AR Team Lead
Pacific BPO Pvt. Ltd.
10.2021 - 08.2022
AR Quality Analyst
Pacific BPO Pvt. Ltd.
02.2016 - 09.2021
AR Executive
Pacific BPO Pvt. Ltd.
06.2014 - 01.2016
Bachelor of Arts - Arts
Maharshi Dayanand University
04.2001 -
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