Rajan Negi
Team Leader (AR)
Delhi
Summary
To seek a challenging position in an organization with high degree of Skills and ability.
Overview
1
1
year of professional experience
12
12
years of post-secondary education
Work History
AR Associate
Laster Healthcare Service
4 2018 - 6 2018
- Calling insurance companies (in US) on the behalf of facility and carry out further examination on outstanding accounts receivable.
- Effectively follow up with the payer on denial and rejected claims via emails, chat, web portal and outbound calls.
- Escalating difficult collections situations to management in timely manner.
- Making physical call by following the international norms and applicable rules for confidentiality and HIPPA compliance.
- Maintaining proper data for future reference
SR. AR Associate
Laster Healthcare Service
7 2018 - 1 2021
- Update all daily reports of work.
- Solving queries of new joiners.
- Analyzing accounts and working as per instruction.
- Calling to insurance getting claim status.
- Converting denial claim into payment.
SME
Laster Healthcare Service
2 2021 - 3 2023
- Aligns work processes, structure, and systems to meet client needs.
- Compiles and reports accountable information to clients (i.e., performance reporting, billing, systems, staffing, product development, and complaints) and for distribution to internal management and staff.
- Work with the Agile Coaching Office to improve processes and procedures Drive adoption of Agile best practices in teams.
- Perform administrative duties to support the business, including timecards, labor vouchers, self-audits, absence reviews, and missing time corrections.
- Coordinate all first-line activities.
TL
Laster Healthcare Service
04.2023 - 07.2024
- Coordinate workload and performance (monthly productivity and quality review) across the billing team.
- Check daily batch claim electronic submission is completed successfully on Change Healthcare.
- Monitor unpaid claims and ensure they are being followed up promptly.
- Generate daily, weekly, and monthly reports including but not limited to HRSA Reimbursement Program.
- Handle escalated or complex claims issues.
- Prepare and submit weekly HRSA COVID Reimbursement report to HRSA Reimbursement Program.
- Responsible for monthly sliding fee audit.
- Review and approve refund request.
- Identify denial trends and work with the CFO to address the root cause.
Education
BBA -
Amity University
Noida, India2018
Higher Secondary -
Bharti Public School
Delhi, India2015
Bharti Public School
Delhi, India 04.2001 - 04.2013
Skills
- Communication
- Problem-solving
- Conflict resolution
- Delegation
- Lead by example
- Organizational skills
- Adaptability
Personality Traits
- Team spirit & can work individual as well
- Willingness to learn
- Self-motivated and confident
- Adaptive, determined & focused person
Personal Information
- Father's Name: M.S NEGI
- Date of Birth: 02/04/98
- Gender: Male
- Nationality: Indian
- Marital Status: Single
- Religion: Hindu
Roles And Responsibilities
Calling insurance companies (in US) on the behalf of facility and carry out further examination on outstanding accounts receivable., Effectively follow up with the payer on denial and rejected claims via emails, chat, web portal and outbound calls., Escalating difficult collections situations to management in timely manner., Making physical call by following the international norms and applicable rules for confidentiality and HIPPA compliance., Maintaining proper data for future reference., THE ROLE OF TEAM LEAD IS A MANAGEMENT POSITION, WHICH GIVES THEM THE AUTHORITY AND RESPONSIBILITY TO ASSESS THEIR TEAM'S PERFORMANCE, RESOLVE CONFLICT. CONFLICT AMONG TEAM MEMBERS CAN OCCUR, ESPECIALLY IN SITUATIONS THAT INVOLVE HIGH LEVELS OF STRESS OR PRESSURE TO COMPLETE A PROJECT., MANAGE BILLING STAFFS TO INCLUDE: RECRUITMENT,PLACEMENT, MANAGEMENT AND APPROVAL OF EMPLOYEES' TIME/ TIME OFF REQUEST, TRAINING AND DEVELOPMENT, PERFORMANCE EVALUATION,COMPLIANCE, SUCCESSION PLANNING,TERMINATIONS, AND BACKFILLS, COORDINATE WORKLOAD AND PERFORMANCE (MONTHLY PRODUCTIVITY AND QUALITY REVIEW) ACROSS THE BILLING TEAM, CHECK DAILY BATCH CLAIM ELECTRONIC SUBMISSION IS COMPLETED SUCCESSFULLY ON CHANGEHEALTHCARE, MONITOR UNPAID CLAIMS AND ENSURE THEY ARE BEING FOLLOWED UP IN A TIMELY MANNER, Aligns work processes, structure, and systems to meet client needs, Compiles and reports accountable information to clients (i.e.,performance reporting, billing, systems, staffing, product development and complaints) and for distribution to internal management and staff, Work with the Agile Coaching Office to improve processes and procedures Drive adoption of Agile best practices in teams, Perform administrative duties to support the business, including timecards, labor vouchers, self audits, absence reviews, and missing time corrections, Coordinate all first line activities
Disclaimer
I do hereby declare that the above given statements are true and correct to the best of my knowledge.
Languages
Hindi, English
Timeline
TL
Laster Healthcare Service
04.2023 - 07.2024
Bharti Public School
04.2001 - 04.2013
AR Associate
Laster Healthcare Service
4 2018 - 6 2018
SR. AR Associate
Laster Healthcare Service
7 2018 - 1 2021
SME
Laster Healthcare Service
2 2021 - 3 2023
BBA -
Amity University
Higher Secondary -
Bharti Public School
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