Rajesh Mullapudi

• Completed rush deliveries on tight timetables to satisfy customer needs.
• Creating an inspiring team environment with an open communication culture.
• Setting clear team goals.
• Delegating tasks and setting deadlines.
• Monitoring team size of 21 members performance and reports on metrics.
• Motivate team members.
• Discover training needs and provide coaching.
• Organizing weekly client calibration and KPI calls and presenting the data where we stands in terms of given task
• Following up with ClientIT for logins
• Conducting daily team huddles to keep team member engage with work
• identifying trends to clear pending volume with less efforts.
• Providing feedback to user on quality errors and make sure notto repeatthe same errors
• Invoicing the production and getting approval from client
• Leading team of 12 members who working on eligibility and benefit verification
• Having experience on end to end authorization process including scheduling P2P and medical necessity

• Worked on Hospital claims along with Professional claims
• Having experience hospital claims underpayment and reading insurance payment contracts also having experience on claim appeals and underpayment appeals
• Participating in client calls and understand the quality requirements both from process perspective and for targets
• Identifying a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager
• Collecting data on individual transactions (chart, claim, EOBs etc.) on the errors
• Providing face to face feedback and also send emails with the type of errors etc. on daily basis
• Training employees to minimize errors and improve performance
• Providing inputs to the training team on common mistakes made to enhance training curriculum

Generating of QA reports on a daily basis(CAPA, RCA)

• Manage A/R accounts by minimizing the dollars over 60 days.
• Resolve billing issues that have resulted in delinquent payment.
• Escalate difficult collection situations to management a timely manner.
• worked on Professional claims with different insurances
• Worked on Workers comp and No fault insurances and also worked with attorneys closely to get payments.
• Creating Insurance portal for payors which difficulty to reach
• Other related duties as assigned.

• Callto the Insurances responsible for the Outstanding balances on patient accounts from the aging report.

• Managing two different projects with total team size of 32
• Maintaining report cadance and make sure to prepare and send all the project related data on time.
• preparing reports for Weekly calls and presented information in meetings.
• Managing both hospital and Professional claim for both projects
• Projecting data Insurance vs ageing, High dollar, Credentialing issues to identify which financial class have more outstanding AR andc reating planner to address the volume.
• Staff allocation based on the volume and severity of the claims
• sending Weekly planner to the CBO team and also updating the status on the planner.
• Sharing Daily EOD status to CBO Team with SOD, Production and capacity.
• Preparing PPT Slides for the weekly and monthly meeting with Client
• Reviewing Total charges, Edits, Denials and total unbilled charges to reduce the AR days
• Identify the bottom performers and plan the training to improve their performances
• Engaging with QA team and make sure to reach SLA target and also make users to do reworks on time.
• Attending command center calls to clear all pending clarifications.
• Encouraging team members whenever they do the outstanding job and recommending them for RR program