EPIC
I have an experience of total of 7 years in RCM industry and currently working as a team leader with 2 years of experience. In current organization I gave 6+ years and handling a team of 21 members in current. I have an experience of handling the team of 48 members as well so I can handle a big team at a same time without and difficulties.
In last 2 years on the role of team lead I successfully deliver 7 projects to my client with a success rate of 100% and along with 98% quality.
Below are the highlight of project:-
1. High Aging AR Days project:- My client gave me a project of high aging 365+ days claims in regards to date of service. On which my team successfully deliver the task in given TAT
2. Untouched 30+ days:- We received a project of client for >30+ untouched accounts from our inventory, my team successfully deliver this task too
3. Registration Project:- In registration project we handle multiple denial separately which are
a) N-418 Misrouted Claims
b) MA-04 No Payment without primary EOB
c) CO-22 Covered by another payor
d) CO-109 Covered by another payor
e) N-4 Primary EOB Required
4. CO-97 / CO-234 Denials:- Worked on a project of CO-97 & CO-234 denials project for multiple payors Aetna, UHC, Medical Mutual, UMR, Molina, Paramount, BCBS
5. Cigna TPA:- Worked on a project for Cigna TPA plan where pure calling required
6. AARP, Bankers Life, Colonial Penn Medicare Supplement Plan:- Worked on mentioned Medicare supplement plans on no response claims
7. CO-197 No Auth:- Worked on no auth project for AETNA, UHC and Molina
Daily workflow improvement
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