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
Client Service
Account management
Employee Evaluation
Performance improvement
Key performance indicators
Complaint resolution
Multitasking Abilities
Teamwork and Collaboration
EPIC
NThrive
MDIV
Code of Conduct
Politics
Current Affairs
Cricket
I would like to play Cricket
Code of Conduct