RAVI CHHONKER
NEW DELHI
Summary
Dynamic healthcare professional with proven expertise in claims adjudication and medical billing at Accurio Healthcare. Recognized for enhancing operational efficiency and compliance, I excel in healthcare analytics and team leadership. A staunch advocate for collaboration, I leverage strong analytical skills to drive impactful solutions and improve patient care outcomes.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Team Lead, RCM Department
Accurio Healthcare
11.2022 - Current
- I am responsible for running patient data into analytics reports, designing, implementing, and optimizing healthcare information systems to ensure efficient data management, secure information exchange, and improved patient care.
- Hands-on experience in end-to-end claim processing operational procedures, inpatient billing, outpatient billing, and CMS/HCFA billing.
- Gained deep knowledge of different U.S. cultures. cultures. Healthcare operations like authorization, CITR (reconciliation of bank payments into systems), and provider credentialing.
- Being lead, I worked on transitioning, prepared meeting agendas, and trained the team for the transition. Deliver projects.
- Worked with an onshore client and helped the supervisor as per project requirements.
- Provided a lean idea for making our task easier and time-saving.
- Received a certificate of recognition twice for giving exemplary performance.
SME (subject Matter Expert), Claims Adjudication
Calibrated Healthcare
06.2013 - 11.2022
- Ensured healthcare claims are processed accurately, efficiently, and in compliance with all applicable rules and regulations ultimately contributes to better patient care and financial stability for healthcare organizations.
- Analyzed claims, identified potential issues, and ensured compliance with relevant policies and regulations.
- Identified areas for improvement and recommended solutions to enhance efficiency, accuracy, and compliance.
- Gained in-depth knowledge of different RCM domains and their interrelations while working.
- Worked with an onshore client and helped the supervisor as per project requirements.
- Provided a lean idea for making our task easier and time-saving.
Analyst, Medical Billing
Accretive Health (currently known as R1RCM)
06.2011 - 05.2013
- Preparing and submitting claims, verifying patient insurance, coding diagnoses and procedures, following up on unpaid claims, and maintaining patient billing records.
- Hands-on experience in end-to-end claim processing operational procedures, inpatient billing, outpatient billing, and CMS/HCFA billing.
- Verified patient insurance coverage and eligibility, and obtained necessary authorizations for procedures, ensuring the services are covered by the patient's insurance plan.
- Gained in-depth knowledge of different RCM domains and their interrelations while working.
Education
PG diploma - Healthcare information & Medical record tech
Hamdard University
01.2012
BSc - Biotechnology
CCS University
01.2010
Class XII -
C.B.S.E Board
New Delhi01.2005
Class X -
C.B.S.E Board
New Delhi01.2003
Skills
- Team Leadership
- Claims adjudication
- Medical Billing
- Utilization Management (Authorization)
- Healthcare analytics
- Fee schedule
- Provider credentialing
- Competitive analysis
- Healthcare compliance
- Strong analytical thinker
- Confident telephone manner and face-to-face skills
- Comprehensive knowledge of Word, Excel, and PowerPoint and LLMs like ChatGPT
- Ability to work well with numbers and analyze data
- Staunch believer in teamwork, adaptable to fit in any team, with abilities to learn and consistently grow
- The ability of quantitative and qualitative research
- Confidently communicate to influence business decisions
- Operating systems: Windows 7, 10, 11
- Packages: MS Office, AI tools
Accomplishments
- I received the best employee award for my exemplary performance
Languages
English
Upper Intermediate (B2)
B2
Hindi
Elementary (A2)
A2
Certification
- I completed a diploma in healthcare information and analytics
Timeline
Team Lead, RCM Department
Accurio Healthcare
11.2022 - Current
SME (subject Matter Expert), Claims Adjudication
Calibrated Healthcare
06.2013 - 11.2022
Analyst, Medical Billing
Accretive Health (currently known as R1RCM)
06.2011 - 05.2013
PG diploma - Healthcare information & Medical record tech
Hamdard University
BSc - Biotechnology
CCS University
Class XII -
C.B.S.E Board
Class X -
C.B.S.E Board
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