CITRIX, EPIC, MED MANAGER AND eCW
Abdul Razaq
US RCM Healthcare
Bangalore
Summary
Manager with expert team leadership, planning, and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach.
Analytical problem-solver with talents for team building, leading and motivating, as well as excellent client relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
11
11
years of professional experience
Work History
Revenue Resource Consultant
Revele: Healthcare Revenue Cycle Management
08.2015 - Current
- To ensure effective monitoring of revenue performance, review and identify areas for improvement across all departments that support assigned clients.
- Collaborate with the Client Success Team (CST) and communicate directly with various members of the RCM team, including Reimbursement Specialists, Payment Posting Specialists, Credit and Refund Specialists, Patient Eligibility Specialists, Coding Specialists, and EDI Specialists in order to achieve the client's goals and maintain a smooth workflow.
- Ensure compliance with RCM policies and procedures and monitors Key Performance Indicators (KPIs) to drive efficiency and effectiveness.
- Identifying issues preventing Client's A/R from meeting their charge entry, payment, and A/R goals.
- Assisting the team with Claims Resolution and Denial Management
- Preparing Analysis report, Revenue reports for Client calls.
- Reviewing client masters and Identifying trends, resolving major issues affecting the client performance.
- Attending client calls and presenting the Client Dashboard, which includes complete client financials for the particular month.
- Preparing suggestion reports for clients regarding routine denials and non-payable issues and discussing the same weekly with the team.
- Actively looking for trends within each client’s revenue. Forwarding any opportunities to establish rules in eCW to prevent reoccurring denials.
Quality Analyst
Global Revenue Cycle Partners
08.2014 - 07.2015
- Auditing the claims and providing feedback
- Training new employees on AR calling and work allocation, and providing daily feedback.
- Compiling suggestion reports for clients regarding routine denials and non-payable issues.
- Conducting error review meetings with the team.
- Discussions on weekly bases on current issues with the team.
- Organizing and conducting meetings with employees to ensure adherence to established practices, implement new policies, and keep them informed of current changes and standards.
AR Executive
Global Revenue Cycle Partners
12.2012 - 07.2014
- As an executive, My role is to follow up on any unpaid claims and work towards resolving them.
- Identifying any issues or trends that may be affecting our claims process.
Following up on any denials that have been received.
Education
B.Com -
Al Ameen Degree College
Bangalore, India 05.2001 -
Skills
Proactive, a self-starter, analytical, and Strong critical thinking skills
undefinedAccomplishments
3 times consecutively best performance of the month award.
Quarterly Performer of the award
Software
Interests
Football
Watching Movies
Cooking
Timeline
Revenue Resource Consultant
Revele: Healthcare Revenue Cycle Management
08.2015 - Current
Quality Analyst
Global Revenue Cycle Partners
08.2014 - 07.2015
AR Executive
Global Revenue Cycle Partners
12.2012 - 07.2014
B.Com -
Al Ameen Degree College
05.2001 -
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