SAIKIRAN MP
Summary
Enthusiastic Revenue Cycle Manager within the healthcare industry enjoying over 11 years serving Company and Client success through experienced and skillful oversight of department transformation and continuous process improvement in the ever-changing arena of health care revenue management, regulatory and payer compliance enhancing customer relations and success while maximizing productivity and profitability.
Overview
15
15
years of professional experience
Work History
Assistant Manager
Phycare Services
HYDERABAD
04.2022 - Current
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Mentored team members to enhance professional development and accountability in workplace.
- Instrumental in onboarding and implantation of new clients including initial software/hardware set up, due diligence meetings, SOP development and process improvements,etc.
- Developed tools to bridge gaps between RCM and other departments within organization.
- Evaluated, developed and implemented revenue cycle process improvements for successful management of work-load collaborating with management and teams to establish and assess quarterly and annual goals and outcomes
- Established a leadership mentoring program to assist in employee enrichment.
- Created macros and other tools to ease workflow and increase productivity.
- Tracked project progress and updates and monitored deliverables, milestones and issues for accurate reporting.
- Drove team success through shared vision and recognition of quality performance.
- Modified and directed project plans to meet organizational needs.
- Developed and initiated projects, managed costs, and monitored performance.
- Developed internal project management systems and communications to facilitate successful operations.
- Identified plans and resources required to meet project goals and objectives.
Junior Manager
Phycare Services
HYDERABAD
04.2021 - 03.2022
- Denial management
- Subject Matter Expert for Medicare, Medicaid, Commercial, and other third party payers providing departmental leadership ensuring compliance with regulatory and contractual payer requirements
- Reconciled accounts receivable to verify payments and resolve variances
- Monitored employee performance and provided coaching and constructive guidance to address areas of concern
- Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands
- Performed yearly evaluations and reviews for 15 employees
Provided supportive link between external customers and internal operations - Maintained compliance with company policies, objectives and communication goals
Process Lead and Team Lead , Accounts
Phycare Healthcare Services
HYDERABAD
04.2014 - 03.2021
- Reconciled accounts receivable to verify payments and resolve variances using CMS pricers
- Processed EDI , EFT, ERA enrollments.
- Established and maintained positive work environment to enhance retention and productivity
- Scheduled appropriate number of employees to complete production line tasks.
- Reviewed billing problems, researched issues and resolved concerns.
- Conducted performance reviews and implemented improvement plans.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Sr. Process Associate, Accounts Receivable
Phycare Healthcare Services
Hyderabad
04.2010 - 04.2014
- Denial Management: appeals and account escalation developing detailed payer project account tracking logs, working with payers and Directors to resolve open balances
- Monthly trend analysis and forecasting
- Development and delivery of employee training for all payers
- Resolved Medicare, non Medicare and Self pay problems, improved operations and provided exceptional client support
- Reduction of Medicare Home Health and Hospice 120+ AR by 50%
- Reduction of DSO to less than 4% for Medicare Home Health and Hospice AR
- Reduction of Medicaid Home Health AR by 60% in 3 months
Process Associate
CSC India Pvt Ltd
Hyderabad
03.2008 - 06.2009
- Serve as first Point of Contact for customer issues.
- Verbally/ Emails verify customer information profile and update as necessary.
- Communicating the necessary team to resolve the Critical incidents as per requests.
- Troubleshooting and evaluating the issue which can be routed to resolving team.
- Pay attention in monitoring the high severity incidents.
- Dispatch problem/service requests to next level of support as necessary.
- Accuracy in updating and providing necessary information to the users.
- Pay attention to due dates and SLA's (Service Level Agreement)
- Generating Monthly Incidents reports and analyzing report on the missed SLA incidents.
- Modifying & Updating the Escalation Contacts to route the incidents perfectly to the responsible support team.
- Conducting meeting with the team members on weekly basis.
Education
Bachelors of Commerce -
Osmania University
HYDERABAD03.2004
Skills
- Electronic and Manual billing / Clearinghouse expertise; eSolutions, Ability, Navinet, Zirmed/Waystar, Emdeon
- Multiple software applications and Electronic Medical Record systems; Meditech/Maestro, Allscrips, HBO ,Ecw , IDX, EPIC , Athena, Availity
- Microsoft Office: Word, Excel, Outlook, Office Teams, Skype, One note
- Client Relationship Management
- Accounts Receivable Recovery Project Management
- Problem Solving
- Quality Assurance
- Great Communication Skills
- Medicare DDE and Non-Medicare EDI Provider enrollment expertise
- ICD9 & ICD 10, CPT, HCPC code knowledge
- New client implementations
- Accounts receivable/Denial Management/Trend Analysis of Medicare and Non-Medicare Payers
- ADR and Appeals Support
- Process Improvement
- Critical Thinking
- Team Development
Timeline
Assistant Manager
Phycare Services
04.2022 - Current
Junior Manager
Phycare Services
04.2021 - 03.2022
Process Lead and Team Lead , Accounts
Phycare Healthcare Services
04.2014 - 03.2021
Sr. Process Associate, Accounts Receivable
Phycare Healthcare Services
04.2010 - 04.2014
Process Associate
CSC India Pvt Ltd
03.2008 - 06.2009
Bachelors of Commerce -
Osmania University
Similar Profiles
Santhosh Kumar KasinaSanthosh Kumar Kasina
Team Leader at PhyCARE Services Pvt. Ltd.Team Leader at PhyCARE Services Pvt. Ltd.
RAMYA RAYUDURAMYA RAYUDU
Customer Service Executive at Phycare service india pvt ltdCustomer Service Executive at Phycare service india pvt ltd
Anil ThagirisaAnil Thagirisa
Asst. Director Faculty Practice at PhyCARE Solutions, IncAsst. Director Faculty Practice at PhyCARE Solutions, Inc
SHELLEY ROBERTSONSHELLEY ROBERTSON
Assistant Manager at Penny Paws Veterinary Community OutreachAssistant Manager at Penny Paws Veterinary Community Outreach
John Archbold HaysJohn Archbold Hays
Assistant Manager at Abaton Corp.Assistant Manager at Abaton Corp.