Summary
Overview
Work History
Education
Skills
Accomplishments
Software
DECLARATION
Timeline
Generic
SANDEEP MOHAN

SANDEEP MOHAN

2/83 Paarvanam Peralakodu Keezharoor, Neyyattinkara, Trivandrum

Summary

Seeking for the job to work in a globally competitive which yield job satisfaction in a profitable and stable organization to enhance excellence and thrive for the development of the project and organization. As Subject Matter Expert in RCM Billing, good at association and collaboration with clients and internal team members, providing consultative enhancement recommendations based on daily reports. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals. Efficient Accounts Receivable Specialist offering 5 years of experience in accounts receivable functions. Excellent knowledge in denial management and claims procedures with strong communication skills utilized in resolving Claim denials. Skilled in working on Physician and Lab RCS and Credit balance claims.

Overview

5
5
years of professional experience

Work History

Subject Matter Expert RCM Billing

Cascade Revenue Management Pvt Ltd
09.2023 - Current
  • Reviewed daily inflow of claims which required Eligibility Verification and uploaded the same to Software and allocation to appropriate team.
  • Reviewed Client Software and prepared daily Billing Report.
  • Preparation of Weekly Exception raised claims Report Client Review.
  • Auditing daily user worked prebilling data.
  • Template creation for data upload in Billing Software.
  • Template creation for EV software.
  • Preparation of Weekly production data for Management Review.
  • Updation of Daily Production Tracker and Monthly Production trackers as per Billing software report.

Sr. Accounts Receivable Specialist

Cascade Revenue Management Pvt. Ltd
06.2022 - 08.2023
  • Experience in Laboratory billing denial management, Credit balance and Offsets.
  • Initiate Telephone calls to insurance companies requesting status of claims with denials and outstanding balances.
  • Manage AR accounts by ensuring accurate and timely follow up.
  • Perform pre-call analysis using web portal or IVR.
  • Clearing both EDI and Payer side rejections in timely manner.
  • Followed up overdue payments and payment plans from clients to establish good cash flow.
  • Done Patient calling and initiated Patient statements on Paid to Patient scenarios.
  • Generated monthly accounts receivable reports to submit developments for management review.

Senior AR Associate

GUIDEHOUSE, INDIA, US Healthcare
07.2018 - 06.2022
  • Expertise in general physician billing denial management Expertise in Auth/Referral, Coding and Urgent Care denials Working on denials based on daily follow up queue Prioritizing the older follow up and aged claims Working on high-risk sites with critical denials Expertise in Credit Balanceclaims
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Organized and detail-oriented with a strong work ethic.
  • Self-motivated, with a strong sense of personal responsibility.
  • Proven ability to learn quickly and adapt to new situations.
  • Applied effective time management techniques to meet tight deadlines.
  • Identified issues, analyzed information and provided solutions to problems.

Education

Bachelor of Science - Electronics and Avionics

GPTC
Neyyattinkara
04-2016

HSE -

Sree Vidyadhiraja Vidya Nilayam HSS
Neyyattinkara
03-2013

SSLC -

Sree Vidhyadhiraja Vidhya Nilayam HSS
Neyyattinkara
03-2011

Skills

  • Proficiency in MS Excel and WPS Office
  • Proficient in keypad shortcuts in MS Excel for Report Preparation
  • Revenue Cycle Management
  • Revenue Recognition and Reconciliation
  • Experience in invoicing EOB's and Payer Correspondences
  • Experience in resolving Credit balance claims
  • Excellent knowledge in Denial Management and Experienced in Working Authorization and Referral denials
  • Type writing with 60 wpm
  • Ability to Work under pressure
  • Multi tasking and Work Prioritization
  • Ability to handle incoming patient calls and problem resolution
  • Excellent listening skills regardless of US regional Accent while AR calling
  • Ability to professionally handle flame mails
  • Good Customer Relationship skills
  • Supervision and leadership
  • Good Telephone Etiquette

Accomplishments

  • Awarded Best Performer in August 2021
  • Got Promoted to SME in RCM billing
  • Supervised team of 10+ staff members.
  • Resolved Credit balance back logs through Effective EOB reviews and coordination with Insurance reps

Software

MS Excel, MS Word, CMD, Centricity, LIS, WPS Office, Nitro Pro

DECLARATION

I here by declare that all the information included in above are correct to the best of my knowledge.


Sandeep Mohan

Timeline

Subject Matter Expert RCM Billing

Cascade Revenue Management Pvt Ltd
09.2023 - Current

Sr. Accounts Receivable Specialist

Cascade Revenue Management Pvt. Ltd
06.2022 - 08.2023

Senior AR Associate

GUIDEHOUSE, INDIA, US Healthcare
07.2018 - 06.2022

Bachelor of Science - Electronics and Avionics

GPTC

HSE -

Sree Vidyadhiraja Vidya Nilayam HSS

SSLC -

Sree Vidhyadhiraja Vidhya Nilayam HSS

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