Sanjay Panchal
Jaipur
Summary
PROFILE OVERVIEW A US Healthcare professional with extensive expertise in both Provider and payer side vertical. Has around 11+ Years of industry experience specialized in end-to -end Revenue cycle Management( US Healthcare ) Accounts payable ,Account Receivable, Denial Management , Analytical Skills,Team Management, Hold a full scope of experience in areas of Healthcare Reimbursement.
Overview
11
11
years of professional experience
Work History
Senior Analyst 2
Greenway Health India
01.2022 - Current
- Industry : Healthcare - Medical Billing Key Account: Medical Billing Claims / A/R follow up and denial Management (ON JOB TRAINING )
- Develop A solid understanding of assigned clients process in order to strategically review and analyze their A/R functions.
- Conduct regular audit of medical billing specialist claim work of accuracy and quality. manages clean claim ratios for assigned clients
- Prepare and analyze report fo audit reviews and performance issue with focus on identifying trends, instituting continuous quality improvement initiatives and identifying and providing on-going training opportunities for specialists
- Modifiers process ad procedures for prevent claim rework through automation ideas.
Senior Ar Analyst
R1RCM Global Private limited
03.2019 - 01.2022
- Us Healthcare -Medical billing
- Key account : Medical billing claim/Risk Managment
- Review\Analyze unpaid insurance claims
- Work, fix Denied claim based no client provided Protocol
- Take appropriate and action-based call / Analysis to write off, bill PT or to send correction/ Appeal to insurance
- Advice billing team on changes to current protocol based on new changes in claims processing by insurance company
- Managing process training, feedback sessions on quality analysis, customer updates, feedback etc
- Achievement
- Received awards R1 Star
Senior AR Analyst
ISYS Softech private limited
10.2018 - 02.2019
- Industry : Healthcare - Medical Billing Key Account: Medical Billing Claims / A/R follow up and denial
Process developer
Genpact India Pvt. Ltd
12.2010 - 09.2018
- Industry : US healthcare - Payer
- Key Account : Accounts Receivable (voice and non-voice)
- Audit pool, Knowledge developer and high cost medical claim assessor
- Managing process training, feedback sessions on quality analysis, customer updates, feedback etc
- Evaluate post training effectiveness by periodic auditing
- Responsible for coaching and mentoring new hire
- Managing production tracker and quality tracker
Education
Bachelors of Arts (B.A -
Skills
IT AND COMPUTERundefined
Timeline
Senior Analyst 2
Greenway Health India
01.2022 - Current
Senior Ar Analyst
R1RCM Global Private limited
03.2019 - 01.2022
Senior AR Analyst
ISYS Softech private limited
10.2018 - 02.2019
Process developer
Genpact India Pvt. Ltd
12.2010 - 09.2018
Bachelors of Arts (B.A -
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