Sanjay S
Chennai
Summary
A Software Professional with 7+ years of experience in US Health Care domain specialized in Functional support and Revenue cycle management using EPIC EMR and various Clinical application.
Overview
7
7
years of professional experience
Work History
Epic HB/PB Consultant
Thryve Digital LLP
05.2020 - Current
- Work on support incidents and request through Cherwell ticketing tool during client non-business hours
- Will support end-users through calls during client hours if necessary when being assigned with on-call duties
- Worked on updating extensions to remittance code, incorporating specific payer types, plans, CPT codes, and updating RMC codes as needed
- Updating RMC codes, Remittance option (RMO) and Extensions (LPP) as per requirement
- Created a new component and component groups for extensions to update in RMC codes, Rules (CER & BWR)
- Granting/revoking privileges in SER record by adding and removing bill area's to provider and department records
- Granting access to CDW records which result in reconciliation of cash to front end users
- Worked on creating New Research/Client records for research assistants and assigning study supervisors and coordinators to records
- Build Work queues as per requirement and grant access to billers
- Supported EPIC downtime for HB/PB modules which reduce efforts of client's non business hours
- Worked on Import/Export system files for multiple DEP & SER records in Chronicles and updated them and migrated the changes to EPIC system with the use of WinSCP application
- Worked on Category List for Customers to add, remove or change values in list
- Worked on Content Management activity in creating, editing, reviewing and sending tickets from non-production environment to Production environment
- OPTUM LCD NCD loads were imported to system which enables beneficiaries of new services that are covered to existing coverages
- Worked on GL Prefix in BIL records to change prefixes depends on string
- Have been part of weekly service review calls, training calls, and process transition calls with client and sharing update to team.
- Conducted regular reviews of operations and identified areas for improvement.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Subject Matter Expert
Visionary RCM Info Tech
04.2017 - 04.2020
- Client interaction: Have been part of weekly service review calls, training calls, and process transition calls with client and sharing update to team
- Mentoring program: Key member in mentoring program of organisation, wherein facilitating new joiners (lateral and freshers) on process and domain knowledge
- Adding, been on-floor support staff in providing on-time support to team members
- Quality Monitoring and feedback: Key personnel in monitoring performance of team members via voice and non-voice/transaction auditing, which involves on call feedback, post call feedback, weekly quality meet, client quality meet
- Reports & MIS: Reports involves daily production, weekly production, quality consolidated report and dashboard
- These reports have been shared to internal team and to client
- Training Program: Key member in training new employees in software navigation and conducting assessment and providing support when needed on floor.
- Devised and implemented processes and procedures to streamline operations.
Education
Bachelors of Technology - Information Technology
St.Peters University
Chennai, India06.2015
Skills
- Staff Management
- Failure Analysis
- Client Requirements Assessment
- Quality Assurance
- Continuous Improvement
- Analysis & Evaluation
Certification/ Proficiency
- EPIC Professional Billing Claims & Remittance Administration Proficiency
- EPIC Hospital Billing Administration & SBO Proficiency
- SCRUM Certified Professional
Timeline
Epic HB/PB Consultant
Thryve Digital LLP
05.2020 - Current
Subject Matter Expert
Visionary RCM Info Tech
04.2017 - 04.2020
Bachelors of Technology - Information Technology
St.Peters University
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