Summary
Overview
Work History
Education
Additional Information
Key Qualifications & Responsibilities
Billing Software
Accomplishments
Languages
Declaration
Timeline
Generic

Santhosh Kumar Kasina

Visakhapatnam

Summary

To be a self motivated and successful next generation leader with the ability to adapt to rapidly changing technologies and environments with a strong desire to undertake challenging jobs and to work with the team to achieve the goals of an organization & learn and to develop strength and skills. Well-trained Accounts Receivable Associate knowledgeable about accounting and bringing significant experience performing various accounting duties. Skills include account Denial Management, Excel, Problem solving and invoice data entry. Able to work independently and prioritize tasks. Excellent communication, customer service, and interpersonal skills. Organized Team Leader builds positive rapport, inspire trust and guide teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor

Overview

7
7
years of professional experience

Work History

Team Leader

PhyCARE Services Pvt. Ltd.
08.2022 - Current
  • Conducting training and mentored team members to promote productivity and commitment to friendly service.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.
  • Working with team to identify areas of improvement and devised solutions based on findings.
  • Managing leave requests and absences and arranged covers to facilitate smooth flow of operations.
  • Conducting weekly team meetings to inform team members on company news and updates.
  • Supervising team members to confirm compliance with set procedures and quality requirements.
  • Reviewing, implementing and updating company records related to team activities for future reference.
  • Monitoring time and attendance, enforcing compliance with company procedures relating to absenteeism.
  • Communicating KPIs outlined in annual plan to inform employees of expectations and deliverables.
  • Maintaining database systems to track and analyze operational data.
  • Creating and managing project plans, timelines and SOPs.
  • Generating reports detailing findings and recommendations.
  • Monitoring team performance and providing constructive feedback to increase productivity and maintain quality standards.

Subject Matter Expert

Advantum HealthCare Pvt. Ltd.
10.2020 - 04.2022
  • Improved user productivity and efficiency through system training and support.
  • Developed and presented business cases, presentations and reports to senior management.
  • Monitored and tracked user progress to identify improvement opportunities.
  • Prepared SOPs and project specific documents
  • Conducted training sessions on new updates
  • Consolidated and identified Trends in Associates production and Found root cause and preventive actions for trends
  • Generated reports and prepared Denial Analysis report on weekly basis
  • Conducted training for new Users and provided assistance to the existing Associates

Subject Matter Expert

ACN HealthCare Pvt. Ltd.
08.2016 - 09.2020
  • Provided complete RCM training to the new batches
  • Improved user productivity and efficiency through system training and support.
  • Developed and presented business cases, presentations and reports to senior management.
  • Monitored and tracked user progress to identify improvement opportunities.
  • Prepared SOPs and project specific documents
  • Conducted training sessions on new updates
  • Consolidated and identified Trends in Associates production and Found root cause and preventive actions for trends
  • Generated reports and prepared Denial Analysis report on weekly basis
  • Worked on the high dollar value & old age claims and resolved towards payment

Education

B.tech - Computer Science

Aditya Institute of Technology & Management, Jawaharlal Nehru Technological University (JNTU)
Srikakulam
04.2014

12th -

Narayana Junior College, Board of Intermediate
Hyderabad
07.2010

10th -

Board of Secondary Education
Vivekananda Model High School
07.2008

Additional Information

  • CPT®, ICD-10-CM, and HCPCS Level II codes
  • Medicare insurance regulations
  • Standardised classification workflow
  • Medical terminology
  • Data entry and management
  • Speed typing
  • Analytical skills
  • Decision making
  • Problem solving
  • Time management

Key Qualifications & Responsibilities

  • Preparing To Do List for daily responsibilities
  • Discussing about the project on client calls
  • Assigning work to the associates based on the experience they have
  • Responding to emails within 24 hours TAT
  • preparing denial report and denial analysis based on the daily production
  • Resolving the global issues
  • Finding the root cause of the denials and resolve accordingly and prevent the denials in future claims
  • Preparing Aging Reports and categorize the work flow based on the dollar amount
  • Maintaining track of all associates data and performance
  • Weekly Review meeting with Quality, Coding and Billing Teams
  • Preparing KPI reports and show the clients in graph formats in presentation
  • Submitting requested documents to the payers via fax or mailing tool
  • Tracking the Rejections in work flow on daily basis
  • Identifying the coding and billing issues and resolve accordingly
  • Capturing the Insurance payments
  • Creating Login credentialing for web portals
  • Resolving the provider credentialing issues

Billing Software

  • EPIC
  • All Scripts
  • NextGen
  • Kareo
  • Jaguar
  • Xifin
  • AMB
  • Athena

Accomplishments

  • Collaborated with team of 6 members in the development of Authorization Project
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Supervised team of 10 staff members.
  • Resolved trend issues by identifying the root cause
  • Got rewarded for good handling, showing positive results and improvement on Authorization Project
  • Documented and resolved global issues which led to prevent denials in future payments.

Languages

English
Hindi
Telugu

Declaration

I hereby declare that the above-mentioned information is accurate to the best of my knowledge and belief

Timeline

Team Leader

PhyCARE Services Pvt. Ltd.
08.2022 - Current

Subject Matter Expert

Advantum HealthCare Pvt. Ltd.
10.2020 - 04.2022

Subject Matter Expert

ACN HealthCare Pvt. Ltd.
08.2016 - 09.2020

B.tech - Computer Science

Aditya Institute of Technology & Management, Jawaharlal Nehru Technological University (JNTU)

12th -

Narayana Junior College, Board of Intermediate

10th -

Board of Secondary Education
Santhosh Kumar Kasina