Santosh Singh
Noida
Summary
Endeavor to make the best use of my skills and capabilities to contribute towards the spherical development of my organization while being resourceful, innovative and AR Billing Skill Sets – Revenue cycle Process: Complete billing cycle from preparing bill to final payment and account resolution.
Dedicated RCM professional of 8+ years’ experience with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. With KAMTECHNOLOGY, MEDITECH, MEDISUIT,CARECLOUD,ACETECHNOLOGY,MEDICENTRIX,ECW, MODMED other tool experiences
Overview
8
8
years of professional experience
Work History
Sr Assistant manager- Accounts receivable
Arevna Pvt Ltd
02.2023 - 01.2024
- Worked with the direct client, Daily calls and mails with client were the communication to set KPI and strategies to fulfill the desired target in terms of monitorial benefit
- To reduce the timing to get the claim status though calls
- We have set up direct connection with payer to get the premium of their website access, EDI portals
- Apart from client interaction and team problem solving, I need to complete my individual target for the day
- To set the priority as per the aging, outstanding amount and distribution with taking counts with team and submitting day end completed claims and remaining with reason
- Being a Account manager of account receivable for one provider following duties were getting followed:- Invoicing: Generate and send accurate invoices for medical services rendered
- Payment Processing: Record and process payments received from patients and insurance companies
- Collections: Manage overdue accounts, initiate and handle the collections process
- Reconciliation: Reconcile accounts to ensure accuracy and resolve billing discrepancies
- Reporting: Generate regular reports on accounts receivable status for management analysis
- Communication: Interact with patients and insurance providers to address inquiries and resolve billing issues
- Compliance: Ensure adherence to healthcare regulations and billing compliance, such as HIPAA
- Credit Management: Assess the creditworthiness of patients and establish credit terms accordingly
- Customer Service: N/A
Team leader -AR
Saraca Solutions Pvt Ltd
02.2021 - 02.2023
- Managed the end-to-end accounts receivable process for medical billing, ensuring accurate and timely submission of claims to insurance companies
- Conducted thorough reviews of denied claims, identified root causes, and implemented corrective actions to minimize future denials
- Collaborated with coding and billing teams to resolve coding discrepancies and enhance billing accuracy
- Implemented and maintained efficient follow-up procedures to monitor outstanding claims, reducing aging accounts
- Developed and maintained strong relationships with insurance payers, negotiating favorable payment terms and resolving payment disputes
- Conducted regular audits to ensure compliance with coding and billing regulations, minimizing the risk of audit findings
- Trained and mentored junior staff members, fostering a collaborative and high-performance work environment.
Sr.Account receivable
NLB
12.2019 - 12.2020
- Handle all Medicaid, Medicaid HMO, Medicare, Medicare HMO, Blue Cross, and Commercial High Cost Outlier claims from billing to payment/resolution, ensuring effectiveness and accuracy of claim submission and processing for timely payment
- Report, analyze, and resolve all High Cost Outlier claim denials for Medicaid, Medicaid HMO, Medicare, Medicare HMO, Blue Cross, and Commercial Insurance Carriers
- Review ageing reports to ensure all accounts are being worked to payment/resolution
- Communicate and work with inter/intra departments
- Responsible for special project as assigned by Manager, Director a/o Vice President.
Account receivable
Client: Epic global
11.2015 - 11.2019
- Handle all claims from billing to payment/resolution, ensuring effectiveness and accuracy of claim submission and processing for timely payment
- Report, analyze, and resolve all High Cost Outlier claim denials for Medicaid, Medicaid HMO, Medicare, Medicare HMO, Blue Cross, and Commercial Insurance Carriers
- Review ageing reports to ensure all accounts are being worked to payment/resolution
- Communicate and work with inter/intra departments
- Responsible for special project as assigned by Manager, Director a/o Vice President.
Education
Executive degree Master in Business administration (Supply chain Management) -
NARSEE MONJEE INSTITUTE MUMBAI
Bachelors of Technology in Electrical Engineering -
Lucknow
Intermediate -
UTTRAKHAND BOARD, Nainital
Matriculation -
UTTRAKHAND BOARD, Nainital
Skills
- MS Office(Word, Excel, PowerPoint, Access)
- MATLAB
- SAP MM
- END USER
- HANA
- kam Technology,
- ECW
- CARECLOUD,
- EXPIRITY
- MEDITECH
- DENTRIX,
- MODMED-(MADE BY GOOGLE)
Timeline
Sr Assistant manager- Accounts receivable
Arevna Pvt Ltd
02.2023 - 01.2024
Team leader -AR
Saraca Solutions Pvt Ltd
02.2021 - 02.2023
Sr.Account receivable
NLB
12.2019 - 12.2020
Account receivable
Client: Epic global
11.2015 - 11.2019
Executive degree Master in Business administration (Supply chain Management) -
NARSEE MONJEE INSTITUTE MUMBAI
Bachelors of Technology in Electrical Engineering -
Lucknow
Intermediate -
UTTRAKHAND BOARD, Nainital
Matriculation -
UTTRAKHAND BOARD, Nainital
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