Satish Paramasivam

• Managed end-to-end Revenue Cycle Management (RCM) for ambulatory physicians and rural health clinics and hospitals. overseeing a team of 800+ FTEs.

• Developed and executed strategic initiatives aligned with organizational goals.
• Manage large-scale teams, including hiring, training, performance management, and workforce planning.

• Monitored and controlled inventory, encompassing daily production, workflow and distribution.
• Collaborated with process owners to refine procedures, devise best practices and correct quality audit findings.
• Formulated processes to improve assistance to support groups, resulting in reduction of downtime and financial loss.
• Successfully transitioned High valued customers
• Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
• Reviewed operations reports to understand numbers and trends.
• Executed appropriate staffing and budgetary plans to align with business forecasts.

• Managing End to End RCM on Billing, Payments Posting, Eligibility Verification, Credit Balance Refund, Denial Mgmt and Bad Debt.
• Taking necessary to meet Client KPI metrics
• Handle Client calls and take necessary action on items discussed
• Handle Client escalations
• Handle Monthly Business Review with Clients
• Revenue forecasting
• Create plans to complete backlog projects before the due date
• Work with various supporting teams and ensure smoother operations.
• Work with governance team and ensure all key parameters are within control.
• Handle Quality meet and suggest process improvement plans
• Meeting internal and external quality standards
• Handle Edits and Rejections efficiently and automate possible areas by coordinating with Clinic team.
• Working on automation process to maintain P&L good
• Handle One on One with Team members and motivate them to hit targets and set goals.
• Handle Early Warning system

• Managed one of the largest Oncology Provider Network includes Radiology, Radiation Oncology, Chemotherapy specialists.
• Managed multiple scopes of Claims processes such as Medical Billing, Account Receivables, Authorizations, Medical Coding, Correspondences/Denials, Payments and Special Projects.
• Meet Client Deliverables within TAT
• Consistently meet/exceeds Clients SLA's
• Successfully reduced 120+ AR bucket from 35% to 15% in a short period of time with permanent resolution.
• Advise clients on Key focus areas to avoid any financial loss
• Drive Team towards achieving client targets.
• Inventory analysis with necessary action
• Monitor Bottom performer and ensure necessary actions taken to meet the Target
• Maintained qualified staff and communicated areas of accountability and expected performance.

• Managed overall service delivery for Medical Oncology, Surgery and Family practices
  Responsible for all escalations in quality, production and service delivery.
  Liaising weekly and monthly Governance calls to show project result
• Handled MSO services for one of the largest IPA network in CA.
• Handled Payers services such as Credentialing, Eligibility & Benefit Verification , Claims Process, Review, Claims Adjudication, Network mapping, EOB Generation ,Dispatch etc..
• Played Key Leadership role in the start-up, Development, Hiring , Training and Transition processes
• Successfully transitioned several High Valued Clients both Onshore and Offshore
• Successfully managed India BPO Operations for more than 16 years.
• Advise clients on Key focus areas to avoid any financial loss
• Guiding Senior Management on Organizational growth to drive and deliver client and people expectations
• Regular discussions with the clients to identify the new work opportunities
• Maintain Practice Key Performance Indicators as per Industry Standards
• Manage IPA Network management and Credentialing services
• Expertize in Managed care plans esp. Multi- Insurance contracts and financial responsibility of claims.
• Resolve complex Managed Care Plans Contractual issues between Provider and the Payers and ensure negotiated Rates are paid timely
• Review periodical EDI Reports and ensure all applicable payers submitted electronically along with Electronic Remittance
• Business Proven record of Increased Revenues by 10% – 20% on all new clients
• Successfully Formulated and Implemented Quality Management systems and improved overall quality
• Established Several Standard Operational Procedures
• Automated and Designed several Operational applications such as In-House Billing software, Work Flow Mgmt., Business Analysis, Reimbursement flow, Quality Mgmt. systems, Employee Performance etc……
• Conduct individual performance reviews and propose the required action plan
• Conduct periodical Interdepartmental meeting and resolve operational issues
• Responsible for Hiring, Counseling, Disciplinary actions, Leave Approvals, Appraisals, Promotions and Compensation.
• Conduct Calibration sessions
• Successfully implemented Incentive plan, enhanced Individual performances and reduced attrition rate.
• Drive cost control measures across operations.
• Trained several employees on all aspects of Revenue Cycle Mgmt. includes Medical Billing, AR, Coding, Denial mgmt. Appeals etc…
• Ability to code CPT, HCPCS & ICD Codes for Hematology & Oncology, General Surgery Gynecology Oncology Surgery & Orthopedic Surgery
• Good understanding of CCI Edits, CMS guidelines and several Modifiers

Consistently met Productivity and Quality Target

Conducted periodically training and Refresher to the team

Supported Team Leader in managing team and work allocation

Handled Adhoc reports required for managment