Shashi Kant
New Delhi
Summary
- A focused professional with more than 7years experience in Medical Billing, AR follow-up, Account Receivable and action- oriented leader in the healthcare industry, with on years experience in physician medical billing, patient access, collections, credit reconciliation and revenue cycle management.
- Senior Analyst with expertise in HIPAA compliance and data analysis, delivering measurable improvements in operational efficiency. Demonstrated ability to resolve billing discrepancies and mentor team members, enhancing overall team performance. Strong analytical skills and commitment to quality drive successful outcomes aligned with organizational goals.
Overview
7
7
years of professional experience
Work History
Senior Analyst (AR Follow-up)
R1 RCM Global Pvt Ltd
Gurgaon
10.2022 - 02.2025
- AR follow-up with insurance companies.
- Worked in resolving Denials, prior authorization, referral, coding, medical necessity, etc.
- Respond to clients regarding any process related queries.
- Responsible for researching & resolving discrepancies in patient's account.
- Reporting to clients and within the Company and weekly meetings with team leads.
- To the Groom and mentor trainee team members.
- To Follow the norms required for maintaining Quality Standards.
- Report Extraction and generation.
- I have done upscaling with R1 RCM.
- Quality audit of accounts done by team members.
- To work on any new pilot projects as and when needed by clients with proper transition of knowledge to team.
- Work allocation and claims distribution.
- Take up Process training or client specific update with team members.
- Guidance to junior staff or new trainees for proper follow up skills and work ethics.
- Responsible for effective communication with the end customer as per project requirement
Senior Claims Executive
Concentrix
Gurgaon
10.2020 - 08.2022
Snr Claim Associate
Cognisol Technologies Pvt Ltd
Gurgaon
01.2018 - 10.2020
Education
B. Com -
Delhi University, SOL
HSC -
CBSE Board
SSC -
CBSE Board
Skills
- HIPAA Regulations
- Cerner
- EPIC
- LexisNexis
- HPP
- Therapy Notes Software
- MS Excel
- MS Word
- PowerPoint
- Outlook
- Power BI
- Internet Application
- Radiology
- Multi-Specialty
- Healthcare Revenue Cycle Management
- Claims processing
- Denial resolution
- Team collaboration
Hobbies and Interests
- Travelling
- Playing Games
Languages
- English
- Hindi
Personal Information
- Date of Birth: 03/25/98
- Nationality: Indian
- Marital Status: Single
Affiliations
- Possesses a flexible attitute.
- Effective Communication Skills.
- Smart Working, determined and dedicated.
- Can adjust to any kind of environment.
- always ready to take up challenges.
Timeline
Senior Analyst (AR Follow-up)
R1 RCM Global Pvt Ltd
10.2022 - 02.2025
Senior Claims Executive
Concentrix
10.2020 - 08.2022
Snr Claim Associate
Cognisol Technologies Pvt Ltd
01.2018 - 10.2020
B. Com -
Delhi University, SOL
HSC -
CBSE Board
SSC -
CBSE Board
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