SHUBHAM PILLAY
Punawale
Summary
- To be an excellent professional and to be a part of an organization which provides constant learning of latest technological upgrades, and provide career growth.
- Specializing as a Client Specialist with a primary focus on Receivable (AR) follow-up at Access Healthcare.
- Proactively engaging in calling insurance companies for effective AR follow-up and resolution.
- Managing and ensuring efficient follow-up processes related to medical billing.
- Utilizing tools such as GFS MD4 to streamline AR follow-up procedures.
Experienced AR Caller with strong background in healthcare billing and collections. Possess sound understanding of revenue cycle management, claim adjudication, and denial management. Focused on improving cash flow by reducing days in accounts receivable. Proven ability to maintain patient confidentiality while providing high-quality customer service.
Overview
5
5
years of professional experience
Work History
Senior Client Specialist - AR Follow-Up
Access Healthcare
Pune
01.2020 - Current
- Proactively engaging in calling insurance companies for effective AR follow-up and resolution
- Managing and ensuring efficient follow-up processes related to medical billing
- Utilizing tools such as GFS MD4 to streamline AR follow-up procedure.
- Collaborate with billing, coding, and clinical teams to identify root causes of denials and implement preventative solutions.
Senior Associate/Acting Team Lead
Wipro BPS
- Worked on reservation requested by passenger
- Retrieve passenger reservation(PNR) and process their request using multiple Deltamatic entries
- Team management with focused vision to achieve the objectives of the company
- Ensuring meeting all the assigned CPM's on daily basis
- Meeting the productivity and quality targets set for team
- A mentor for newly joined associates
- Monitoring & reporting on standards & performance targets
- 3 years of experience
Senior Associate
WNS
- 11 months of experience
Education
HSC -
Jubilee junior College
Akola01.2012
SSC -
Jubilee english high school
Akola Maharashtra 01.2010
Skills
Denial Analysis & Resolution
Medical Billing & Coding (ICD-10, CPT, HCPCS)
Revenue Cycle Management (RCM)
Insurance Follow-Up (Commercial, Medicare, Medicaid)
Appeal Letter Preparation
Claims Reprocessing
EHR/EMR Systems: Epic, Cerner, Meditech
HIPAA Compliance
AR Management
Payer Policy Interpretation
Accomplishments
- Cleared FLM(First line manager) certification in 1st attempt.
- Selected as a SME(subject matter expert) after completing 18 months.
- PMS Rating G5 P5(5 stars out of 5 stars).
- Received many times as 'REP of the WEEK' title as a complement for top performer of the week.
- Awarded two times as a stack topper in my process.
Languages
- English
- Hindi
- Marathi
- Tamil
Technologies And Tools
- DL term
- MS-Excel
- Outlook
- Phoenix
Personal Information
- Father's Name: Mr. Sanjay Pillay
- Date of Birth: 06/07/94
- Nationality: Indian
- Marital Status: Married
Languages
English
Proficient
C2
Hindi
Proficient
C2
Marathi
Proficient
C2
Timeline
Senior Client Specialist - AR Follow-Up
Access Healthcare
01.2020 - Current
Senior Associate/Acting Team Lead
Wipro BPS
Senior Associate
WNS
HSC -
Jubilee junior College
SSC -
Jubilee english high school