Srivathsan R
Chennai
Summary
Seeking senior level assignment in RCM (Revenue cycle management)
A highly accomplished & result oriented professional with over 15 years of experience in: - Strategic Planning & Management, Medical Billing, Account Management, Operations (Revenue Cycle Management), Process Enhancement, Training & Development, Liaising & Coordination, Relationship Management, Team Management. Currently (November 2023 – till date) associated with 4D Global Medical Billing Solutions, Chennai as a Assistant Manager (Revenue Cycle Management). Have handled projects for all specialties like PT, OB/GYN, Radiology, Medicine, Lab, Chiropractic, Rehabilitation services, Dermatology etc. in previous concerns. Conversant in generating bills for reimbursement of medical facilities for patients who possess medical insurance. Demonstrated knowledge in the medical coding and billing; and in performing billing activities for U.S. physician practices. Deft in providing leadership, motivating, and training to promote maximum staff effectiveness, productivity, customer / client service and work satisfaction. Skilled in participating in formulating and administering department goals and strategies. Well versed in identifying and presenting solutions to payment obstacles and reimbursement issues. Proficient in managing teams to work in sync with the corporate set parameters & motivating them for achieving business and individual goals. Possess excellent communication, interpersonal and relationship management skills.
Overview
15
15
years of professional experience
Work History
Assistant Manager (Revenue Cycle Management)
4D Global Medical Billing Solutions
Chennai
11.2023 - Current
- Have handled projects for all specialties like PT, OB/GYN, Radiology, Medicine, Lab, Chiropractic, Rehabilitation services, Dermatology etc. in previous concerns.
- Conversant in generating bills for reimbursement of medical facilities for patients who possess medical insurance.
- Demonstrated knowledge in the medical coding and billing; and in performing billing activities for U.S. physician practices.
- Deft in providing leadership, motivating, and training to promote maximum staff effectiveness, productivity, customer / client service and work satisfaction.
- Skilled in participating in formulating and administering department goals and strategies.
- Well versed in identifying and presenting solutions to payment obstacles and reimbursement issues.
- Proficient in managing teams to work in sync with the corporate set parameters & motivating them for achieving business and individual goals.
- Possess excellent communication, interpersonal and relationship management skills.
Senior Team Lead – Operations
Bristol Healthcare Services
Salem
01.2022 - 10.2023
- Download the charges batches from eBridge/ Filezilla.
- Allocate the paper batches and EDI Charges to the day team.
- Update the control log and cross verify for any pending batches of previous day.
- Update the FTE details of previous day for both day and night team.
- Download the AR report and allocate the work order for night team based on high dollar, Aging, and priority tasks.
- Update the trackers (Clarifications of AR and charges, high dollar claims, MR Submission and appeal submission) pertaining to day and night team, share it with the top management.
- Clarify the queries of the provider in the billing software, mostly into billing support.
- Provide training and development for newly recruited staff members.
- Prepare management reports inclusive of overall picture of the RCM.
- Conducted assessments for the existing employees and ensured they are up – to - date with news on healthcare reimbursements, policies, and procedures.
- Worked on quality audit to identify errors and correct the team.
- Coordinating with other departments (External and Internal) to implement revenue cycle strategies and initiatives.
- Prepare the deck on the trends that are identified in Charges, Payment posting, Denials, Rejections and present it to the client.
Senior Team Lead – Operations
Quintessence Business Solutions and Solutions
Coimbatore
08.2018 - 12.2021
- Allocate work order to the team.
- Clarify the queries of the provider in the billing software, mostly into billing support.
- Provide training and development for newly recruited staff members.
- Prepare management reports inclusive of overall picture of the RCM.
- Conducted assessments for the existing employees and ensured they are up – to - date with news on healthcare reimbursements, policies, and procedures.
- Worked on quality audit to identify errors and correct the team.
- Coordinating with other departments (External and Internal) to implement revenue cycle strategies and initiatives.
- Prepare the deck on the trends that are identified in Charges, Payment posting, Denials, Rejections and present it to the client.
Senior Team Lead - Operations
Wave Online Infoway Private Limited
Coimbatore
12.2017 - 07.2018
- Establishing, examining, monitoring, and measuring daily revenue cycle operations for physicians and allied healthcare professionals.
- Planning and strategizing related to automated processing of billing transactions.
- Coordinating with other departments to implement revenue cycle strategies and initiatives.
- Clarify the queries of the provider in the billing software, mostly into billing support.
- Prepare management reports inclusive of overall picture of the RCM.
- Provide training and development for newly recruited staff members (50 members).
- Conducted assessments for the existing employees and ensured they are up – to - date with news on healthcare reimbursements, policies, and procedures.
- Worked on quality audit to identify errors and correct the team.
- Allocate work order to the team.
Senior Team Lead
Navigant BPM India Pvt Ltd
Trivandrum
01.2017 - 11.2017
- Managed a team that consists of 30 members.
- Allocated work order among agents.
- Managed denial into all payer mix.
- Conducted 100% quality check.
- Worked on special projects like working on high dollar claims and self - pay uninsured bucket.
- Handled client calls and resolved issues at the prompt.
- Conducted training sessions.
- Carried out meetings with senior level management; provided feedback to the team and on improvisation of the work.
- Assigned ICD - 9 CM and Procedure codes, CPT and HCPCS.
- Conducted provider level education – made calls to the respective physicians to help them understand the latest billing updates and hence increasing the flow of revenue.
- Prepared weekly and monthly reports inclusive of payer wise payment distribution, payer wise denial summary along with the denial categories, etc.
- Send patient statements, patient calling and resolved bad address.
Level 2 Process Associate
AGS Health Pvt Ltd
04.2014 - 12.2016
- Functioned as Subject Matter Expert in workmen’s compensation / no fault carrier.
- Called other insurance carriers of US to understand denial and resolved, if possible, on call.
Senior Associate RCM
Omega Healthcare Pvt Ltd
09.2012 - 04.2014
- AR calling – made calls to US insurance companies to know claim status and obtained correct information and log it in the billing software for the analysis team to resolve issues.
Senior AR Analyst
CMPMR Pvt Ltd
07.2010 - 08.2012
- Working on AR for multispecialty hospital.
- Learned Pt Registration, Demographics, Checking Eligibility, Claims scrubbing, Rejections, Denials and AR Management.
Education
B.Sc. - Statistics
Loyola College
H.S.C -
TamilNadu Board
S.S.L.C -
TamilNadu Board
Skills
- Patient Demographics & Charge Entry
- Medical Billing
- Transmission (Front End Rejections & Claim Edits)
- Payment Posting & Correspondence
- Accounts Receivable
- Medical Transcription
- Business Transcription
- Medical Scribe
- Data Entry
- Typing Speed – 50-60 wpm
- Accuracy – 100%
- Revenue cycle management
Skills
Conversant with Internet and MS – Office Applications (Word, Excel & PowerPoint)., Medical Transcription and Business Transcription, Medical Scribe, Certified LSSYB, Data Entry, Typing Speed – 50-60 wpm, Accuracy – 100%
References
Available Upon Request
Professional Preface
A highly accomplished & result oriented professional with over 15 years of experience in: Strategic Planning & Management, Medical Billing, Account Management, Operations (Revenue Cycle Management), Process Enhancement, Training & Development, Liaising & Coordination, Relationship Management, Team Management.
Preferred Sector
Healthcare Sector
Languages
English
Advanced
C1
Timeline
Assistant Manager (Revenue Cycle Management)
4D Global Medical Billing Solutions
11.2023 - Current
Senior Team Lead – Operations
Bristol Healthcare Services
01.2022 - 10.2023
Senior Team Lead – Operations
Quintessence Business Solutions and Solutions
08.2018 - 12.2021
Senior Team Lead - Operations
Wave Online Infoway Private Limited
12.2017 - 07.2018
Senior Team Lead
Navigant BPM India Pvt Ltd
01.2017 - 11.2017
Level 2 Process Associate
AGS Health Pvt Ltd
04.2014 - 12.2016
Senior Associate RCM
Omega Healthcare Pvt Ltd
09.2012 - 04.2014
Senior AR Analyst
CMPMR Pvt Ltd
07.2010 - 08.2012
B.Sc. - Statistics
Loyola College
H.S.C -
TamilNadu Board
S.S.L.C -
TamilNadu Board