Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Languages
Timeline
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Sunil Kumar

Sunil Kumar

Hyderabad

Summary

Energetic Training and Development professional versed in developing and implementing improved training programs to improve performance. Success driving participation by leveraging employee incentives, employing engaging training methods and implementing team-building activities to meet training needs. Bringing 9 years of US Healthcare RCM expertise, including proficiency in Cerner and Meditech.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Specialist Trainer

R1 RCM Global Private Limited.
Hyderabad
05.2019 - Current
  • Experience in RCM training and documenting training programs
  • Excellent knowledge of US healthcare and the RCM process.
  • Experience in training multiple and large batches
  • Strong Product and Process knowledge
  • Experience in creating and developing training content such as modules and process SOPs
  • Experience working with a variety of medical billing software.

Senior Analyst

Cognizant
Bengaluru
11.2016 - 02.2018
  • Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
  • Maintained detailed records of all claim activities including correspondence, decisions, payments.
  • Reviewed denied claims for errors or omissions before finalizing decision notices.
  • Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims.
  • Resolved customer complaints related to insurance claim processing.
  • Investigated suspicious or fraudulent claims and reported findings to management.

Senior Associate

HGS
Bengaluru
04.2014 - 08.2016
  • Reviewed and processed incoming claims to determine applicable coverage.
  • Utilized various software programs, databases, and other resources to obtain necessary information for claim processing.
  • Monitored assigned caseloads for timely resolution of claims.
  • Analyzed medical records to verify diagnosis codes and services rendered.
  • Identified discrepancies in claim information and requested additional information from claimants.

Administrative Assistant

Chaitanya IFMS
Bengaluru
09.2013 - 04.2014
  • Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
  • Responded effectively to sensitive inquiries or complaints.
  • Scheduled appointments, meetings and events for management staff.
  • Answered questions from customers regarding products and services offered by the company.

Education

BCA - Computer And Information Sciences

Bhandarkars' Arts And Science College
Kundapura
09-2012

Skills

  • Medical Billing process
  • AR and Denial Management
  • Payment Posting
  • Hospital Billing and Physician Billing
  • Cerner Patient Accounting
  • Meditech Patient Accounting
  • Microsoft Office 365
  • SQL

Certification

  • TTT from Silver Brook Learning Center
  • Lean Six Sigma Green Belt(ICBB) from Star Agile
  • Certified Scrum Master (CSM)

Accomplishments

  • Top Gun Award
  • R1 Star Award

Languages

  • English
  • Hindi
  • Kannada

Timeline

Specialist Trainer

R1 RCM Global Private Limited.
05.2019 - Current

Senior Analyst

Cognizant
11.2016 - 02.2018

Senior Associate

HGS
04.2014 - 08.2016

Administrative Assistant

Chaitanya IFMS
09.2013 - 04.2014

BCA - Computer And Information Sciences

Bhandarkars' Arts And Science College

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Sunil Kumar