Suraj Shinde

Oversaw EVBV/Auth processes and denial management, resolving EOB denials to improve collection outcomes.

• Monitored key performance indicators (KPIs) such as Days in AR, denial rates, and collection ratios, and implemented improvement strategies.
• Drive process improvement initiatives to optimize billing efficiency and reduce revenue leakage.
• Led the implementation of a new project with new staff, emphasizing planning and execution.
• Reviewed weekly and monthly denial reports to identify root causes and implement solutions.
• Developed staff skills and knowledge to strengthen team capabilities and performance.
• Conducted regular audits to ensure process compliance and documented updates accurately.
• Facilitated interdepartmental communication to improve service delivery and operational collaboration.
• Led team meetings to discuss operational challenges and propose solutions.
• Collaborated with management on developing strategic plans for achieving business goals.
• Generate various reports to analyze project status and communicate findings to clients.
• Prepare and present MIS reports, dashboards, and operational insights to senior management.
• Support automation and system enhancements (e.g., billing software, EMR/EHR systems).
• Ensure compliance with healthcare regulations, payer guidelines, and internal SOPs.
• Ensure accurate documentation and adherence to quality standards across all RCM processes.
• Managed multiple projects while leading a large team, ensuring adherence to project timelines.

• Managed large team, ensuring high performance and productivity standards.
• Conducted independent project work, gathering vital information from subject matter experts.
• Maintained daily attendance records and managed client ID creation and access.
• Approved all access and change requests for organization processing applications.
• Oversaw production floor operations, addressing process and personnel issues.
• Resolved escalated service delivery issues, reporting potential problems to management.
• Identified team skill gaps, assigning training courses and developing individualized plans.
• Published daily and weekly performance reports for clients and management.
• Managed daily operations to ensure efficient workflow across departments.
• Implemented process improvements to streamline operations and increase productivity.
• Facilitated communication between departments to resolve issues promptly and effectively.

• Trained and mentored 15-25 new associates every three months, monitoring their progress and performance.
• Developed training modules and managed online training initiatives through organizational tools.
• Coordinated and conducted comprehensive healthcare process training, including HIPAA and FWA specifics.
• Handled client ID creation, system navigation, and maintained daily attendance records.
• Published timely daily and weekly reports for clients and management.
• Addressed queries and escalations from onshore teams, ensuring effective communication.
• Reviewed and revised training materials as necessary per instructional design standards.
• Monitored quality, provided feedback during training periods, and published all process training reports.