Vikrant Kumar
Roorkee
Summary
Over a decade of experience specializing in Revenue Cycle Management. Excel in optimizing medical billing processes and enhancing revenue performance. Expertise in Robotic Process Automation, denial management, and fostering strong payer relationships across specialties like DME, mental health, and hospital billing. Proficient in utilizing leading PMS tools such as eClinicalWorks, CMD, Cerner, and more. Skilled at implementing automation strategies, increasing collections, and effectively leading diverse billing teams.
Overview
11
11
years of professional experience
Work History
RCM Expert
Clinic Billing Solutions
08.2024 - Current
- - Leading RCM strategy and execution for diverse healthcare clients.
- - Oversee claims processing, denial resolution, and full-cycle collections.
- - Deploy eCW, CMD, and Cerner for end-to-end billing workflows.
- - Use RPA tools and reporting analytics to drive improved revenue capture and efficiency.
- Worked effectively in fast-paced environments.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Paid attention to detail while completing assignments.
- Managed AR for 9 Clients along with intakes
Operations Support System Specialist
Trek Health
11.2022 - 08.2024
- - Delivered back-end RCM support and claims optimization for healthcare providers.
- - Reduced A/R over 120 days from 15% to 6% through denial analytics.
- - Introduced RPA tools to minimize manual errors and improve turnaround times.
- Identified opportunities for process improvements by analyzing user feedback and monitoring key performance metrics closely.
- Conducted regular system audits, ensuring compliance with industry regulations and company policies.
- Troubleshot critical issues swiftly, maintaining a consistently high level of system performance and reliability.
- Mentored junior team members in best practices for system administration, fostering a supportive learning environment.
Senior Team Lead
Unify Healthcare Services
08.2018 - 11.2022
- - Supervised medical billing teams across specialties.
- - Led onboarding for EDI/ERA and insurance payer communication systems.
- - Executed revenue recovery plans based on denial trend reviews.
- Documented counts and sorted finished work to promote easy access for shipping or additional processing.
- Successfully completed projects within deadlines, ensuring timely delivery to clients without compromising quality standards.
- Conducted regular performance evaluations for staff members, providing constructive feedback and outlining areas of improvement.
- Provided ongoing support and guidance to junior staff members, nurturing their professional growth and development.
Subject Matter Expert
Knack Global
04.2014 - 07.2018
- - Developed training modules for billing teams.
- - Improved claim approval rates through internal audits and coding compliance.
- Streamlined processes to increase efficiency, enabling teams to complete tasks ahead of schedule.
- Generated reports detailing findings and recommendations.
- Managed complex projects from inception through completion, delivering high-quality results within tight deadlines.
Education
B.E. - Chemical Engineering
06.2017
A.S. - Physics, Chemistry, Mathematics
04.2013
High School Diploma - Mathematics and Computer Science
03.2011
Skills
- - Revenue Cycle Optimization & Analysis
- - Denial Management & Claims Recovery
- - Medical Billing (Multi-Specialty)
- - Robotic Process Automation (RPA)
- - ERA/EDI Configuration & Enrollments
- - Client Communication & Relationship Management
- - Business Intelligence for RCM
- - Team Leadership & Workflow Management
- Practice Management Systems: eClinicalWorks (eCW), CMD, Cerner, Brightree, Nikko Health, Bflow, DrChrono, Simple Practice, MedConnect, Trek Health, Waystar, Trizetto, Change Healthcare, Claim MD, Charm EHR, Office Ally, IntakeQ, Athena
- Teamwork and collaboration
- Problem-solving
- Time management
- Dependable and responsible
- Computer skills
- Organizational skills
Timeline
RCM Expert - Clinic Billing Solutions
08.2024 - Current
Operations Support System Specialist - Trek Health
11.2022 - 08.2024
Senior Team Lead - Unify Healthcare Services
08.2018 - 11.2022
Subject Matter Expert - Knack Global
04.2014 - 07.2018
Chandigarh University - B.E., Chemical Engineering
Darshan Academy - A.S., Physics, Chemistry, Mathematics
SGN International School - High School Diploma, Mathematics and Computer Science
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