Vinay Kumar Yadav

A Seasoned professional with total 14+ years of experience in multinational organizations, 11+ Years of experience in US Healthcare industry. I am complimented by great business acumen to provide efficient management of corporate operations and business changes, For the purpose of delivering significant transformations, I carefully consider business and technological issues. I also concentrate on improving operational efficiency and influencing executive level leadership. Throughout my career, I have demonstrated a strong track record of delivering results by implementing best practices, leveraging technology solutions, and streamlining workflows. I possess comprehensive knowledge of AR follow up, Denial management, medical billing, compliance regulations, and industry standards, enabling me to develop and execute effective revenue cycle strategies tailored to specific organizational needs.

• Father's Name: Late Ramkawl Yadav
• Date of Birth: 01/15/1982
• Nationality: Indian
• Marital Status: Married

• Decision Making: Capable of making decisions within established parameters, considering relevant factors and making sound choices to achieve desired outcomes.
• Extensive experience in: US healthcare with knowledge of end-to-end RCM business cycle, Denial management and AR follow-up, medical Billing, Driving productivity, reducing rework and process improvement
• Denial Management: Expertise in developing robust denial management programs to reduce claim denials and appeals, resulting in improved collections and a reduction in accounts receivable days.
• High-Quality Work: Consistently deliver work of high quality, characterized by precision, thoroughness, and attention to detail.
• Adaptability: Demonstrate flexibility and openness to new ideas and responsibilities, adapting to changing circumstances and embracing new approaches when necessary.
• Customer Focus: Dedicated and passionate about exceeding the expectations of both internal and external customers. You prioritize accuracy, efficiency, courtesy, and professionalism in your interactions.
• Communication and Problem-Solving: Strong communication and problem-solving skills, enabling you to effectively convey information, collaborate with others, and resolve issues. You can articulate ideas clearly and find solutions to challenges.
• Motivation and Resilience: Ability to motivate others and work effectively, maintain a positive attitude, demonstrate resilience in the face of challenges, and inspire and encourage your team members.
• Interpersonal Skills: Excel in building effective relationships and demonstrate strong interpersonal skills. You establish rapport with others, communicate effectively, and collaborate with colleagues, stakeholders, and customers.
• Assuring client pleasure by meeting service quality standards
• Ensure cost effectiveness in the work process and a high level of job efficiency.
• To maintain smooth and effective operations, staff planning, roster control, and monitoring are used.
• Attrition control, retention plan, empowerment, and continual growth of employees through learning and development

• High School from U.P. Board in 1997.
• Intermediate from U.P. Board in 1999.
• Graduation (B.A.) from Deen Dayal Upadhyay University Gorakhpur in 2002.
• Post-Graduation (M.A) From Purvanchal University Jaunpur in 2004

Process transitions- Got opportunities to be a part for process migration from onshore (including staff planning, SOPs, training, production ramp-up, and quality assurance), I've gained valuable knowledge, experience, and abilities to adjust to any changes and perform better.

Clean claim Rate:- Monitoring and improving the clean claim rate involve various measures, such as implementing accurate coding practices, ensuring thorough documentation, training staff on proper claim submission procedures, and staying updated with insurance industry regulations and requirements. 

Regular analysis of claim denials and rejections can help identify areas for improvement and implement corrective actions to enhance the clean claim rate. 

Denial and rework reduction-working on a project for to reduce rework that will benefit the business the reduce time, increase productivity, will reduction in payment cycle of the claim. Recently selected for R1 Exchange program -R1 Exchange is a global, experiential learning program, aimed at solving business challenges in collaboration with cross-functional teams.