Summary
Overview
Work History
Education
Skills
Timeline
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Yadhu KUMAR.

Yadhu KUMAR.

Director, Revenue Operations
Bangalore

Summary

To translate my knowledge, strengths and experience into professional expertise and utilize the same to enhance my performance for the betterment of the company. Also, to know the objective of the organization, learn latest technologies and utilize the knowledge to achieve the desired task of the organization. I am Sincere, Energetic, Successful Leader, Efficient Trainer, Creative thinker & Result-oriented person & confident of performing any assignment with hands-on experience in mass facilities seeking a responsible and challenging position in esteemed organization and give the best of my abilities to my employer.

Dynamic Director oversees every facet of production with strong project management and decision-making skills. Brings comprehensive knowledge of production writing, planning and technical operations. Skilled at coordinating production plans and personnel resources to complete work under tight deadlines.

Overview

21
21
years of professional experience

Work History

Director Revenue Operations

Greenway Health India Pvt Ltd
Bangalore
11.2021 - 03.2023
  • Business model - Design the right culture & organizational structure to manage a portfolio of new business ideas
  • Vendor Management – Co-ordination with vendors to ensure excellent service to customer, also onboarding vendors, training to use the platforms and engaging with vendors for improved profitability
  • Worked closely with organizational leadership and board of directors to guide operational strategy.
  • Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
  • Monitoring the overall functioning of Revenue Cycle Management
  • Create a vision that supports exceptional experiences for our customers while ensuring data integrity and compliance across billing, finance, regulatory and reinsurance
  • Participated as appropriate in continuing education programs and activities that pertain to health care management specific functional areas
  • Manage claims production to achieve and exceed operating goals, service level agreements and regulatory, legal, compliance and audit standards
  • Implement, analyze and report on key factor reports for tracking and managing the performance of the department
  • Ensuring company billing practices adhere to applicable governmental and payor regulations and policies
  • Collaborating with departments to prepare for acquisitions and assimilate acquired businesses into the billing and collection processes and procedures
  • Ensure proper controls are in place and operating effectively for all onboarding and billing activity to comply with internal and external control requirements in order to minimize company risk
  • Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact patient accounting
  • Manage and direct the team to meet the goals and timeline expectations of senior management
  • Provided additional expertise and support for other continuous improvement efforts within the organization as needed
  • Responsible for the timely submission of claims monitoring and follow-up
  • Establish core applications, tools, workflows and underlying platform designs for Inception and Updates to drive innovation and optimize Financial Advisory experience in delivering advice
  • Manage the portion of billing that relates to AR cash/payment posting Knowledge of commercial payer and commercial payment activity and related healthcare terminology
  • Monitor on Month End closing of the billing group information

Senior Manager - Service Delivery

Omega Healthcare Management Services Pvt ltd
Bangalore
03.2006 - 10.2020
  • Monitoring the overall functioning of Revenue Cycle Management
  • Expert knowledge of client’s business and process knowledge
  • Planning on Monthly projections and staffing Vs work volume on financial aspects
  • Devising Work Force Management identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
  • Devising project plan, service level agreements and detailed training schedule
  • Mapping and documenting processes from high level documents, training offshore staff
  • Preparing MIS reports & other statements with a view to apprise management of the process operations and assist in critical decision-making process
  • Project monitoring and suggesting corrective and preventing actions
  • Successfully transitioned the existing client which had quality issues paying penalties of 30% of the revenue for 5 months consecutively
  • By identifying the areas of improvement and implementing the adequate measures successfully improved the team quality & meeting client’s requirements in 45 days stopped paying penalties
  • Gained expertise in client query resolution and handling escalations
  • Log’s preparation & maintenance of various matrices (Production & quality log, Capacity planning, Staffing, Attrition & Shrinkage) and planning accordingly as per the business goals
  • Conducting interviews & annual appraisal reviews
  • Revitalized a stagnant business through sharing best practices and pulling the team towards better functionality and results
  • Ability to relate to people at all levels with utmost ease and professionalism and deliver expected results
  • Assigning daily targets based on actual inflows, tracking and periodically reporting efficiency levels of individuals including production efficiency & quality
  • Interaction with clients for latest updates, requirements and obtaining performance feedbacks on behalf of the team
  • Assisted in the development, implementation and maintenance of reports associated with the collection, retrieval, accessibility and usage of information for Medical Groups
  • Worked on multiple projects simultaneously, this included establishing work plans and time lines and coordination with internal and external sources
  • Hosting events in organization level on monthly basis
  • ONSITE SUPPORT, :
  • Successful multiple clients visit & transitioned work with strategic approach
  • Successfully transitioned tribal knowledge on few of the accounts
  • Successfully transitioned clearing house rejected claim process
  • Daily, weekly & monthly report to client depicting the progress & trends
  • Ingeniously handled aging of accounts while migration accounts from one Practice management system (PMS) to another impeccably
  • Part of creating training module, along with training team
  • Module was very much appreciated as it resembled the same which was followed by Greenway training team internally
  • Strategical approach on Hiring talents & closely monitored training cycle helped seamless delivery of production & quality
  • Implemented modules through technology which enhanced the productivity up to 20%, same was acknowledged & appreciated by Greenway
  • Clubbed with internal software development team to create tool to capture vital information to auto generate reports, resolution details & trends
  • Managed large-scale projects and introduced new systems, tools, and processes to achieve challenging objectives.

Data Base administrator

Tejas info solutions pvt ltd
11.2001 - 01.2006
  • Maintain backup of the data and recovering the database
  • Responsible for the installations of the software and configuration
  • Has to create new database records for any updates in employee history
  • Responsible for designing the database schema and data objects
  • Works and co-ordinates with the system admins and resolves issues arising
  • Makes sure that the security is not breached, to protect the data or information

Education

Bachelor of Computer Applications -

diploma - computer science & engineering

Skills

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Timeline

Director Revenue Operations

Greenway Health India Pvt Ltd
11.2021 - 03.2023

Senior Manager - Service Delivery

Omega Healthcare Management Services Pvt ltd
03.2006 - 10.2020

Data Base administrator

Tejas info solutions pvt ltd
11.2001 - 01.2006

Bachelor of Computer Applications -

diploma - computer science & engineering

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Yadhu KUMAR.Director, Revenue Operations