Balaji Andrews

Email : ac5h9h@r.postjobfree.com

Mobile : +91-979-***-****/+91-814*******

Objective:

Seeking for a challenging carrier where I can manage & do Business developing to produce effective results with key roles of performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, Foster Teamwork, Handles Pressure, and Giving Feedback.

Experience Summary

Have 10 years of experience in Us healthcare industry

Experience in Strategic analysis, WFM (Work Force Management), People engagement, planning & budgeting, SLA management, Denial Management, KPI Management.

Have Good Exposure to MACRA – MIPS & Clinical Documentation Audit (Family Practice, Radiology)

Client Interaction & Retention, Transition & Operation management,

Pursuing Master in Lean Six Sigma Black belt & Green Belt (LSSBB)

Pursuing Lean Six Sigma in Healthcare

Good at result-oriented task and has proven track record for achieving monthly target consistently.

Experience in content writing & SEO, e-mail marketing & chat.

Have Basic knowledge in C Language & HTML.

Excellent problem solving, analytical, communication and leadership skills, organization skills.

Quick in innovative & advanced module & adaptive & learning efficient towards new technology.

Education

B.E in Anna University

Certifications

CCAT Certified Under AAHAM

Certified Leadership & Managérial skills training program with GROW

Technical Skills

Strategic Analysis & Problem solving, Client interaction, Transition, mangement skills

People Management, work force management, planning & budgeting.

SEO, SMO, E-marketing, Content writing, Basic HTML & C language.

Software worked

Nextgen, Miysis, Eclinical Works (ECW), Raintree, Medrium, healthfusion Medi-touch, Office Ally, Kareo, Nextech, Advanced Md, Netgen.

Professional Experience

Currently working as Manager in Isource I.T. Enabled Services Pvt.Ltd, since FEB 2017

Being as Director in Gracetnc Since April 2015 till Jan’2017 (Organization was closed due to financial crush).

Worked as Account Manager in Visionary Rcm Info tech, Since Sept. 2013 till Oct 2014.

Worked as Team Leader from Mar 2013 to July 2013 In fore support.

From Oct 2010 Till MAR 2013 worked in Inventurus Knowledge Solution (Hyderabad) and played a role of Team Coach .

In Early 2008 Joined in Ajuba Solutions as a Trainee Associate worked till Oct of 2010.

Work Experience

iSource I.T. Enabled Services Pvt.Ltd, - Medical billing & Transcription service organization which creates business opportunity & boost your reimbursements of client across United states, other European countries by providing general transcription services.

Currently overseeing Operations & Transition along with business development.

Have team of 75 which includes Operations & Transition.

Being successful in transition and operations in achieving set monthly revenue target & quarterly transition target by bringing new clients.

Have great exposure in Planning & budgeting & good exposure towards MACRA-MIPS.

Have Exposure in Clinical Document Audit (Specialty: Family Practice, Radiology, And Urgent Care)

Have great exposure in Lost Revenue Recovery Audit (LRRA), Client Retention & Interaction. Been very successful in implementation and execution

Excellent leadership skills in Framing work direction & plan.

Capability to Set-up targets, SOP & SLA, setting and maintaining CTQ (Critical to Quality) / CTP (Critical to Process) targets and involved in planning for the process.

Drive Benchmarking and Best Practice sharing initiatives across the organization.

Implemented successfully Bell curve module and Six sigma Team management.

Reduced stress among the employees & maintaining great efficiency level as well boosted the morale of the employees

Gracetnc We provide End to End billing services like " Demographic, Coding, Charges & payments, Old ARF/U, Patient In-bound Queries & Customer support in Home alarm, water survey projects in North America.

Since April 2015 till present (officially Gracetnc got declared only in the month of July 2015)

Role and Responsibilities

Direct and control the work and resources of the Company and ensure the recruitment and retention of the required numbers and types of well-motivated, trained and developed staff to ensure that it achieves its mission and objectives.

Prepare a corporate plan and annual business plan and monitor progress against these plans to ensure that the Company attains its objectives as cost-effectively and efficiently as possible.

Develop and maintain an effective marketing and public relations strategy to promote the products, services and image of the Company in the wider community.

Good at people management & Engagement, recruitment & appraisal.

Searching for the best chance to work with our customer and demonstrate our best. Gracetnc, we offer administration and give administrations to our customers/clients and am certain any client/customers will appreciate to be work with us.

Had team of 35 who been trained in US healthcare & customer support.

Excellent communication & organisational skills.

Good at transitioning process & work force management

Good at client retention & interaction.

Have proven track record of stregenthining team towards industry standard & client SLA.

Good in planning and execution

Have good vendor management skills

Have good Business Perspective – a conceptual understanding of the business.

Visionary RCM – Embracing a hybrid model that caters to the requirements of the global market, VRCM concentrates application and functional expertise located both onshore and offshore where we leverage best practices and economies of scale for the benefit of multiple clients. Our highly-skilled workforce is trained in a consistent client delivery approach that emphasizes value, and enables clients to focus more on their core competencies. Embracing a hybrid model that caters to the requirements of the global market, VRCM concentrates application and functional expertise located both onshore and offshore where we leverage best practices and economies of scale for the benefit of multiple clients.

Role and Responsibilities

Handled Team of around 75 Staff including a Team Lead and a Group Co-coordinator with QC’s.

Have good exposure in end to end billing from Demos, charges, payment posting, AR follow up, denials & PT- AR.

Have successfully transited higher volume of accounts and have cascaded the same to team in very under stable standards.

Very strategic oriented & have executed plans without fail.

Have driven team towards clients SLA & target

Have developed and trained people as per the industrial standards.

Good at client retention & interaction.

Good at people management & team management.

Have brought in new ideas for Internal Job promotions which have motivated staffs under our team and have reduced the industrial cost.

Have developed good work culture, where all our staff have comfortable environment and learn new concepts in the domain, which actually prompted “work & learn “platform.

Fore support, assist providers, clinics and hospital in handling their rejected physician claims & hospital claims. Also supports in Eligibility and benefit verification of the patients where the appointments are scheduled for the visit.

Role and Responsibilities

Handled Verification team of (40) members.

Mentoring the team production and ensuring client TAT is met in verification process.

Monitoring team accuracy and focusing on billing collection via weekly reports.

Ensuring process accuracy is maintained well and there are no client escalations.

Controlling absenteeism & attrition managed & developed good asset to work under any critical environment.

Inventruus Knowledge Solution a comprehensive suite of services designed to optimize the technology that clinicians and staff rely on to run the practice and provide care. IKS PRACTICE delivers the enterprise intelligence that clinical team needs to track and improve results at the physician, practice and network levels.

Roles & Responsibilities:

Joined Inventruus as Specialist and worked on Denial management and Cash acceleration and was a part of second level escalation team.

Was promoted as team coach & handled team size 40 involved more in team mentoring, monitoring, motivating.

Self-driven and predominant decision making.

People Management with mentoring, taming, motivation skills.

Team grooming with intension of shaping bottom performers to above and average level grade performers.

Ajuba Solution, Company focused entirely on Revenue Cycle Management and Collections Services to healthcare providers, we fully understand the challenges faced in this industry. Provides end to end Revenue Cycle services for seamless revenue generation.

Roles & Responsibilities:

Joined the team as Trainee Associates and had good hands on experience in AR denials.

Developed skills to work under complex environment and proved my best in terms of revenue generations.

Was very self-driven and educated my-self with healthcare terminologies and software to work under any critical environment?

Was a mentor to many of trainee staffs & have proven skills to bring better outcome.

Working on Denial Managements & Payment Posting

DECLARATION

Here by I declare that the above mentioned information is true to my conscience.

Balaji M Andrews

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