Manager Medical Billing

Y RATHNAM

Mobile: +91-996******* *: ***********@*****.**.**

Medical Billing – Account Receivable Collection & EMR Process & Operations Project Management

PERFORMANCE PROFILE:

Overall have 16+ years of experience in Medical Billing – Charges, Payments, Collections and EMR. Profound knowledge of developing and handling healthcare operations. Have good track record of supervising billing staff and handling monitoring processes and staff training needs.

Key strengths include:

• Documented success in executing all operational aspects of Patient Charges, Payments, Collections and EMR (Electronic Medical Records)

• known for establishing clearly defined department and individual goals and objectives and communicate them to billing staff

• Demonstrated expertise in resolving issues related to the process

• Knowledge on Six Sigma GB, Lean and SPS

AREAS OF EXPERTISE

Mentoring Performance of Metrics

Training & Development

Project Management

Mentoring & Coaching

Root Cause Analysis

EDUCATION

Bachelor of Science (Physics) from Loyola College, Chennai – Apr 2001

CERTIFICATIONS AND TRAININGS

Certified ISO Internal auditor (TCS)

Certified on “Fundamental of Leadership Skills” from OnTrac (4 Star)

Undergone multiple trainings on:

SPS, LEAN and Six Sigma GB

CBI (Competency Based Interviewing) skills

CAREER CONTOUR

Organization

Designation

Duration

Amvik Solutions Pvt Ltd

Account Manager

Aug 2016 – Mar 2018

Dell International Service Pvt. Ltd, India

HC & Insurance Ops Supervisor (Asst Manager)

Aug 2010 – May 2015

TATA consultancy services, India

Process Executive

Aug 2008 - Aug 2010

Boavista Business Solutions Pvt. Ltd, India

Sr. Executive – Quality Control

Jul 2004 - Jul 2008

Perot Systems, India

Financial Transaction Executive

Nov 2001 – Jul 2004

KEY DELIVERABLES

Amvik Solutions Pvt Ltd Account Manager

To assure timely collection of monies due to the corporation

Monitor and report on deviations from credit standards

Responsible for timely and accurate invoicing to the clients

Manage cash application making sure all cash receipts are applied properly

Conduct credit checks on all customer, establish and manage limits

Weekly reporting of invoicing totals/aging totals/cash receipts/invoice adjustments

Weekly and monthly calls with clients to discuss on the updates and issues

Periodic review with Jr.Account Managers on their respective accounts

Responsible to communicate goals and job appraisal to team members

Responsible for providing orientation to new employees, scheduling of work and special tasks to members

Handled a team of 20 members

Dell International Services HC & Insurance Ops Supervisor

To take complete ownership and manage multiple teams to client deliverables

Set productivity standards and communicate to all team members and Team leads

Facilitate and monitor quality standards for the team members

Address all operations/staffing issues in the shifts

Process client request, complaints and concerns on priority basis

Measure TL and team member performance by using performance parameters

Periodically review account performance and chalk out plan to meet needs of the client

Innovate to optimize production and constantly improve production, quality and TAT

Participate in and contribute to client calls, management meetings and department meetings

Access and forecast staffing requirement based on client communication and incoming volumes

Bi-weekly/Monthly review with TL’s on the team’s performance

Handled a team of 90 members

Tata Consultancy Services (TCS) Process Executive – BPO 3

Handled a team of 15 members

Training the team members about the process, applications & SLA

Tracking the Productivity report of the team members in the Daily, Weekly & Monthly client reports

Handling the internal & Clients Mail and answering their Queries

Maintaining the SLA s of the process

Knowledge transfer within the process

Allocating the database to the associates based on their Skill and experience

Encouraging the team to achieve 100% production and also maintaining the team cooperation

Conducting one to one session with the team in the weekly basis to increase the team working ability

Facilitating learning and training development program

Coordinating and participating in the TCS internal activities with the team members

Preparation of Root cause Analysis reports and updating the Casual Analysis for the process

Boavista Business Solutions Pvt. Ltd Sr. Executive – Quality Control

As a QA TL,need to check the Quality process flow and to improvise the process

Involved in collecting Updates from the client and preparing client profiles

Communicating with clients regarding various issues by sending Memos or thru Emails

Ensure that Turnaround Time (TAT) for clients is within Service Level Agreement (SLA)

Ensuring that priority and completed files are updated in the client server

Responsible for meeting month end and other deadlines as set by the client

Responsible for submitting Month End Reports and Pending Problem logs to the client

Regular Teleconference will be made with the client on various Client issues

Preparing error and production reports of Entry and QC members

Perot Systems Financial Transaction Executive

Monitoring the workflow and allocating batches to the team members

Supervise team members to ensure accurate and efficient processing

Maintain production & quality statistics of team members

Involved in corrective and preventive action and give regular feedback to the team members

Communicating with clients regarding various issues and updates the same to the team members

Undertaking training and refreshers to the Team Members

Uploading the completed files in the client server

Ensure that Turnaround Time (TAT) for clients is within Service Level Agreement (SLA)

PASSPORT DETAILS

Name as on passport

Relationship

Passport Number

Date of Re -Issue

Expiry Date

Place of Issue

Y Rathnam

SELF

H9982340

23/04/2010

22/04/2020

Chennai

References are available upon request

Contact this candidate