Ind Cell: +919*********

USA # 201-***-****

Email:-acpg95@r.postjobfree.com

Skype ID # Johnp1013

**, ***** *********

Bavla - 382220,

Dist - Ahmedabad

Gujarat, India

Prasanjit Sarkhel

Desire to work in competitive environment which will enable

Objective: to achieve objective of growth & development not only at

organization level but also at personal level.

Professional Premiere Business Solutions April-14

to Till Now

Experience: RCM / Medical Billing Freelancing ( Project Management )

Location - Ahmedabad, Gujarat, India & Wyckloff, NJ, USA

Premiere Business Solutions provides Medical Transcription

service and Revenue Cycle Management service to hundreds of

healthcare facilities throughout the United States. Premiere

Business Solutions has leveraged advanced technology and

proven business processes to provide services and solutions

that translate into better efficiency for healthcare

organizations.

Global Responsibilities:-

Responsible for continuous quality initiatives.

Specifically, checking client sites at start-up to ensure all

applicable coding requirements are present (ICD and CPT).

Checking fee schedules, amending additional codes and

applying additional fees for amended codes. At times,

sequencing codes to assist physician in a more timely

selection process.

Taking up new business opportunities from the clients end &

working on them personally.

At start-up, working with the physician and office staff for

the inclusion of all pertinent NDC information for the staff.

Also available to provide billing assistance during start-up

phase, as well as, ongoing problem resolution.

Present at initial start-up at client site with trainers to

discuss billing practices with physician and office staff.

Assistance to client on miscellaneous requests ranging from

credentialing, billing and ad hoc reporting.

Principle point of contact for issue resolution between

client and Premiere Business Solutions.

Responsible for drafting billing SOP for the staff for new

clients.

On a case by case basis, available as an in-house expert on

billing to assist the Sales Team with sales closures.

Intermittent interaction with third party vendor on claims

issue resolution for client claims.

Direct contact person for RCM services between Premiere

Business Solutions & Clients.

Streamlined outsourcing related functions and outsourcing

parameters.

Developed efficient workflow/process improvements to expedite

the accounts payable process.

Daily Responsibilities:-

Daily review of claims processing, claims importation and

electronic transmission functions through Billing software

for each assigned physician practice.

Daily review of Clearing Houses claims rejections for each

client.

Daily feedback to client on rejected claims. At a minimum,

weekly contact with client on any other hoc matters present

from utilization of system.

Monthly review of patient statement being sent out for all

the clients & also looking to the database of patient calls

per practices

Responsible for maintaining information on site regarding

day-to-day issues and any pertinent contact with the

practice.

Daily review of claims on the system to monitor timeliness of

claims processing from the staff.

Daily review of payments for each client to ensure revenue

target projections.

MD-Online Asia Technologies Private Limited Prior Known as

Intivia Informatics India Pvt. Ltd.

Nov-11 to To Mar-14

Account Manager - RCM Operations

Location - Vadodra, Gujarat, India

Intivia provides In Sync-EMR and Practice Management system,

Medical Transcription service and Revenue Cycle Management

service to hundreds of healthcare facilities throughout the

United States. Intivia has leveraged advanced technology and

proven business processes to provide services and solutions

that translate into better efficiency for healthcare

organizations.

Global Responsibilities:-

Responsible for continuous quality initiatives.

Specifically, checking client sites at start-up to ensure all

applicable coding requirements are present (ICD and CPT).

Checking fee schedules, amending additional codes and

applying additional fees for amended codes. At times,

sequencing codes to assist physician in a more timely

selection process.

At start-up, working with the physician and office staff for

the inclusion of all pertinent NDC information for the staff.

Also available to provide billing assistance during start-up

phase, as well as, ongoing problem resolution.

Present at initial start-up at client site with trainers to

discuss billing practices with physician and office staff.

Assistance to client on miscellaneous requests ranging from

credentialing, billing and ad hoc reporting.

Principle point of contact for issue resolution between

client and Intivia / MDol RCM.

Responsible for drafting billing SOP for the staff for new

clients.

On a case by case basis, available as an in-house expert on

billing to assist the Sales Team with sales closures.

Intermittent interaction with third party vendor on claims

issue resolution for client claims.

Direct contact person for RCM services between MD -Online &

Clients.

Streamlined outsourcing related functions and outsourcing

parameters.

Reduced outsourced aged A/R (over 180 days) by 20% points in

the first year.

Implemented multiple reconciliation procedures to preserve

the referral integrity and invoice accuracy from vendors,

resulted in recovered commissions/fees.

Developed a task force to address the Medicaid Pending

obstacles, affecting the days in outsourced A/R.

Developed efficient workflow/process improvements to expedite

the accounts payable process.

Implemented an entire revenue cycle/clinical software system,

trained staff and implement policies and procedures.

Daily Responsibilities:-

Daily review of claims processing, claims importation and

electronic transmission functions through Intivia software

for each assigned physician practice.

Daily review of Gateway claims rejections for each client.

Daily review of client's schedule to ensure the timely claims

generation of claims, as well as, the timely submission of

these same claims.

Daily feedback to client on rejected claims. At a minimum,

weekly contact with client on any other hoc matters present

from utilization of system.

Monthly review of patient statement being sent out for all

the clients & also looking to the database of patient calls

per practices

Responsible for maintaining information on site regarding

day-to-day issues and any pertinent contact with the

practice.

Daily review of claims on the system to monitor timeliness of

claims processing from the staff.

Daily review of payments for each client to ensure revenue

target projections.

Responsible for managing & heading up more than 30 + Clients

with their RCM services; responsible for maintaining the

revenue of these clients.

Handling a team of 30 + team members in to the AR, Billing &

Payment Posting.

Giving Client Demos for RCM services & PM software to the

ongoing EMR customers.

CYGNET INFOTECH (PVT) LTD.

July-11 to Nov-11

Assistant Manager - Client Services ( Medical Billing, RCM )

Location - Ahmedabad, Gujarat, India

CYGNET INFOTECH is one of the leading outsourcing companies

providing integrated IT, healthcare business solutions, both

on & offshore from its office situated in Ahmedabad (India)

& 1 locations in US & UK . CYGNET INFOTECH utilizes global

resources to cover physician's practices, hospitals, dental

groups, & third party billing companies. CYGNET INFOTECH has

dedicated staff to take care of end-to-end revenue cycle

management (RCM) service including medical coding, healthcare

billing, medical transcription, coding documentation & coding

analytics that lead into high value RCM activity, resulting

in maximized reimbursements for the clients. CYGNET INFOTECH,

an India based Microsoft Gold Partner provides offshore

software development and skilled resources to its clients in

20 countries globally. Having developed a mature global

delivery model, Cygnet has also earned ISO 9001, ISO 27001

and CMMi Level III certifications.

Responsible for day-to-day activities which consist of

Patient Registration, Claim submission, Charge entry & Cash

Posting, A/R Denial Management, A/R Collections & Follow-ups.

Job profile includes handling team for calling various

insurance companies pan US & study the status of the claims

submitted to them & acting on particular denials post

analyzing, correcting, & updating the claims as required.

Is also responsible for Patients registration & thus

collecting, processing, verification & validation of

patient's demographics, in order to submit the fresh claims

to insurance companies thru paper & thru electronic mode

using HIPAA registered insurance clearing house.

Also needs to ensure rapid & accurate entry of Claims &

Demographics entered into client's system using advanced

technology thus the claims sent to insurance companies faster

& with fewer cost.

Have to ensure that collection targets & goals set by client

are met month-on-month.

Job also requires calling patients, residing across US &

making them understand the insurance terminology & status of

the claims settlement report thus ensuring any recoverable

from patients are collected in timely manner.

Have to make sure that protocols set by HIPAA (Health

Insurance Portability & Accountability Act) & FDCPA (Fair

Debt Collection Practice Act) are endeared during the entire

process of RCM.

Daily reporting with clients based in US thru Video

conferencing, emails & thru telephonic conversation.

Daily reporting to Management thru emails & thru telephonic

conversation.

I have been assigned billing team, and have to take care of

them from first day & train them accordingly as per the

clients requirement.

I am been assigned to keep a track of Gross & Net Receivable

through various mode & post compilation, share with the CEO

& Director in the organization on Weekly & Monthly basis.

MEDUSIND SOLUTIONS INDIA (PVT) LTD. August-09 to

July-11

Senior Accounts Receivable - RCM (Revenue Cycle Management)

Location - Ahmedabad, Gujarat, India

MEDUSIND SOLUTIONS is one of the leading outsourcing

companies providing integrated healthcare business solutions,

both on & offshore from its office situated in 4 locations in

India & 2 locations US. MEDUSIND utilizes global resources to

cover physician's practices, hospitals, dental groups, &

third party billing companies. MEDUSIND have an expert teams

of CPC certified physician coders & dedicated staff to take

care of end-to-end revenue cycle management (RCM) service

including medical coding, healthcare billing, medical

transcription, coding documentation & coding analytics that

lead into high value RCM activity, resulting in maximized

reimbursements for the clients.

Responsible for day-to-day activities which consist of

Patient Registration, Claim submission, Charge entry & Cash

Posting, A/R Denial Management, A/R Collections & Follow-ups.

Job profile includes calling various insurance companies pan

US & study the status of the claims submitted to them &

acting on particular denials post analyzing, correcting, &

updating the claims as required.

Is also responsible for Patients registration & thus

collecting, processing, verification & validation of

patient's demographics, in order to submit the fresh claims

to insurance companies thru paper & thru electronic mode

using HIPAA registered insurance clearing house.

Also needs to ensure rapid & accurate entry of Claims &

Demographics entered into client's system using advanced

technology thus the claims sent to insurance companies faster

& with fewer cost.

Have to ensure that collection targets & goals set by client

are met month-on-month.

Job also requires calling patients, residing across US &

making them understand the insurance terminology & status of

the claims settlement report thus ensuring any recoverable

from patients are collected in timely manner.

Have to make sure that protocols set by HIPAA (Health

Insurance Portability & Accountability Act) & FDCPA (Fair

Debt Collection Practice Act) are endeared during the entire

process of RCM.

Daily reporting with clients based in US thru Video

conferencing, emails & thru telephonic conversation.

Daily reporting to Management thru emails & thru telephonic

conversation.

I have been assigned to handle a team of 8 agents under me,

and have to take care of them from first day & train them

accordingly.

I am been assigned to keep a track of Gross & Net Receivable

through various mode & post compilation, share with the

leadership members in the organization on Weekly & Monthly

basis.

Etech Incl.

Jan-08 To July-09

Client Support Executive - Sales

Location - Gandhinagar, Gujarat, India

Responsible for collection of the team & as well as the

client.

Collection basically included of selling new services to the

customers in US of a multinational phone company.

Is also responsible for collection in X bucket cases (Fresh

case) with the help of in-house Tele calling unit for

upgradation of phone services.

Handling extended calls of the customers & explaining them

the services & solving their queries.

Job profile includes marketing of celluar products, internet

connection upgrading the phone services.

Key Skills * End to End Knowledge Of RCM services, Good AR skills,

Better Communication Skills, Well Management Skills, Manage

A/R days (DSO), ICD9, HCPCS, Maximize Return on Billed A/R,

Strong Analytical Reasoning, Billing Compliance & Revenue

Integrity, HIPAA, Staff Development & Mentoring, Policies &

Procedures Management and implementation.

Achievements Was honored with a certificate for best performance by

Executive Director of one of US largest billing company for

an extra ordinary work in Medusind Solutions.

Was honored with a certificate as a star performer for my

unbelievable work & due to my great efforts in March 2010 &

June 2010 in Medusind Solutions.

Have successfully passed the Medicare Compliance Test in

2014.

Educational

Qualification Diploma In Engineering ( Electronics & Tele Communication )

Higher Secondary Certification - Commerce stream from Gujarat

State Education Board (Ahmedabad) in the year 2007, passed

out with 2nd Grade.

SSC Certification - General Stream from Gujarat State

Education Board (Ahmedabad) in the year 2004, passed out with

1st Grade.

Personal Father's Name - Bishwajit U Sarkhel

Details Date of Birth - 13h Oct'1988

Gender - Male

Marital Status - Single

Language Proficiency - English, Hindi, Gujarati & Bengali.

REFERENCES AVAILABLE UPON REQUEST

Language Level - 90 %

Customer Support Exp : 6 + years

Schedule Availability - Any Time as per your convenience

Contact this candidate