Office Staff Management
Resume:
Ind Cell: +919*********
USA # 201-***-****
Email:-*************@*****.***
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