Medical Billing

CIRRICULAM VITAE

SANJAY KANTE

Mobile: 903-***-****

Email: acurs0@r.postjobfree.com

Hyderabad, Telangana 500061

CAREER OBJECTIVE:

To obtain a challenging position that will utilize my skills, experience which will provide me with the opportunity for growth and advancement. Professional with hands on experience into health care industry especially in RCM cycle, Continuous endeavor in achieving short and long term goals and contribute more based on the gained knowledge/worked.

RCM WORK PROFILE:

Carrying 5+Years experience into US Healthcare Medical Billing & designated as AR Team Lead with 2.8 Years. Process Knowledge in Credentialing, Demographics, Charges, Payment posting, Rejections, Aging Report Analysis, EOB analysis, Patient calling/ generating invoice, Credit/Unapplied balance, Appeals, EFT-ERA enrollment & Registering payer websites.

CORE COMPETENCEIS:

Analyzing of provider claims (EDI & Paper) for the credibility.

Responsible for Accounts Receivable / Collections.

Timeline deliverables to client report (daily, weekly & monthly).

Work flow compliance / SLA Strategizing / planning / projections.

Leadership skills, Team Building, Evaluating Performance, Encouraging & rewarding.

Excellent knowledge of US Healthcare RCM (Physician Group and Individual Providers)

Excellent team player & ready to work in US shifts with flexibility.

WORK EXPERIENCE:

Team Lead AR with Harmony United MedSolutions, Hyderabad (June 2015 - March 2016)

Team Lead (RCM AR) with Arya Medical Billing Services (March 2014 – June 2015)

Team Lead, QA & Sr. AR Associate with Omega Healthcare, Bangalore (Jan 2012 - March 2014)

AR Process Associate with Inventurus Knowledge Solutions, Hyderabad (Nov 2010 - Dec 2011)

Responsibilities & Primary duties:

Team Lead:

Mentor a group of employees to achieve assigned productivity & quality targets by motivating employees work. Handled max team size of 30 members with different projects.

Monitor, identify and resolve performance/behavior/attendance.

Monitor and take action on personnel/disciplinary issues.

Conduct performance appraisals annually along with MSD

Review reports on a daily basis and provide constructive feedback.

Provide subject matter expertise to Quality Control Analysts in the team.

Ensure training needs of subordinates are met.

Meeting service level agreements under supervision of MSD.

To complete all clients related training and keep record of the same.

Hold team briefings on a daily basis with the team

Communicate all process and client changes to team/management.

Escalate performance related issues of team to Ops managers on a timely manner (PIP)

Act as authorized person for sanctioning team members leave

Responsible for functional supervision of work, training, development and performance

Work collaboratively with other staff, Team Leads, Managers and practice staff.

Quality Control Analyst:

To ensure that project related quality processes are followed by associates. To see that client specific metrics, internal metrics are achieved & provide coaching to employees with a track and trend data for improvement.

Participate in client calls & understand quality requirements from process perspective

Identify a method to achieve the quality targets and implement the same

Collect data on individual transactions (chart, claim, EOBs etc) on the errors

Provide face to face feedback and send emails with type of errors on daily basis

Assist in training of new staff, including work flow & system training.

Coach employees to minimize errors and improve performance

Provide inputs to training team on common mistakes to enhance training curriculum

Test files/batches for new clients/processes to be processed as part of familiarization

AR Associate Key Role:

Monitor insurance denials by running reports and contacting insurance companies to resolve, recover denied claims.

Experience in AR Follow-up / Denial Management

Worked on rejection, denial and EOB analysis

Managing AR on the basis of Aging Reports

Identifying issues holding up the claims

Filing Appeals

Payment Posting

Patient calling

Checking Insurance Eligibility

Generating Reports

PROFICIENCY:

Strong written & oral communication skills.

Intrinsic leadership, time-management and multi tasking skills

Good knowledge of excel and word.

Billing Software: Nextgen, ReliMed, Allegiance MD, Citrix, Medman, RDP

Windows OS & troubleshooting issues

Remote Desk Top: Citrix Software, VM Ware & Windows Admin

Packaging/Customizing software’s with tools - Admin Studio, Install Shield & App V

EDUCATIONAL QUALIFICATIONS:

B. Tech (E.E.E) from JNTU - Aurora College of Engineering (2004 - 2008).

Board of Intermediate from Narayana Junior College (2002 - 2004).

S.S.C from Board of Secondary Education - Johnson Grammar School (I.C.S.E) - 2002

Thank you,

(Sanjay Kante)

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