Healthcare Revenue Cycle Management and Product Implementation Manager

Esha Chandra, MHA

706-***-**** *********@*****.***

EDUCATION

Medical University of South Carolina (MUSC), Charleston, SC May 2015 Masters in Healthcare Administration (MHA)

Emory University, Atlanta, GA May 2013

Bachelor of Business Administration (BBA) in Finance EXPERIENCE

Janus Health Atlanta, Georgia

Prior Authorization Implementation Manager 2023-Present

• Executed 7 Prior Auth Product Go Lives across 3 customers with various payer scopes and integration methods (RPA/API)

• Mitigate all risks with proposed solutions and recommendations to ensure on time product delivery without sacrificing quality of product

• Established consistent processes for configuration, validation, testing, and reporting across prior authorization product to allow for scalable implementations

• Lead weekly leadership meetings to foster collaborative partnerships with large healthcare organizations for successful implementations

• Analyze product performance metrics, data, and customer feedback to drive future product strategy

• Facilitated numerous trainings with customer teams to ensure daily utilization of product University of Texas MD Anderson Cancer Center (SBO) Houston, Texas Credit Resolution Supervisor 2018-2023

• Prepare and present monthly updates and key performance indicators to various levels of leadership

• Introduce automation within Epic for hospital and professional billing leading to a 45% decrease in outstanding credit balances

• Analyze and review credits dashboard weekly to provide focuses for vendors and direct reports to reduce credits AR

• Spearhead weekly huddles with team to make strategy and process improvement decisions

• Alleviate escalated patient concerns with claims, billing, and patient balances

• Monitor credit resolution staff productivity to assure departmental, unit, and individual goals are met consistently (provide training and coaching as required) Parallon (SBO- HCA Houston) Houston, Texas

Senior Underpayments Analyst 2017-2018

• Direct the Dispute Resolution Team (DRT) of 4 employees to ensure the timely and accurate reporting of $21 million to Corporate across various Managed Care payers and issues

• Remodel the dispute resolution reporting process by analyzing areas for process improvement, ultimately decreasing the reporting time spent by 60% and increasing accuracy by 90%.

• Provide the COO/CFO net revenue impact drivers for each of the 20 facilities Triage Consulting Group Atlanta, Georgia

Experienced Associate (EA) 2015- 2017

• Formulated a project plan through revenue forecasting and impact analysis in line with the client’s strategic and financial goals

• Executed trainings for new associates on Triage processes, role expectations, and daily responsibilities

• Customize complex databases and reporting tools using Microsoft Access and Excel to increase data analysis efficiency

Associate

• Analyze managed care contracts and governmental payer fee schedules to evaluate underpaid claims

• Generate models of payer specific reimbursement methodologies in Microsoft Access

• Complete comprehensive and targeted revenue audits of hospital’s patient account volume to validate client’s receipt of contracted reimbursement rates

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