RESUME

HEMA JESWANI

# * ****** ***** ****.

WATER CANAL ROAD,

KOLATHUR

CHENNAI -600099.

E-mail: adbb92@r.postjobfree.com Mobile: 893-***-****

Career Objectives:

Seeking a position to utilize my experience and abilities in an organization that offers professional growth while being innovative, resourceful, and flexible.

Professional Summary:

15 years of experience in Operations, Revenue Cycle Management (US Healthcare) and RCM

Rich experience in Project Management, Client Relationship Management, Training and Optimization of project.

Have intensive knowledge in Multi specialties of revenue cycle management and a good comprehensive knowledge of RCM which includes medical claim rejections, denials, medical coding and cash posting, patient collection.

SKILLS, COMPETENCIES AND EXPERIENCE

●Demonstrated skills and ability to promote services and secure key accounts to maximize company profits.

●Established controls and processes resulting in effective delivery of SLAs

●Excellent focus on planning with team building and project management.

●Innovative and self-directed individual with sound communication and interpersonal skills.

● Expertise in leading cross-functional team towards higher productivity and minimize operational costs.

● Confident, balanced sound decision maker with strong leadership qualities and effective problem solving skills.

Currently working with Amvik solutions as an Account manager from June 2017 till date.

●Managing 8 projects for Multi specialties, verification demo/coding/charge/cash posting/AR follow up/ Pre collection. .

●Ensure over all clients satisfaction & maintain the TAT metrics at 24-48 hours as per SLA.

●Responsible to take decision with regards to project confirmation by considering the manpower.

●Responsible to take over the clients calls, training along with team & management on weekly basis.

●Responsible on preparing POA whenever an issue arises on quality and in turn need to monitor if the POA is effectively followed by the team.

●To maintain the value of AR over 90 days at less than 5%of the total AR.

1. Worked with Techindia Infoway Pvt.Ltd as an Asst. manager from May 2014 till Jan 2017.

Managed 4 team leads with the capacity of 45 FTE across all the process.

Handled the account receivable team, monitoring day to day work flow ( production & quality )reporting to the management.

Sending reports (production, quality, client’s weekly production commitment on a daily weekly and monthly basis to client service specialist, voice head, line head, quality head and operation manager.

Ensure to monitor the daily work flow of the team according to clients priorities.

Responsible to interact with the client on their expectations.

Managing the team in terms of attendance, production, quality statistics &attrition.

Previous Employment:

2.Worked with Ceequence Technologies Pvt.Ltd Designated as “Team Leader” from April 2012 till April 1 2014.

Job profile:

●Client Relationship Management

●Credentialing on behalf of providers.

●Team Target and overall meet client expectations.

●Manage all aspects of ongoing performance improvement – product knowledge, coaching, reporting.

●Regular client interaction to be in pace, effective process deployment & improvement

●Successful project knowledge transfer to the team making sure the TAT & quality are adhered effectively & efficiently

●Effective role in internal quality audit

●Handling the training division of our concern, in terms for transferring domain knowledge, process knowledge, and project knowledge.

●Involvement in recruitment of right candidates for the team

●Handling internal issues/appraisal related to employees.

Software: WebABA, Tiny Term, Medi-sys50, Med 2000, HMP, Medisoft, Alteer, Medigain, Epic and Alegra software, TS100.

3) Worked with “E4E healthcare business services Pvt.Ltd” Designated as “Team Leader” from Feb 2010 till March 31-2012

Projects Handling:

●University of Utah health care hospitals & clinics. (Worked on hospital billing)

●Life watch Services Inc.

4) Worked for “All Zone Management Pvt. Ltd” in Provider Billing, Collections etc., Designated as Team Leader – (April 2008- Dec 2010) US Healthcare ITES BPO.

●3 Professional billing Clients across US (NY, Florida and California)

●Client Relationship Management.

●Monitor Process, monitors Service Level Guarantee.

●Client’s complaints/queries and effective implementation of preventive actions

●Maintaining the Accounts Receivable Dashboard, this helped the management in making accurate and informed decisions. Structured planning and process in production

●Monthly revenue tracking & billing

●Monthly review conducted for analyzing the progress of collections of each client

●Prepare daily, weekly, monthly, quarterly reports for management.

●Oversee adherence to developed Service Quality Plans for Billing and AR..

●Efficient Team Handling & coordinating with team on achieving Company goals, providing Training to new team members in both domain & project.

●Excellent organizational skills and ability to prioritize workload.

5) Worked for “A1 biz pvt ltd ” in Provider Billing, Collections etc., Designated as Senior AR – (Jan 2007-March 2008), US Healthcare ITES BPO.

Job profile:

●Insurance claim processing

●Working on client SLA’s, process documentation for successful project movement from transition state to steady state

6) Worked for “S-TECH BUISNESS in Medical Billing and Mortgage process. (BPO) (Feb 2005- Jan 2007).

Educational Background

Degree

Institution

Board/University

Year of passing

Percentage

B.A communication

National college Mumbai

Maharashtra state board

1990-1993

53%

12th

National college Mumbai

Maharashtra state board

1989-1990

47%

10th

Durello convent school

State board

1979-1988

51%

Personal details:

Name : Hema Jeswani

Father’s name : Tulsidas.Tilwani.

Date of Birth : 16-4-1972 :

Gender : Female

Marital Status : Married

Nationality : Indian

Languages known : Hindi, English, Marathi

Other interest:

●Fashion Designing

Strengths :

●Responsive, creative, confident & capable of achieving the desired End results.

Declaration:

I hereby declare that the above information is true to the best of my knowledge

Place: Chennai-24

Date : HEMA JESWANI.

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