Post Job Free

Resume

Sign in

Manager

Location:
Cumming, GA
Posted:
January 11, 2023

Contact this candidate

Resume:

Esha Chandra, MHA

706-***-**** adullu@r.postjobfree.com

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

University of Texas MD Anderson Cancer Center (SBO) Houston, Texas Credit Resolution Manager 2018-Present

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

• Introduce automation within EPIC for hospital and professional billing (including self-pay) to reduce credit dollars impacting AR.

• Decrease credit AR dollars by 45% ($36M) within three years by analyzing daily operation processes and automation within EPIC.

• Improve time for assigning inquiries to real time by utilizing EPIC activities instead of email

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

• Share knowledge with direct reports regarding insurance contracts, reimbursement, Medicare/Medicaid guidelines in order to identify trends.

• 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)

• Incrementally expand productivity requirements for team resulting in increased number of refunds processed and credit balances resolved.

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

• Coach underpayment analysts in reviewing contracts in order to determine different provisional hierarchy

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

• Create month end reporting documents detailing newly identified underpayments

• 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 Conifer Solutions – East Cooper Medical Center Charleston, South Carolina Patient Access Specialist 2014-2015

• Notify phlebotomist of patient arrival for blood work at outpatient laboratory

• Process accurate patient registration information

• Verify insurance benefits for patients and communicate financial responsibility with patients



Contact this candidate