1. V. BALAJI RAMA KRISHNAN
PLOT NO. C, CHIRANTH AVENUE,
RAMACHANDRA NAGAR, GERUKAMBAKKAM,
CHENNAI – 600 125, INDIA
INDIA MOBILE: +91 98403 63906 / 90030 39250
E-MAIL – balajiramakrishnan@hotmail.com
An Overview:
 A competent professional with over 13+ years of qualitative experience
in Process Management
 Possessing great exposure on handling RCMS of multi speciality clients
 Deputed to U.S. for transition of a RCM Project, done successful
transition and expanded the Revenue Earning seat to the expected level.
 Holding a Valid U.S. B1/B2 Visa for 10 years multiple entries, valid till
15/10/2016
 Good Management skills, well experienced in Man management and the
Time management.
 Good communication skill set with the proven track records in the Client
Management.
Area of Expertise:
Strong Client relationship Management
 Establish and maintain the professional relationships with all
levels of administrative and support staff for the smooth execution of the
work in adherence to the SLA with Client.
 Periodically use the C-SAT tool to ensure a high-quality customer
level satisfaction experience, while adhering to the SLA and work
processes and thus managing cost-effective operations.
Process Management, Process Mapping & Process Reorientation
 Hold hands of experience in offshore successful transition of
Processes and clients.
 Mapping client’s requirements and coordinating in developing,
implementing, transitioning and migration of processes in line with the
guidelines specified by the client.
 Leading and managing processes and monitoring the overall
functioning of processes, identifying improvement areas and implementing
adequate measures to maximise customer satisfaction level.
 Preparing the operations manual for the projects transitioned into
the company and Creating & implementing workflows to facilitate
structured support in all areas and issues.

2. People Management
 Use below tools and methods to manage Attrition, Non
performance and resource on Bench.
 E-SAT – Employee Satisfaction (Monthly)
 EWS – Early Warning Signal (Weekly)
 Standing Meeting (Daily)
Training & Knowledge transfer
 Daily Feedback on Quality to identify the error that is out of
manual error or absence of knowledge.
 Compulsory Weekly Refresher Training & Evaluation.
 Compulsory Activity Based Refresher Training & Assessment
monthly.
Quality Control:
 100% Quality Audit on new employee until the quality level is
more than 98% for three consecutive weeks.
 Random Quality Audit is done on all employees identifying the
global area which are prone to errors.
 Preparing productivity metrics along with ensuring that quality
standards are met by the employees in accordance with the industry
norms.
 Setting out quality standards for various operational areas &
ensuring adherence to quality standards and Designing modifications for
overall improvement in quality and service standards.
AR Management:
 Expert in different types of collections module to keep the gross
collection of client upright.
 Creating structural changes to keep the front end denials lower.
 Denial documentation with resolution.
Work Experience:
(1) Working as Manager – in Billed Right HealthCare Solutions Pvt. Ltd from
September 2014
(2) Worked as a Medical Billing Specialist (Revenue Cycle Management) from
India for IMG-PROMED LLC from May 2008 to June 2014 based in Arizona
and Colorado.
(3) Worked as Manager (Service Delivery) Billing & AR in Janus Cyber Serve
Ltd, Hyderabad, India for IMG-PROMED LLC from September, 2005 to April
2008.

3. (4) Worked as Supervisor at Apollo Health Street Ltd, Hyderabad, India from
Feb 2005 to August, 2005.
(5) Worked as Team Leader at Intellisight India Pvt. Ltd, Hyderabad, India
from June 2003 to Jan 2005.
(6) Worked as Senior Financial Transaction Executive at Vision Healthsource (I)
Pvt ltd, Chennai, India from September 2000 – May 2003.
Specialties Worked:
Ophthalmology
Podiatry
Infectious Disease
Cardiology
EKG & Pathology
General Medicine
Radiology
Radiation Therapy
Obstetrician and Genecology
Paediatrics
Radiology
Radiation Oncology
Pulmonary
Gastroenterology
Orthopaedics
Geriatrics and many more....
Subject Knowlege:
Demographics Entry – Printed & Handwritten
Insurance Verification – Pt eligibility, Referral or Auth requirement
Preliminary Coding
Charge Entry & Copay Posting
Claim Submission Electronic & Paper
Clearing house Edits & Payer Rejections
Payment Posting – EMR & Manual
Sending Pt Statement
AR Analysis and Denial Management
Insurance and Pt calling for payment inflow
Collection Agency Report for Non Collectable Pt Payment
Provider Credentialing
Practice Report for the Month – GCR & NCR
Practice % Report based on Procedure, Payer and Patient
Billing Software Worked:
E-Clinical Works, Intelligent Medical System, E-MDS, Collaborate MD, IDX,
Medical Manager, Medic, Lytec, Medisoft and many more

4. Academic Qualifications
Bachelor of Commerce from Madras University through Asan Memorial College
of Arts & Science, Chennai, India
Computer Qualifications:
Higher Diploma in Software Engineering from Aptech Computers Education
Ltd
Computer Proficiency:
Operating Systems Worked: Windows & Linux
Software Packages: MS-Office
Networking: Good knowledge in Networking and software
Installations
Very proficient in handling Microsoft Office tools, Mails, Internet and On-line
Chats.
Declaration:
I here by promise that the information furnished above details true
and accurate to the best of my knowledge.
Yours truly,
Balaji Ramakrishnan