This curriculum vitae is for C. Pavan Kumar. He has over 15 years of experience in healthcare revenue cycle management, working as a group coordinator, senior accounts receivable analyst, and process associate. He has skills in people management, planning, decision making, and presentations. He is proficient in various healthcare software programs including IDX, GE Centricity, Practice Fusion, and Vericle.

1. CURRICULUM VITAE
C.PAVAN KUMAR
H.No: 27-64/8,
Adarsh Nagar,
Neredmet, ECIL
Secunderabad – 500056
Mobile No. 9652521170 Email: pavankumar.leo1980@gmail.com
CAREER OBJECTIVE:
Seeking a challenging role in a reputed organization where I can enhance my skills and
contribute towards the organization’s goals & objectives.
ACADEMICS CREDENTIALS:
• Bachelor of Commerce from St.Patricks Degree College.
• Intermediate from Vagdevi Junior College.
• S.S.C from Nalanda High School.
TECHNICAL CREDENTIALS:
Advanced Diploma in Software Technology (ECIT)
ABILITIES:
• Motivated and result oriented with good communication skills.
• Good analytical abilities and Zeal to learning new things.
• Willingness and ability to adapt the changing situations

2. SKILLS:
• People management experience & strong orientation.
• Excellent planning, time management, decision making, presentation and organizing
skills.
• To carry out the operations involved in the RCM for US healthcare providers with
production planning & Control.
• Providing proper guidance to the team members especially to new joinees.
• Building Domain Knowledge of the processes under immediate supervision and
possesses excellent knowledge.
• Periodically monitors the performance of team members and formulating action plans
in smooth functioning of the process.
• Assessment/Training/One-to-One review sessions at regular intervals.
• Identify and develop leadership qualities in individuals and groom them to next level.
PROFESSIONAL EXPERIENCE:
• Worked as Group Coordinator (Team Leader) for ELICO Ltd from Jan2013 to
Dec2014.
JOB PROFILE:
1) Adhere of all Insurance companies (Medicare, Medicaid, Tricare, Group Health
Plans, Commercials, HMO plans.
2) Accountable for solving the production and quality related issues on daily basis.
3) Lead and Document required calls from the client.
4) Make sure that the quality is performed on regular basis.
5) Motivating the Team Members in achieving their daily targets with accuracy.
6) Monitoring the performance of team members and provide necessary training in the
areas of improvement.
7) Perform and review Data Analysis, Audit, Associated research and provide
subsequent resolution.
8) Developing Subject and Process knowledge among the team members by
conducting sessions or preparing presentations for easy understanding.

3. 9) Investigate complex cases or system related issues occurring within the process and
determine appropriate course of action, if required seeking assistance from Clients.
10) Researching the policies and procedure of the process and updating the team about
the changes and improvements.
11) Coordinating with IT team for system enhancement or module development.
12) Tracking leaves, timings, productivity of team member’s month wise and reporting
it to the management.
13) Rating the team members based on their performance and provide feedback to the
management for appraisals.
• Worked as Senior AR analyst for Stravis IT Solutions PVT LTD from Jan 2012 to
Sept 2012.
JOB PROFILE:
1) Performing audit of the notes updated by AR calling team and doing follow up with
Denial management team and Payment posting team.
2) Performing random audit for the claims as per aging days to find the status of the
claims.
3) If required make calls to insurance companies and updating it to AR follow team
for taking necessary plan of action (POA). Interacting with team members for
weekly updates, Process improvements, Training needs, Module enhancement.
4) Transmitting claims to Insurance through WEBMD and Paper.
5) Interacting with client for additional information (QuestionnairesInfo from
patientMissing EobsAuthorizations).
6) Submitting claims through IHCFA site with Medical records for No Fault and
Workers compensation claims.
7) Tracking paid/unpaid claims, weekly collections of AR and reporting it to client.
• Worked as Process Associate/Quality Analyst/Senior AR Analyst (Follow-up) for
PHYCARE SERVICES INDIA PVT LTD from Dec 2005 to Dec 2011.

4. JOB PROFILE:
1) Registration of patients – Manual Interface
2) Charge Posting: Multiple Specialties - OB-Deliveries, Surgery, Anesthesia,
Neurology, Nephrology, Cardiology, Pathology, Radiology, Gastroenterology,
Endocrinology, Pulmonary, Rehabilitation Medicine, Internal Medicine.
3) Payment Posting: Posting payments, deductibles and denials received from
insurance companies through Eobs manually.
4) Performing audit for the work done by associates and providing the necessary tips
in minimizing the errors.
5) Collating the monthly errors committed by the associates and reporting it to team
lead.
6) Sharing ideas with the team leads in improving the accuracy.
7) Making sure to give error free data for transmitting claims to insurance.
8) Submitting claims to insurances via Electronic and Paper.
9) Identify the status of the claims submitted to the insurance (Claims not on
file/claims pending/claim in process/claim denied/claim paid).
10) Categorize the major reasons of the denial - Coding/Eligibility/Provider
credentials.
11) Creating a track/report on claims send to insurance, which allows to measure the
ratio of paid and denied claims.
12) Resubmitting the denied claims to the insurance with supporting documents and
Appeal letters via website and paper (Corrected claims, W9 forms and State license,
Medical records, Anesthesia reports, Questionnaires) and getting the claims paid.
13) Coordinating with AR night Team for the required information from
Insurance/Patients.
14) Escalating the claims to night team for patient calling and to resubmit claims
through eFax.
WORK ENVIRONMENT:

5. 1) IDX
2) GE CENTRICITY
3) PRACTICE FUSSION (EHR)
4) VERICLE (EHR)
PERSONAL PROFILE:
Name : C. Pavan Kumar
Father’s Name : C. Jagath Kumar (Late)
Date of Birth : 10th
Aug 1980
Gender : Male
Languages Known : English, Hindi & Telugu.
Place: Secunderabad
Date: (C. PAVAN KUMAR)

6. 1) IDX
2) GE CENTRICITY
3) PRACTICE FUSSION (EHR)
4) VERICLE (EHR)
PERSONAL PROFILE:
Name : C. Pavan Kumar
Father’s Name : C. Jagath Kumar (Late)
Date of Birth : 10th
Aug 1980
Gender : Male
Languages Known : English, Hindi & Telugu.
Place: Secunderabad
Date: (C. PAVAN KUMAR)