This summary highlights the key qualifications and experience of Kaushal Parikh. He has over 10 years of experience in healthcare administration and operations management. Currently, he is a Healthcare Operation Manager at Wayne State University Physician Group where he analyzes processes, implements improvements, and manages front desk operations to enhance patient experience and revenue cycle. He has extensive technical skills in coding, billing systems, and electronic medical records. Parikh holds a Master's degree in Health Care Administration and several certifications in areas such as Lean Six Sigma and medical billing.

1. KAUSHAL PARIKH email: kaushalparikh.mha@gmail.com
43540 Hoptree Dr, Sterling Heights, MI 48314 (586)646-0328
EDUCATION:
University of Phoenix Masters in Health Care Administration / Informatics (Mar 2015) GPA: 3.9
Lawrence Tech University Lean Six Sigma Black Belt Certification (Nov 2015) Achieved
University of Michigan and Blue Cross Blue Shield Blue Care Network of Michigan
Lean for Clinical Redesign (Mar 2015) 30 Hours
Utica Community Schools Certification in Medical Billing & Coding (Dec 2010) GPA: 4.0
SUMMARY:
Health Care Operation Manager specializing in transformational leadership with capacity to grow with the
organizations mission, vision, and values. With several years of experience increasing operational effectiveness
by conducting and managing coordinated team effort to accomplish set goals, while improving patient experience.
Extensive knowledge in reading and interpreting medical terminology utilizing ICD 9, ICD 10, CPT 4 coding.
Strong understanding of Medicaid, Medicare, commercial/ managed care, Blue Cross Blue Shield, payer billing
and reimbursement processes.
TECHNICAL SKILLS:
Advanced Microsoft Excel, Word, Powerpoint, Outlook, ICD-9, CPT Coding, IDX billing system, EMR, LINKS,
CIS, Outlook, Other Certification: Certified Application Counselor
PROFESSIONAL EXPERIENCE:
Healthcare Operation Manager, October 2014 – Present Wayne State University Physician Group
 Analyze and identify improvement opportunities for management of day to day operations of multiple
clinics within the organization to help improve patient experience.
o Manage provider education regarding billing and meeting the meaningful use criteria
o Facilitate new processes and implementation of new technology by creating process workflow
and standardization within WSUPG
 Applying and promoting the use of lean improvement processes which include value streaming, 5S,
cause and effect diagram, 5 why diagram, SWOT analysis, and PDCA cycle
 Direct and support the front desk operations to improve billing and revenue cycle
o Manage front desk staff who's responsibilities include insurance verification, charge entry,
arriving, and checking out patients, and many of other functions that help improve revenue cycle
Financial Healthcare Counselor, April 2013 – October 2014 Wayne State University Physician Group
 Managed, maintained, and resolved large balance accounts (balances range from $25,000+)
 Managed average of over 500 patients accounts per month
 Coordinated Insurance verification, rejection, and billing by working A/R reports
 Assisted financially challenged and self-pay patients
o Obtained State funded insurance (Medicaid) or the ACA to help reduce patient balance
o Conducted PowerPoint presentation and communicated with the public re: Affordable Care Act
o Analyzed, evaluated, and presented financial findings on patient regarding charity care
o Established and monitored budgets plans on balance of $100 or more to collect monthly
payments
Medical Office Associate, April 2012 – April 2013 Wayne State University Physicians Group
 Managed and collected correct demographics and insurance information in IDX and EMR
 Communicated with providers re: chart completion and missing charges and patient communication
 Conducted billing and charge entry according to the billing level and diagnosis identified by the provider
 Utilized HIPPA compliance principles when handling Patient Health Information re: transfer or
coordination of care
 Assisted patients in obtaining referrals, insurance authorizations, and signing up for patient portals
Coding and Billing Specialist April 2011 - July 2011 S.A Patel MD, Internal Medicine
 Provide and apply coding principles using ICD 9 CM and CPT
 Past and current Accounts Receivables, includes rebilling denials, and dealing directly with insurance
companies for payments and posting electronic checks and patient payments
 Acquiring prior authorization for procedures with insurance companies