Prasad Buchi has over 15 years of experience in insurance, coding and billing, revenue cycle operations, and managing teams. He has held several managerial roles overseeing these functions at hospitals and healthcare organizations in the UAE and Qatar. The document outlines his extensive skills and experience in areas such as coding, claims processing, revenue enhancement, and team leadership.
This document contains the resume of Akshay H. Dave. It summarizes his professional experience in general administration, facilities management, finance, customer service delivery and IT skills. It also lists his educational qualifications and personal details such as date of birth, marital status, languages known and contact information.
Lori Robson has over 30 years of experience in medical administration, billing, and coding. She currently works as a Coding Technician for an ambulatory surgery center, where she is responsible for reviewing and coding complex procedures. Previously she held roles as a Certified Medical Coder for a physician group, and has experience in medical records management, accounts receivable, and administrative assistance. She aims to expand her skills and certifications in the medical coding field.
This document provides a summary of Susan J. Martin's accomplishments and professional experience. She has over 20 years of experience in administrative roles, including as an administrative manager, access associate, administrative assistant, and phlebotomist. Her skills include project management, customer service, scheduling, purchasing, and proficiency with software such as Microsoft Office, Oracle, and QuickBooks. She currently works as an administrative services manager where she supervises administrative staff and provides purchasing support.
Sindhuja Arumugam is seeking a challenging role utilizing her 8 years of experience in corporate and investment banking, including expertise in areas like SOX testing, payments processing, reconciliations, and account services. She has a history of strong performance recognized with awards, and technical skills in programs like Microsoft Office, SQL Server, and operating systems. Her resume outlines her banking profile and career highlights, as well as work experience at the Royal Bank of Scotland.
247 Medical Billing Services is a medical billing company that offers end-to-end revenue cycle management solutions, including patient appointment scheduling, insurance eligibility verification, medical coding, claim submission and follow up, accounts receivable management, and monthly reporting. The company was founded in 2005 and now has over 500 employees with expertise in billing for over 20 medical specialties. 247 Medical Billing Services aims to help clients increase revenues by 10-20% and reduce operations costs by around 50% through timely and accurate medical billing services.
The candidate has over 4 years of experience in property/asset management and promoting healthy tenant relationships. Their skills include various property management software, medical administration procedures, and office skills like data entry and filing. Their education includes a medical administration degree and management coursework. Recent work history includes roles as a community leasing specialist and leasing consultant where duties involved lease processing, rent collection, and unit preparation.
The document provides a resume for Karla Janeth Amador listing her qualifications and professional experience including 18 years of customer service experience and being bilingual in Spanish. Her experience includes various administrative, customer service, and human resources roles for companies like Robert Half, Amerisource Bergens, Kaiser Permanente, and Alameda County Register of Voters, demonstrating skills in areas such as benefits coordination, case management, and training. She provides her contact information and education background at the end.
The document provides information on the various divisions and services of the Administrative Services Department of the Islamic Development Bank Group. It summarizes the key functions of divisions including Procurement, Facilities Management, Records Management, Government Relations and Travel, Health Services, and Safety and Security. The divisions work to provide administrative and support services that enhance workplace effectiveness and ensure high quality services are delivered to achieve the Bank Group's vision and mission.
This document contains the resume of Akshay H. Dave. It summarizes his professional experience in general administration, facilities management, finance, customer service delivery and IT skills. It also lists his educational qualifications and personal details such as date of birth, marital status, languages known and contact information.
Lori Robson has over 30 years of experience in medical administration, billing, and coding. She currently works as a Coding Technician for an ambulatory surgery center, where she is responsible for reviewing and coding complex procedures. Previously she held roles as a Certified Medical Coder for a physician group, and has experience in medical records management, accounts receivable, and administrative assistance. She aims to expand her skills and certifications in the medical coding field.
This document provides a summary of Susan J. Martin's accomplishments and professional experience. She has over 20 years of experience in administrative roles, including as an administrative manager, access associate, administrative assistant, and phlebotomist. Her skills include project management, customer service, scheduling, purchasing, and proficiency with software such as Microsoft Office, Oracle, and QuickBooks. She currently works as an administrative services manager where she supervises administrative staff and provides purchasing support.
Sindhuja Arumugam is seeking a challenging role utilizing her 8 years of experience in corporate and investment banking, including expertise in areas like SOX testing, payments processing, reconciliations, and account services. She has a history of strong performance recognized with awards, and technical skills in programs like Microsoft Office, SQL Server, and operating systems. Her resume outlines her banking profile and career highlights, as well as work experience at the Royal Bank of Scotland.
247 Medical Billing Services is a medical billing company that offers end-to-end revenue cycle management solutions, including patient appointment scheduling, insurance eligibility verification, medical coding, claim submission and follow up, accounts receivable management, and monthly reporting. The company was founded in 2005 and now has over 500 employees with expertise in billing for over 20 medical specialties. 247 Medical Billing Services aims to help clients increase revenues by 10-20% and reduce operations costs by around 50% through timely and accurate medical billing services.
The candidate has over 4 years of experience in property/asset management and promoting healthy tenant relationships. Their skills include various property management software, medical administration procedures, and office skills like data entry and filing. Their education includes a medical administration degree and management coursework. Recent work history includes roles as a community leasing specialist and leasing consultant where duties involved lease processing, rent collection, and unit preparation.
The document provides a resume for Karla Janeth Amador listing her qualifications and professional experience including 18 years of customer service experience and being bilingual in Spanish. Her experience includes various administrative, customer service, and human resources roles for companies like Robert Half, Amerisource Bergens, Kaiser Permanente, and Alameda County Register of Voters, demonstrating skills in areas such as benefits coordination, case management, and training. She provides her contact information and education background at the end.
The document provides information on the various divisions and services of the Administrative Services Department of the Islamic Development Bank Group. It summarizes the key functions of divisions including Procurement, Facilities Management, Records Management, Government Relations and Travel, Health Services, and Safety and Security. The divisions work to provide administrative and support services that enhance workplace effectiveness and ensure high quality services are delivered to achieve the Bank Group's vision and mission.
Envoy Facility Management Services (Pvt) Ltd. is a Sri Lankan company that provides offshore business services such as business registration, finance and HR outsourcing, and virtual offices [SENTENCE 1]. They aim to deliver high-value, low-cost services and provide a stable platform to help clients achieve their full potential [SENTENCE 2]. Envoy offers a range of services including HR and payroll management, finance and accounting, software development, procurement handling, and marketing solutions [SENTENCE 3].
Kyle Biggar is a senior administrative professional with over 15 years of experience in both government and private sectors. He has a strong background in superannuation administration, customer service, stakeholder relations, and office administration. Kyle holds a Certificate IV in Superannuation and various other certificates in business writing, Excel, and superannuation administration. He is currently a Business Analyst at Hewlett-Packard where he manages IT repair service operations and provides customer support.
The document provides a summary of Aaron Clairmont's skills, education, and work experience relevant for a career in medical billing and coding. He has advanced skills in medical terminology, anatomy, physiology, pathology, pharmacology, and medical coding using ICD-9, ICD-10, CPT, and HCPCS systems. He has a Medical Billing and Coding Certificate from Estrella Mountain Community College where he received comprehensive training in medical coding, billing, law, and ethics. His work experience includes delivery driving for Pizza Hut, city carrier assisting for the US Postal Service, warehouse associate roles at Sears, and shift manager at Pizza Hut.
Marilyn Hawkins is a certified patient access representative and team leader with over 10 years of experience in hospital registration. She has excellent leadership and customer service skills and is capable of performing various administrative, managerial, and training duties for her department including scheduling, reporting, admitting patients, insurance verification, payment collection, and inventory management. She aims to provide quality service and train present and new employees.
This document provides a summary of Rinas Saleem's professional experience and qualifications. It outlines her 4+ years of experience in banking, finance, KYC analysis, and compliance management. Her skills include KYC analysis, compliance, data management, and financial planning. She has worked for Mashreq Bank, NBAD, and WAFRA Investment conducting KYC reviews and ensuring compliance.
Vikas Limbachiya is seeking a middle level position in banking, KPO, or ITES industries, leveraging over 8 years of experience in operations management, service delivery, and process improvement. He currently works as an Associate Manager at HCL Technologies, managing KYC renewal and onboarding. Previously he held roles as a Team Leader at TCS E-Serve and Process Expert at Intelenet, overseeing payments processing and foreign exchange. Limbachiya has expertise in strategic planning, risk management, quality control, and people management.
Nemesis provides a wide range of corporate services including internal auditing, payroll outsourcing, accounting services, taxation, IFRS compliance, and virtual CFO services. They handle assignments efficiently, analytically, and ethically to provide clients with comfort, confidentiality, and reliability. Nemesis is known for integrity, objectivity, and quality in its service offerings and constantly looks to improve delivery and provide tailored solutions.
Jefferson Wells Firm Overview PresentationHelenteck
Jefferson Wells provides professional services in internal audit and controls, technology risk management, tax, and finance and accounting. They serve Fortune 500, FTSE 350 and Global 1000 companies through experienced professionals working from offices worldwide. Jefferson Wells has over 4,500 clients in 30 countries, leveraging its global infrastructure with Manpower to ensure compliance with regulations.
The document describes the responsibilities of a Relationship Manager role for foreign exchange services. The key responsibilities include driving forex business through various channels, coordinating with other teams, providing guidance on limits and documentation, auditing branches, training staff, managing two regions and over 200 staff, monitoring business metrics, ensuring compliance, and mobilizing business from important customers. The role also manages wealth management clients, provides NRI banking services, and previously served as a Deputy Branch Manager.
Core Skills & Abilities
RECONCILIATION
• Expertise in banking reconciliation involving all major currencies
• Handled reconciliations for 18 odd Bank Accounts including Barclays, HSBC and Citibank.
• Reconciliation of International Payment transactions originating from the UK and US markets
REVENUE ASSURANCE
• Hands on experience in Revenue Assurance that is revenue leakages and making sure that all revenues are booked, claims raised and realized in time.
• Process customer payments and invoices in a timely manner
• Perform revenue analysis, calculations and reporting on monthly basis.
CUSTOMER RELATIONSHIP MANAGEMENT
• Managing relationship with key linkages- Clusters and Banks (SBI, Canara Bank, JPM, HSBC & Telecom Operators –Vodafone, Airtel)
• Managed customers and took care of the issues/ queries as per agreed SLAs.
DATA ANALYSIS
• Analyzing reports and taking care of short paid, unpaid with banks (SBI, Canara Bank & Pragati Bank).
• Data analysis, forecasting, planning and publishing the dashboard.
Vee Technologies provides finance and accounting outsourcing services through its division Vee FnA. With over 1200 professionals across multiple locations, Vee FnA manages end-to-end finance and accounting processes for both emerging and established clients. For 14 years, Vee FnA has delivered extraordinary outcomes and consistently exceeded client expectations by taking on complex finance and accounting functions.
Vikas Limbachiya is a performance-driven professional with over 11 years of experience in financial services operations including customer service, quality control, and training. He has expertise in anti-money laundering, compliance, payment investigations, and managing teams. Limbachiya is seeking a challenging position that utilizes his skills in areas such as strategic planning, process improvement, risk management, and innovation.
This document contains the resume of MD Jahid Iqbal Rajoo, who has over 10 years of experience working in customer service and reservations roles for various airlines and travel companies in the United Arab Emirates, Oman, Bangladesh, and elsewhere. He is proficient in several airline reservation systems and holds several certifications. He is currently seeking a new opportunity as a multi-lingual customer service or reservations agent.
This curriculum vitae summarizes the professional experience and qualifications of Mohd Kashif Khan. He has over 9 years of experience in facilities management and administration roles for telecom and manufacturing companies. His skills include infrastructure development, budgeting, vendor management, safety, and facilities maintenance. He holds an MBA degree and has received several performance awards for his work.
Should a Practice Outsource Billing to Prepare for ICD-10CureMD
The document discusses the challenges medical practices will face when transitioning to ICD-10 coding on October 1, 2015. It notes that ICD-10 codes will be more complex than the current ICD-9 codes, and billing will require more effort. Practices are advised to evaluate their current billing performance, outsource billing to a professional service, or dedicate resources to training their billing staff for ICD-10. Outsourcing may help practices ensure payments are not affected during the transition period. The best approach depends on a practice's current revenue cycle processes.
Rakesh has 8 years of experience in wealth management operations and client relationship management. He currently manages a team of 25 people handling wealth management operations for a global bank in the EMEA region, with an annual transaction volume of 0.02 million. Previously he has experience with subscription, redemption, corporate actions, and reconciliations for various financial products. He is skilled in streamlining business processes, process improvement, and ensuring high quality customer experience while meeting SLAs.
This resume is for Talessa L. Taylor, who has 19 years of experience in customer service roles. She currently works as an Onsite Operations Coordinator at Blue Cross Blue Shield of North Carolina, where she assists providers and resolves inquiries. Previously she held several positions at Blue Cross Blue Shield and SunTrust Bank that involved customer service, claims processing, and account reconciliation. She aims to obtain a challenging position that provides growth opportunities and allows her to deliver quality customer service.
I have realized my true passion is working in the automotive industry. Although my most recent experience is in healthcare, I have great work experience, education, and training skillsets in the automotive field.
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Sun Knowledge provides medical billing and administrative services from facilities in New York City and Kolkata, India. It has over 8 years of experience in the healthcare industry and handles coding, billing, and administrative functions for US healthcare organizations. Sun Knowledge utilizes HIPAA-compliant technology and processes, and has received several awards and certifications for its work. It aims to significantly reduce clients' operational costs while improving collections.
Envoy Facility Management Services (Pvt) Ltd. is a Sri Lankan company that provides offshore business services such as business registration, finance and HR outsourcing, and virtual offices [SENTENCE 1]. They aim to deliver high-value, low-cost services and provide a stable platform to help clients achieve their full potential [SENTENCE 2]. Envoy offers a range of services including HR and payroll management, finance and accounting, software development, procurement handling, and marketing solutions [SENTENCE 3].
Kyle Biggar is a senior administrative professional with over 15 years of experience in both government and private sectors. He has a strong background in superannuation administration, customer service, stakeholder relations, and office administration. Kyle holds a Certificate IV in Superannuation and various other certificates in business writing, Excel, and superannuation administration. He is currently a Business Analyst at Hewlett-Packard where he manages IT repair service operations and provides customer support.
The document provides a summary of Aaron Clairmont's skills, education, and work experience relevant for a career in medical billing and coding. He has advanced skills in medical terminology, anatomy, physiology, pathology, pharmacology, and medical coding using ICD-9, ICD-10, CPT, and HCPCS systems. He has a Medical Billing and Coding Certificate from Estrella Mountain Community College where he received comprehensive training in medical coding, billing, law, and ethics. His work experience includes delivery driving for Pizza Hut, city carrier assisting for the US Postal Service, warehouse associate roles at Sears, and shift manager at Pizza Hut.
Marilyn Hawkins is a certified patient access representative and team leader with over 10 years of experience in hospital registration. She has excellent leadership and customer service skills and is capable of performing various administrative, managerial, and training duties for her department including scheduling, reporting, admitting patients, insurance verification, payment collection, and inventory management. She aims to provide quality service and train present and new employees.
This document provides a summary of Rinas Saleem's professional experience and qualifications. It outlines her 4+ years of experience in banking, finance, KYC analysis, and compliance management. Her skills include KYC analysis, compliance, data management, and financial planning. She has worked for Mashreq Bank, NBAD, and WAFRA Investment conducting KYC reviews and ensuring compliance.
Vikas Limbachiya is seeking a middle level position in banking, KPO, or ITES industries, leveraging over 8 years of experience in operations management, service delivery, and process improvement. He currently works as an Associate Manager at HCL Technologies, managing KYC renewal and onboarding. Previously he held roles as a Team Leader at TCS E-Serve and Process Expert at Intelenet, overseeing payments processing and foreign exchange. Limbachiya has expertise in strategic planning, risk management, quality control, and people management.
Nemesis provides a wide range of corporate services including internal auditing, payroll outsourcing, accounting services, taxation, IFRS compliance, and virtual CFO services. They handle assignments efficiently, analytically, and ethically to provide clients with comfort, confidentiality, and reliability. Nemesis is known for integrity, objectivity, and quality in its service offerings and constantly looks to improve delivery and provide tailored solutions.
Jefferson Wells Firm Overview PresentationHelenteck
Jefferson Wells provides professional services in internal audit and controls, technology risk management, tax, and finance and accounting. They serve Fortune 500, FTSE 350 and Global 1000 companies through experienced professionals working from offices worldwide. Jefferson Wells has over 4,500 clients in 30 countries, leveraging its global infrastructure with Manpower to ensure compliance with regulations.
The document describes the responsibilities of a Relationship Manager role for foreign exchange services. The key responsibilities include driving forex business through various channels, coordinating with other teams, providing guidance on limits and documentation, auditing branches, training staff, managing two regions and over 200 staff, monitoring business metrics, ensuring compliance, and mobilizing business from important customers. The role also manages wealth management clients, provides NRI banking services, and previously served as a Deputy Branch Manager.
Core Skills & Abilities
RECONCILIATION
• Expertise in banking reconciliation involving all major currencies
• Handled reconciliations for 18 odd Bank Accounts including Barclays, HSBC and Citibank.
• Reconciliation of International Payment transactions originating from the UK and US markets
REVENUE ASSURANCE
• Hands on experience in Revenue Assurance that is revenue leakages and making sure that all revenues are booked, claims raised and realized in time.
• Process customer payments and invoices in a timely manner
• Perform revenue analysis, calculations and reporting on monthly basis.
CUSTOMER RELATIONSHIP MANAGEMENT
• Managing relationship with key linkages- Clusters and Banks (SBI, Canara Bank, JPM, HSBC & Telecom Operators –Vodafone, Airtel)
• Managed customers and took care of the issues/ queries as per agreed SLAs.
DATA ANALYSIS
• Analyzing reports and taking care of short paid, unpaid with banks (SBI, Canara Bank & Pragati Bank).
• Data analysis, forecasting, planning and publishing the dashboard.
Vee Technologies provides finance and accounting outsourcing services through its division Vee FnA. With over 1200 professionals across multiple locations, Vee FnA manages end-to-end finance and accounting processes for both emerging and established clients. For 14 years, Vee FnA has delivered extraordinary outcomes and consistently exceeded client expectations by taking on complex finance and accounting functions.
Vikas Limbachiya is a performance-driven professional with over 11 years of experience in financial services operations including customer service, quality control, and training. He has expertise in anti-money laundering, compliance, payment investigations, and managing teams. Limbachiya is seeking a challenging position that utilizes his skills in areas such as strategic planning, process improvement, risk management, and innovation.
This document contains the resume of MD Jahid Iqbal Rajoo, who has over 10 years of experience working in customer service and reservations roles for various airlines and travel companies in the United Arab Emirates, Oman, Bangladesh, and elsewhere. He is proficient in several airline reservation systems and holds several certifications. He is currently seeking a new opportunity as a multi-lingual customer service or reservations agent.
This curriculum vitae summarizes the professional experience and qualifications of Mohd Kashif Khan. He has over 9 years of experience in facilities management and administration roles for telecom and manufacturing companies. His skills include infrastructure development, budgeting, vendor management, safety, and facilities maintenance. He holds an MBA degree and has received several performance awards for his work.
Should a Practice Outsource Billing to Prepare for ICD-10CureMD
The document discusses the challenges medical practices will face when transitioning to ICD-10 coding on October 1, 2015. It notes that ICD-10 codes will be more complex than the current ICD-9 codes, and billing will require more effort. Practices are advised to evaluate their current billing performance, outsource billing to a professional service, or dedicate resources to training their billing staff for ICD-10. Outsourcing may help practices ensure payments are not affected during the transition period. The best approach depends on a practice's current revenue cycle processes.
Rakesh has 8 years of experience in wealth management operations and client relationship management. He currently manages a team of 25 people handling wealth management operations for a global bank in the EMEA region, with an annual transaction volume of 0.02 million. Previously he has experience with subscription, redemption, corporate actions, and reconciliations for various financial products. He is skilled in streamlining business processes, process improvement, and ensuring high quality customer experience while meeting SLAs.
This resume is for Talessa L. Taylor, who has 19 years of experience in customer service roles. She currently works as an Onsite Operations Coordinator at Blue Cross Blue Shield of North Carolina, where she assists providers and resolves inquiries. Previously she held several positions at Blue Cross Blue Shield and SunTrust Bank that involved customer service, claims processing, and account reconciliation. She aims to obtain a challenging position that provides growth opportunities and allows her to deliver quality customer service.
I have realized my true passion is working in the automotive industry. Although my most recent experience is in healthcare, I have great work experience, education, and training skillsets in the automotive field.
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Sun Knowledge provides medical billing and administrative services from facilities in New York City and Kolkata, India. It has over 8 years of experience in the healthcare industry and handles coding, billing, and administrative functions for US healthcare organizations. Sun Knowledge utilizes HIPAA-compliant technology and processes, and has received several awards and certifications for its work. It aims to significantly reduce clients' operational costs while improving collections.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
Pamela Ellis has over 15 years of experience in healthcare revenue cycle management, patient access, and EMR implementation. She has held various leadership roles managing revenue cycle departments and teams, improving processes, increasing collections, and ensuring regulatory compliance. Her experience spans a variety of healthcare settings including hospice, laboratories, hospitals, and academic physician groups.
Pamela Ellis has over 20 years of experience in healthcare revenue cycle management, patient access, and EMR/EPM implementation. She has held various leadership roles at healthcare organizations and consulting firms, managing teams and improving revenue cycle processes through initiatives like denial recovery, training development, and system implementations. Her background includes experience with revenue cycle assessments, interim management, and strategic planning.
This document provides an overview of medical billing services. It discusses how medical billing can help doctors by handling insurance paperwork and administrative tasks, allowing them to spend more time with patients. The company claims to have 40 years of healthcare experience and can handle all aspects of the revenue cycle management process from credentialing to billing to collections. They work with multiple EHR systems and specialties. Key benefits include increasing net collections, reducing days in accounts receivable, and improving the billing process overall. Risks and mitigation strategies are also outlined, as well as the transition process and importance of quality assurance.
Konica Minolta's All Covered Healthcare IT services offers comprehensive revenue cycle management solutions through a team with over 100 years of healthcare experience. Their services include increasing profitability through reducing denials and accounts receivable days, improving patient experiences, and automating processes to boost efficiency and productivity while lowering costs. All Covered provides dedicated strategic client managers and assumes responsibility for attaining revenue cycle performance goals for clients.
Optimizing Your Practice with Efficient DME Billing Services.pdfEminence RCM
Durable Medical Equipment (DME) billing can be challenging for healthcare providers. From verifying patient eligibility and securing prior authorizations to accurate coding and timely claim submission, each step in the DME billing process is crucial for ensuring smooth operations and optimal revenue. This is where a specialized DME Revenue Cycle Management (RCM) company can make a significant difference.
Sun Knowledge Revenue Cycle Management ServicesSun Knowledge
Sun Knowledge Revenue Cycle Management gives you a clear visibility of your finances through payment follow-up. Prosthetics and orthotics billing are handled diligently.
This document provides an overview of a company's revenue cycle management services. It discusses their experienced team, the full scope of services they provide including medical billing, coding, insurance verification and collections. It outlines their unique process for outsourcing these services which includes analyzing needs, establishing pilot programs, and specialized oversight teams. Graphical representations are also included showing the overall billing cycle and common reports generated from their services. Their specialties in various medical fields are listed at the end.
Revenue Cycle Management for DME Practices by Sun Knowledge Inc.Som Chaudhuri
Sun Knowledge provides revenue cycle management and billing services for healthcare providers. It has robust infrastructure and skilled staff to handle the end-to-end billing process, including eligibility verification, obtaining authorization, coding, claim submission, payment posting, and accounts receivable follow up. Sun Knowledge utilizes industry standard practice management software and has processes to address common billing challenges around documentation collection, denials management, and claims tracking.
Sun Knowledge provides revenue cycle management and medical billing services to healthcare providers. It has robust infrastructure and skilled staff to handle the end-to-end billing process, including eligibility verification, obtaining authorization, coding, claim submission, payment posting, and accounts receivable follow up. Sun Knowledge utilizes industry standard practice management software and has processes to address common billing challenges around documentation collection, denials management, and claims tracking.
This document provides a draft model for developing a Patient Access department at Four County Centers. It includes mission and vision statements, a description of services, and proposed key performance measures. Some of the priorities and goals outlined are improving the patient registration flow, ensuring HIPAA compliance, implementing financial counseling, transitioning paper processes to electronic formats, and achieving customer satisfaction, collection, and accuracy targets. Establishing a call center is also discussed to help schedule clients and free up front desk staff.
This document provides a draft model for developing a Patient Access department at Four County Centers. It includes mission and vision statements, a description of services, and proposed key performance measures. Some of the priorities and goals outlined are improving the patient registration flow, ensuring HIPAA compliance, implementing financial counseling, transitioning paper processes to electronic formats, and achieving customer satisfaction, collection, and accuracy standards above 80%. Establishing a call center is also discussed to help schedule clients and free up front desk staff.
The document provides a summary of Mustanseer Shakir's professional profile as a senior level professional with over 11 years of experience in insurance, billing, financial and accounting management roles. It outlines his current role as Manager of Insurance at Oriana Hospital in Sharjah, UAE, and includes details of his educational qualifications and career history working in financial and insurance roles for Zulekha Hospital and Oriana Hospital.
GoTelecare Medical Billing & Coding ServicesGoTelecare
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, account receivables recovery & clean-up, DME billing and a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
This document describes the medical billing service offerings of Sun Knowledge, including durable medical equipment and orthotics/prosthetics billing. It outlines Sun Knowledge's infrastructure, certifications, and locations. The document also provides an overview of the advantages of partnering with Sun Knowledge, such as guaranteed 50% operational savings and increased collections. Finally, it describes Sun Knowledge's approach to addressing various challenges in durable medical equipment and orthotics/prosthetics billing through systematic processes and defined key performance indicators.
1. PRASAD BUCHI
Mobile: +971 50 471 0994 ~ E-Mail: bnvvprasad@gmail.com
Achievement-driven professional seeking senior level assignments in Insurance/Coding & Billing/ Revenue
Cycle Operations with a leading organization of repute preferably in ITS sector
15 years of dynamic career reflecting pioneering experience and record breaking performance in driving Coding & Billing
process pertaining as per Standards
PROFILE SUMMARY
· A dynamic professional with extensive experience in Insurance, Coding & Billing and Revenue Cycle Operations
· Well experienced in HIM Coding, Billing, Insurance and Claims process under various platforms with extensive
experience under Hospital & Practice Management.
· Adrift in HIM & revenue cycle processes, Billing & E-Claims, Process integration, EMR, coding, processes transitioning,
authority regulations & billing requirements, Six Sigma Methodology and MR documentation
· Adept in maintaining efficient documentation as per local authority regulations & billing requirements
· A Visionary & High-Performance Management Executive, with expertise in validating data in different areas and
transcribing which involves transitioning new processes and stabilizing the same for smooth operations
· Skilled in carrying out inpatient, outpatient & ambulatory service charge entry, electronic & manual processing of
claims and payment entry from EOBs & ERAs, claim correction and reconciliation.
· Skilled in carrying out development of periodic reports for clinical staff and recognizing unbilled charges due to
inadequate documentation.
· Steering role in handling the unpaid claims from insurance companies for various denial reasons, claim correction and
resubmission in specified time limits
· Significantly involved hospital revenue enhancement and various departments like Insurance, Finance & HIM
· Possess extensive experience in identifying documentation requirements, acquiring authorization, pre-approval
request and claim correction/modifications & price negotiations.
· Proficient in managing, motivating and leading teams for running successful business process operations with proven
ability of achieving service delivery/process targets
· Adroit at maintaining cordial relationship with customers, ensuring quality and service norms thereby achieving
customer satisfaction and business retention
· Motivational management style with record of building & retaining highly motivated teams & prestigious key accounts
· Demonstrated excellence in carrying out quantitative & qualitative auditing and developing electronic health records,
transition from physical (paper) records to electronic, voice transcription implementation
· Adept in imparting training on documentation to doctors and other healthcare professionals
· Delivered a dynamic breakthrough by setting-up quality standards, ensuring high-quality customer experience, while
adhering to SLAs and work processes
· Exceptionally well organized and detail-oriented with an ability to meet deadlines
WEALTH OF EXPERTISE
~ Insurance ~ HIM & Medical Coding ~ Billing & E-Claim Process ~ Account Receivables ~ Denial
Management/Analysis & Resubmission ~ IT Support ~ EMR Implementation ~ Process Transition &
Enhancement ~ Team Management ~ Operations ~Revenue Capture & Enhancement ~Flaw Identification ~
Rectification ~ Process design & Implementation ~
Conversant with the following:
· HAAD/DHA/SCH Policies and Guidelines & CMS/AMA/CCSC Process guidelines
· All major insurance company policies and guidelines, payment methodologies (fee for service/DRG/per diem)
· Medical Coding - ICD-9-CM, ICD-10-CM & PCS, CPT, ICD-10-AM & ACHI, CDT, CDA/ADA, & HCPCS, APC, IR & MS
DRG), HCC Coding and SNOMED CT
· Billing & E-Claims – US & UAE Billing process & systems
· Billing Applications - GE Centricity, Mysis Tiger, IDX, Cerner Softmed, ClinTrac, Medron, Office Ally, ERP, Hospycare
· Billing Types- Facility (DRG)/ Physician (Fee for Service, Per Diem) / ASC / LTC / Pain Mgmt. / Chemotherapy etc.,
Skilled in:
· Carrying out insurance billing, cash billing & corporate billing
· Preparing & submitting (manual or electronic) and coding insurance claims accurately
· Tracking and updating on systems - ICD 9-CM, ICD 10-CM, CPT, CDT, HCPCS and DRGs (IR & MS) on a regular basis
· Implementing insurance eligibility checklist and verification process
· Developing an application within HIS enabling users to identify the potential areas of errors before patient is
registered and also before submission of claims
· Performing prompt posting of payments and reconciliation process
· Designing and preparing customized monthly statistical and analytical dashboards for data tracking and operational
purposes
· Handling data accuracy enabling data management at operations and finance departments for resource utilization,
patient wise revenue Vs costs effectively
2. · Designing work flow processes and IT support for Hospital Information Systems for effective documentation, data
capture
· Reducing variances between finance/accounts & claims
CAREER MILESTONES
· Significantly functioning as the Active Member for:
o Revenue Cycle Steering Committee at Al Noor & Lifeline
o Established effective Coding & Billing dept. & processes
o Implementation of Coding process & designed effectively state-of-art coding-billing process.
o Accomplishing JCIA for hospitals Al Noor & Lifeline Healthcare
o Clinical Coding Steering Committee and Coding arbitration, HAAD -Abu Dhabi,
o Designed and implement effective HIS-EMR system
o Designing coding / billing HIS-IT (ERP) System for effective billing/claiming process
o Process integration for better process, effective staffing and cost controls.
· Accredited for transitioning process of HIM/coding in compliance to HAAD/DHA/SCH Standards in UAE and Qatar
· Steering role in designing the process flow for inter-departmental (PSD/Admission office – HIM – Insurance) process
flow for timely billing
· Acknowledged with the Letter Appreciations from corporate management on Reducing Variances in Billing Vs Hospital
Expanses Project
· Recognized with Letter Appreciations for minimizing the variances between Hospital Finance System (ERP) Vs eClaims
· Flourishingly completed project on:
o Effective Usage of Consumables (Purchase-Request-Dispatch-OR utilization-HIS-Coding/Billing)
o EMR interface and Billing Process – User Friendly System Design
o Laboratory/Radiology Inter-Departmental HIS Work Flow - Starting from Registration/Order-Service-Prior
Authorization-Results-Claims
o HIM & Hospital Information System – Coding & Billing System Development according to internal processes and
migration projects from physical to electronic record management & claims
· Significantly delivered a seminar on DRG Coding (Importance – Applications) & the Basis Requirements Vs Hospital Revenues
ORGANISATIONAL EXPERIENCE
Since Feb’13 Lifeline Healthcare, Dubai, UAE as Manager – Insurance, HIM Coding & Billing, E-Claims
Sep’12 to Jan’13 Primary Healthcare Corporation (PHCC), Doha, Qatar as Sr. Coordinator - Coding /
HIM Implementation
May’09 to Aug’12 Al-Noor Group of Hospitals Airport Road, Abu Dhabi, UAE as Manager - Medical
Records (HIM) & Coding (Billing & E-Claim Processing)
Jul’08 to Feb’09 Revenuemed India Ltd, Trivandrum as Coding Manager – Operations
Jul’07 to Jul’08 Nspire Synergy Solutions Pvt. Ltd., Hyderabad as Manager - RCMS
Apr’06 to Jun’07 Promantra Synergy Solutions Pvt. Ltd, Hyderabad as Assistant Manager - Coding
Jan’05 to Mar’06 Infrahealth India Pvt. Ltd. / Oasis Mediscript Pvt. Ltd., New Delhi as Project Leader -
Coding/AR
Accountabilities:
· Handling entire gamut of HIM & revenue cycle processes and recognizing areas of enhancement
· Executing adequate measures for maximization of customer satisfaction level
· Monitoring the activities pertaining to work allocation and training & recruitment
· Administering the overall daily operations of organizational unit and ascertaining compliance with laws, policies & regulations
· Developing standard operating procedures ensuring SLAs
· Accountable for migration of systems to upgraded versions for attaining maximum efficiency in various operations
related to EMR, coding/ billing
· Heading the process improvement initiatives
· Identifying client’s requirements and developing, implementing & transitioning the processes accordingly
· Developing & implementing workflows for facilitation of structured support in all areas & issues
· Responsible for planning & organizing in-service programs for patient care process
· Maintaining track of DNFB and ensuring it as per the agreed range
· Performing quality control studies of coding and other aspects of billing
· Maintaining medical records and identifying & correcting problems
· Executing quality control audits through Six Sigma Methodology
· Supporting physicians/providers in matters pertaining to MR documentation, coding, billing and insurance policies
3. · Accountable for identification of prospective insurance companies, review of agreements, price negotiation and
contracts finalization
· Ensuring compliance to Insurance policies & protocol as per agreement
· Interfacing with Insurance Companies to ensure approval of problematic cases
· Recognizing the exhausted benefits in coordination with Re-submission Team for maximum recovery from Insurance
companies
· Carrying out Insurance disallowance write-offs in collaboration with Accounts Receivables Department after proper
reconciliation
· Evaluating the disallowance reasons, recognizing enhancement areas identified and implementing the changes
· Ascertaining timely submission of Insurance department statistics on a monthly basis
· Assisting the credentialed and supervisory staff in continuing education efforts and encourages meetings
· Carrying out evaluation, educating and enhancement in the quality of health information
· Recognizing the productivity and quality standards according to departmental & organizational guidelines
· Developing reports and appropriately utilizing the findings of performance improvement activities of HIM services
· Serving as the active member of Hospital Governance Committees, Management Information Systems,
Documentation Improvement Committees, Hospital-wide Performance Improvement Committees, Revenue Cycle
Review Committees, Enterprise wide Electronic Medical Records (EMR) Committees, Accreditation Committees and
Investigation and Review Board for Research Management
PREVIOUS EXPERIENCE
Apr’04 to Dec’04 Omega Heath IT Solutions Pvt. Ltd. Hyderabad as Sr. Medical Coder (QC)
Oct’03 to Mar’04 Apollo Health Street Ltd., Hyderabad as QA MR/Tr. Medical Coder
Mar’01 to Sep’03 Emergency Dictating Software Services Ltd., Hyderabad as QA / Reviewer (MT)
Oct’99 to Feb’01 Innovative Datamatics Ltd. & ETOS, Hyderabad as Proof Reader (MT)
CERTIFICATIONS
· Certified Professional Coder (CPC) awarded by American Academy of Professional Coders
· Certificate of Appreciation on Seminar on DRG Importance & Applications
TRAININGS/CONFERENCES
· Attended the following:
o HIMSS ICD 10 CM / PCS Workshop, Abu Dhabi-UAE
o ICD-10-AM Certificate of Attendance by representative from WHO, Doha-Qatar
o HIM Conference, Abu Dhabi – UAE
o CCSC Certification on Coding E&M for OP, Emergency Dept., Home Care, etc.
o 80-hour comprehensive training program from PMCC certified trainer (Regina A. Blakeslee, RHIA) for CCS (AHIMA)
o 6 months comprehensive training program in Medical Transcription by ETOS School of Medical Transcription, Hyderabad
o Imparted training to candidates on Coding Certifications (CPC, CPC-H, CCS, CCS-P & CCA)
IT SKILLS
Well versed with:
· GE Centricity, Mysis Tiger, IDX, Kareo & Hospycare
· Medron, LanVision and HIS
· Cerner Softmed/ClinTrac/Power Chart, ERP
· Ingenix EncoderPro, WinStrat and 3M Encoder
· MS Office and Windows 95/2000/XP/7
EDUCATION
2012 MBA (Healthcare Management) from ISBM, Hyderabad
2000 PG Diploma in Computer Applications from Indotronic, Hyderabad
2009 B.Tech. (Specialization) from College, Location
PERSONAL DETAILS
Date of Birth: 25th August, 1976
Address: PO Box 49866, Dubai-UAE
Languages Known: English, Hindi and Telugu