Roop Kumar

Roop kumar

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location of Roop KumarAndhra Pradesh, India
Followers of Roop Kumar769 followers
  • Timeline

  • About me

    Manager at PreciStat Data Services Inc,

  • Education

    • Berhampur university

      1997 - 2000
      Bachelor's degree art/art studies, general
  • Experience

    • Ispace

      Nov 2003 - Jul 2005
      Senior executive

      o Worked for the process of Provider Directory Management, Claims Repricing, CMS-1500 claim Processing, Application Enrollment process.o Responsible to allocation of claims to a specific Group and making sure of their completion at the EOD with quality.o Conducted regular quality sessions to the group.

    • Easy med limited

      Aug 2005 - Feb 2007
      Senior executive

      - Patient demographics entry (Patient registration), Charge entry, Posting of all payments and adjustments.- Generation and mailing of paper claims and patient statements. Accounts Receivable analysis and management.- Insurance verification and Insurance and patient follow-up. Specially trained in AR Management by Ms Denisse, who helped us in reducing outstanding AR and maximize collections.

    • Sutherland healthcare solutions

      Mar 2007 - Sept 2013
      Team lead and q a lead

      o Involved in analysis and identification of overpaid claims, post payment.o Provided ad-hoc consulting in various claims overpayment projects.o Facilitated solution at the front - end and billing department to reduceinflow of denials.o Interacted with clients with regard to various projects of self-pay andbad debt collections.o Manage team performance, time management. Reviewing Production andQuality report, Leave tracker status of the team.o Giving training to the team for common and uncommon scenario of theprocess.o Analyze results and trends to develop individualized coaching plans toimprove performanceo Giving feedback to the team and individuals who are under Focus andPerformance improvement plan.o Generating weekly project management dash board, client dash board,escalation to client.o Presenting analysis report weekly and monthly dashboard to managers. Show less

    • Ideafinancemed medical billing

      Dec 2014 - Mar 2017
      Billing supervisor

      Involved in a project on Population Health, HEDIS Analytics- Making the China team able to handle new process and existing process by giving them training, preparing Check list, SOPs and other process to standardize and improve quality of the process- Responsible to process various types of offshore transitions of RCMS process.- Responsible to handle end to end process of RCMS starting from credentialing to Credit Balance.- Giving support to IT team to develop their own practice management system Show less

    • Precistat data services inc,

      Jun 2017 - Aug 2023
      Manager

      o Steering a team consisting of over 65 members including 2 Team leaders and 1 Assistant Manager. Coordinating with a team of local candidates giving on-job-training in the US Healthcare process related to accounts receivables.o Handling client meetings, advising on process improvement plans and working on special projects to improve inflow of revenue.o Care Management - Involved in team management, reporting and analytics for various wellness programs, including production support, client management.o Fulfilled the client’s aspiration in terms of reducing the AR Days and increasing the collections from 17% to 35%. Controlled 1 -2 % attrition level per 2 quarters. Show less

  • Licenses & Certifications

    • Six sigma green belt

      Benchmark six sigma
    • Cpat certified patient account technician

      The chennai chapter of aaham
      Nov 2011
    • Ccat certified clinical account technician

      The chennai chapter of aaham
      Nov 2012