Ashwani Kumar Sharma's Linkedin Analytics

With a decade plus of experience in US Healthcare RCM e2e DME, Hospital, Lab & Physician Billing. Worked on multi-speciality client services and delivered outstanding results while working on provider specialities like anesthesia, cardilologist, orthopedic, rehabilitation , internal medicine doctors, pain management, pediatrics, physical therapy, chiropractic, nephrology and PCP clinics, hospital outpatient and inpatient services. I have worked closely with charges, payments, edi, credentialing team to enhance first pass ratio, ncr/gcr, reducing days in AR by electronic submissions, ERA/EFT set up, getting worked denials in timely fashion and minimising rejections. I have also worked with collection agencies for follow ups with patients, patient queries regarding bills, patient payments statements, worker comps/automobile insurances and handled patient calls as well. I have also set up payment plans with patients on their responsibility. As an AR specialist my role was to contact insurance carriers through websites, email or telephone to resolve outstanding accounts and missing payments. Analyze and resolve moderately complex insurance denials. Appeal and/or resubmit unresolved invoices to insurance carriers. Research and respond to insurance correspondences, update registration information, post denial codes and adjustments in practice management systems. Research and obtain required documents to resolve misdirected payment issues. As an AR Lead my core responsibilities were to perform collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections for our clients. In this role i have resolved big issues with the payers including credentialing, incorrect recoupments, medical records audits, authorization denials, negotiation with payers on recoupments. As an RCM Account Manager/Assistant Manager in operations, i have been the first point of contact for the provider offices including provider and their front end staff for their queries related to billing, collections & open AR towards end to end resolution. My thumb rule is team work. A successful team is a group of many hands and positive mindset.