Mayank

PROFESSIONAL EXPERIENCE

1.      Inventurus Knowledge Solution (IKS Health)

Duration: October 2018 to April 2019

Job Designation: Revenue Cycle Officer (RCO)

·        Claim processing and submission

·        Submit the claim to insurance companies in order to receive payment for services rendered by a healthcare provider (Hospital, Physicians)

·        Taking denial status from various insurance carriers

·        Checking eligibility and verification of policy

·        Analysis of the data

·        Converting denials into payments

·        Follow Health Insurance Portability and Accountability Act (HIPAA)

·        Patient eligibility verification

·        Account follow up on fresh claims, denials and appeals

·        Checking the claim status as per their suspension and denials

·        Achieving weekly/monthly audit target.

2.      WTW Global delivery and solutions India private Limited

Duration: April 2016 to April 2018.

Job Designation: Senior Associate

·        Processing accounting receivables and incoming payments in compliance with financial policies and procedures.

·        Verify discrepancies and resolve clients’ billing issues.

·        Update financial data in databases to ensure that information will be accurate and immediately available when needed.

·        Reconciling carrier and broker statements and work on resolution of discrepancies.

·        Intercompany and debtor/creditors reconciliation.

·        Clearing suspense account funds and GL outages.

·        Update accounts receivable and issue invoices.

·        Update accounts payable and perform reconciliations.

·        Working on credit collection from carriers/brokers to initiate disbursement to insured.

·        Closing month end activities, assisting with preparation and analyzing of cash management report.

·        Maintain and provide regular reports in prescribed formats.

·        Reviewing and answering emails to the insurance companies, brokers and client managers.

·        Attending Weekly Calls with the stakeholders.

·        Reconcile financial discrepancies by collecting and analyzing account information. 

·        Training & Mentoring new associates.

·        Participate in the Quality improvement process.

·        Gap analysis within the process and building robust action plan for continuous improvement.

3.                 Accenture India Private Limited

Duration: August 2010 to February 2016.

Job Designation: Subject Matter Expert (SME)

·        Providing correct and complete information to customers regarding their invoices, Handle Accounts Payable escalations.

·        Worked on ERPs like SAP, Lawson and Oracle.

·        Implement regular (weekly, monthly, annual) reporting related to AP, Report on key metrics, SLAs and KPIs for process.

·        Attending client calls to discuss the improvements of process. Monitoring the Email & Call Flow for improved Service delivery.

·        Had been a part of transition for Pilot process Wincanton AFS and Kerry AFS.

·        Part of the Training group, conducting process training.

·        Have worked as a full time process trainer for three years.

·        Send correspondence to the Business vendor on behalf of the vendor, when required.

·        Check Invoice status and inform customers and work further if required.

·        MIS reporting, forecasting volumes, reporting.

·        Handling a team of 15 associates and providing assistance with Performance Management.

·        Worked on Operation Excellence to improve process performance.