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REVENUE CYCLE OPERATIONS/HEALTHCARE CONSULTING

Accomplished and dynamic professional, committed to pursuing a career in the field of Revenue Cycle Operations/Healthcare Consulting. Innovative and reliable individual with proven ability to achieve organizational goals while displaying effective multi-tasking and time management skills. Highly organized and dependable with acknowledged reputation for integrity, sound business acumen and versatility in adapting to new roles, tasks, applications and environments. Proven ability to successfully analyze an organization’s critical business requirements, identify deficiencies and potential opportunities, and develop innovative and cost-effective solutions for enhancing competitiveness, increasing revenues, and improving customer service offerings. Enthusiastic individual and an excellent communicator, recognized ability to establish and maintain effective working relationships across cross-functional teams and diverse individuals at any levels and build strategic relationships with clients.

Core Competencies
Organizational Leadership • Customer Service • Vendor Relations • Account Management • Process Improvement • Business Development • Client Relations Management • Strategic Planning • Claims Management • Accounts Receivables

PROFESSIONAL EXPERIENCE

Health Management Systems (HMS), Irving • TX 11/2010 – Present
Senior Business/Operations Analyst – Claims Recovery
Handled collections of accounts receivables for four external vendors valued from $10 MM – $40 MM per vendor. Supported revenue cycle operations, performed total dollar recoveries, aging analysis, pay rates, payer margins and A/R analysis to optimize receivables performance. Audited follow up process and trained staff on appropriate follow up strategies to maximize account collections. Monitored and reviewed variances between budgeted versus actual recoveries and revenues for Claims Recovery. Applied Lean Six Sigma principles to improve work process, reduce lockbox posting from three to one day backlog to posting and lower un posted payments from $ 12 MM to less than $ 2MM. Assisted senior management on key business development and strategic initiatives involving internal and external research, business case development, opportunity assessment, cost benefit analysis and recommendation development. Assessed existing business processes, ensured all internal processes are in line with HIPAA and regulatory compliance of vendors working on accounts receivables.
KeyHighlight:
• Successfully identified and improved processes for claims follow up resulting in 10% increase in collections.

Lean Six Sigma Project – Trauma Code Mailer Cycle Time
Applied Lean Six Sigma methodologies to reduce total cycle processing time by 20% for the Trauma Code Mailer process and decrease operating expenses by $200,000 over a three-year period. Redesigned job and automated manual processes to eliminate the number of steps in the process by 70% from 37 to 10. Captured the Voice of Customer (VOC) across the business unit to identify Critical to Quality measures and translate to operational metrics to improve customer experience. Applied Lean Tools such as Fishbone, five Whys, Value Stream Mapping, Pareto Charts and Run Charts to uncover root causes, understand sources of variation within the process, identify, and eliminate non-value added steps. Performed statistical/graphical analysis on collected data to determine baseline current process performance and relationships to explain process variation.

Government & Commercial Markets 6/2009 – 12/2009
MBA Intern
Collaborated with the Vice President to develop annual budget and three year long-term forecasts. Assisted in creating annual budget worth $100M. Analyzed and interpreted monthly variances and trends between budgets, actual and prior results to develop forecasts. Analyzed data, created financial models and reports for management to aid in the annual strategic planning process. Contributed in developing marketing materials, research on new areas for revenue growth, background information on market competitors and provided summary project reports to senior management. Completed market research projects for Medicaid Managed Care/Behavioral Health/Medicare Part D. Coordinated with business development team to analyze research data and identify potential revenues of $10M.

Infosys Technologies Limited, Hyderabad • India 10/2005 – 7/2008
Business Analyst for Core Banking Product, Finacle Banking Business Unit
Oversaw execution of multiple work streams, including business process definition, business requirements gathering, test planning and coordination for all segments of consumer banking. Created and executed automated account opening process used in the Customer Relationship Management (CRM) module to reduce account opening time by 50% compared to the manual process. Analyzed gaps based on business requirements and existing product functionalities. Enhanced product based on the gap analysis. Gathered and analyzed client’s business requirements for all the segments of consumer banking and recommended changes to existing product features and processes to improve overall product performance. Planned projects including project schedules, effort estimation, resource and workflow planning. Facilitated weekly status meetings to monitor project progress and reported result to Project Management Office.

EDUCATION AND CREDENTIALS
Master of Business Administration, Strategic Management and Finance, 5/2010
Southern Methodist University, Cox School of Business, Dallas, TX
Bachelor of Technology, Major: Electrical Engineering, 2005
Biju Patnaik University of Technology, Bhubaneswar, Orissa, India

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