Anil Kumar

- ANIL KUMAR -om SENIOR ANALYST C-1 GF Dayal Bagh Colony, Faridabad Haryana,India EXPERIENCE Arion - Management Consulting Oct 2021 - Till present R1RCM Dec 2019 - Oct 2021 KPMG - Management Consulting Nov 2018 - Nov 2019 Senior Analyst 1.Reviewing patient bills for accuracy and completeness, and obtaining any missing information. 2.Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. 3.Following up on unpaid claims within standard billing cycle. 4.Checking each insurance payment for accuracy and compliance with contract discount. 5.Reviewing accounts for insurance of patient follow-up. 6.Setting up patient payment plans and work collection accounts. 7.Updating spreadsheets, and running collection reports Analyst 1.To ensure that all patient information is accurate and complete and request any missing patient information. 2.To obtain and review referrals and Authorization for treatments. 3.To confirm patient benefits and insurance eligibility. 4 To transfer insurance claims and billing data to billing software. 5.To update billing software with rate changes. 6.To create both paper and electronic copies of documentation. 7.To develop and maintain a tracking system of incoming and late payments. 8.To follow up on late payments and initiate late payment notices to relevant parties. 9.To work with personal information and maintain patient confidentiality. 10.To monitor and resolve financial discrepancies. 11.To handle and answer all patient or insurance telephone enquiries. Data Analyst 1. Conducting the formal review of the complaints received to determine if irresponsible lending has taken place. 2.Review of submitted claims to identify and deal with duplicate or fraudulent activity. 3. Provide decision on validity of claim due to affordability sustainability, credit worthiness and vulnerability. 4.Written customer outreach to support the review and decision. 5. Maintain personal compliance of Operational and Regulatory risk. 6. Ensure all legislative regulatory requirements are adhered to through compliance with the complaints handling policy, training, competency scheme & business standards. 7. Ensure quality is embedded within the work and decisions are in line with policy. 8.Take ownership for actively striving to improve the process EDUCATION Delhi University B.Com 2012 - 2015 Kalka Public School Intermediate 2011 - 2012 OTHER INFO Skills Information Research Microsoft Excel Quick learner Team Player Good communication skills Interest Animal Care, Internet surfing Languages English, Hindi Awards Emerging Team Player award at Arions.