Chandan Kumar Sharma

Curriculum Vitae Chandan Kumar Sharma House No- 153 Street No-6, Rahul Vihar II Mob. - -/- PratapVihar, Ghaziabad – 201009 E-mail. –-_____________________________________________________________________________________ Carrier Objectives To obtain employment in quality Management utilizing my knowledge of Quality and Management term, Idea and extensive background of process excellence. Experience Summary Proficient in US healthcare denial, Rejection & Quality management. Knowledge of Quality tools, CAPAs. Reviewing and processing claims edits for accuracy as well as insurance and HIPAA compliance. Able to prioritize, multi-task and stay focused due to frequent interruptions. Able to use a considerable amount of independent judgment. Able to read and interpret documents; self-manage time with minimal supervision; and handle sensitive, private information with confidentiality and diplomacy. Academic Qualification Bachelor of Arts Certified in Medical Billing and Denial management by RANKSHEET Key Responsibilities Handling 20 people team. Handling daily client meeting for several processes. Evaluating denial analysis report, Denial Rate, Collection Rate and AR Days and planning to accelerate the RCM. Taking sessions for process improvement. Creating Process Documents, SOP and Flow charts for process or trend presentation. Matrix report management. Team production and quality report management. Denial Analysis based on collection and denial rate ratio. Experience Organization Duration(From – to) Designation Location Porteck India Infoservices July 15- Feb’17 Team Leader On-site Pacific Cancer Medical Center July’15 - Feb’17 Intake Specialist Remote Porteck India Infoservices July11- June’15 Quality Analyst On-Site Porteck India Infoservices Sep 10- June11 Account Receivable On-site Spice BPO March 09 – Aug 10 Sr. CSA On-Site MsourcE service PVT. LTD. Sep 07 – Sep 08. CSO On-site Experience Summary Worked with more than 15 US based outpatient Doctors group from transition period to ongoing with multiple (Radiology, Podiatrist, Pathologist, PT/OT, chemotherapist ) specialty doctors. Joined as Billing Executive (Sep’10- Dec’10) Promoted as Account Receivable (Jan’11 – Dec’11) with below responsibilities. 1. Paid Unpaid Claim Follow-up 2. Denial & Rejection Management. 3. E&V Validation. 4. Appeal Management. 5. Denial batches and ERA processing for denial and payment posting. Promoted as AR Quality Analyst (Jan’12 – June’15) 1. Designing & measuring process Capacity and audit strategy. 2. Daily Audit about 70 Accounts a day based on priority list. 3. Analyzing Denial rate & Collection rate Weekly. 4. Creating Process Flow , SOPs based on Client Instruction (Discussed on Conference call). 5. Partially Ops handling due to company requirement. 6. Attending process call for process excellence. 7. Quality Parameter / Opportunity creation. Promoted as Quality Team Lead (July’15 – April’17) 1. Designing Audit Priority and AR Allocation for AR & Quality Both. 2. Brain boosting to get trend for Production collection. 3. Aging Report & Quality Dashboard. 4. Daily and Weekly Quality report. 5. SOP and flow chart creation. 6. AR Knowledge bank (Tool to cover up all process basics, FAQs and updates on one place with ANSI code and description) 7. Client call representation and creating action plan for process betterment. 8. People management basics, creating & designing deployment according to the work strategy. Personal Details Father’s Name:Late Subhash Chandra Sharma. Date of birth:30 Jan 1989. Gender:Male. Marriage Status:Single. Language Known :Hindi & English. Nationality:Indian. Hobby:Yoga. I hereby confirm that the above given information are accurate and true to the best of my knowledge. Date:- Place: -(Chandan Kumar Sharma)