Chandru J

CHANDRU J. Current Address 994, 16’th Main 7’th Cross BTM 2’nd Stage, Bangalore - 560076 Mobile#: -/- Email ID:- =============================================================== OBJECTIVE To pursue a long time career in a healthcare BPO where my knowledge, experience and skill sets can contribute to the growth of the organization in this ever changing US healthcare industry. =============================================================== EDUCATIONAL DETAILS Degree: Bsc (Applied Science & Computer Technology) Percentage: 65% Year of Passing: 2004 Institution: Adhiyamaan College of Engineering. Hosur. ------------------------------------------------------------------------------------------------------------ XII: State Board Percentage: 64% Year of Passing: 2001 Institution: R.V. Govt. Boys Hr. Sec. School, Hosur. ------------------------------------------------------------------------------------------------------------ X: Matriculation Percentage: 67% Year of Passing: 1999 Institution: Parimalam Matric Hr. Sec. School, Hosur. =============================================================== WORK EXPERIENCE Organization: Finnastra (Formerly Futuristic Giga Tech. P.V.T. Ltd). Bengaluru Tenue: Oct’15 - Present Roles & Responsibilities: Revenue Cycle Management - Provider Front Billing On-boarding clients Developing process specific SOP based on the standing instructions Developing specialty based manuals to ease the operational complexities Managing Charge Enrty, Paymnet posting & AR team Generating key indicator reports based on overall outstanding AR and derive a POA in reducing the AR Effective denial management by analyzing top ten denials for each provider organization and implementing preventive actions to prevent the billing errors at the charge entry level Specialized in Auto, WC & PIP claims law in the state of Florida & Delaware Working closely with with Claims adjusters, BI attorneys and PIP suite attorney until a PIP claim paid Recycling the AR report until claims are getting paid Preparing touch ratio report of a claim to analyze the effectiveness of the AR follow up Generating Daily/Weekly/Momthly reports to the management and client Care Coordination Indexing medical records, assessment forms, lab reports, prescription records to patient charts in the respective encounters Obtaining authorizations from the insurance prior to rendering a procedure Sending/Receiving PCP referrals when a patient is referred to another provider or a when the transition of care is done from one facility to another Claim Adjudication - Payer Front Processing healthcare claims for Limited Medical plans Covering out of pocket expenses through Health savings account contributed from the patient’s employer group Auditing claim adjudication process Organization: Devincy Inc. Bengaluru Tenure: Apr’15 - Oct’15 Roles & Responsibilities: Managing the Charge Entry and payment posting team Denial Managerment and AR Follow up ------------------------------------------------------------------------------------------------------------ Organization: India Healthcare Solutions, Pvt. Ltd. Chennai. Tenure: Oct’13 – Apr’15 Roles & Responsibilities: Revenue Cycle Management Work assignment to the team Coordinating with the charge team with the missing charges reports in EHR and escalating it to the client to have it sent manually Monitoring daily production and quality metrics Conducting process related training to ensure client SLA is met Generating daily, weekly and monthly reports to the client and the management Regular interaction with the client to solicit feedback on the work completed and clarifying process related queries Doing thorough audit to curtail error rate Implementation of performance plans to ensure all team members meet the target and quality metrics Conducting weekly refresher training sessions to keep abreast of the industry requirements Utilizing/creating automation tools for a better FTE realization Timely follow up with the client on pending request to ensure the end result is achieved Creating positive environment and motivating the team especially under stressful situations Revenue forecast to manage cost per FTE ------------------------------------------------------------------------------------------------------------ Organization: Data Prompt Solutions Pvt. Ltd. Chennai. Tenure: Jun’12 – Sep’13 Roles & Responsibility: Calling the healthcare providers in US, UK & South Africa based on the questionnaire set by the pharmaceutical and insurance companies to get their inputs on developing drugs for specific health conditions. ------------------------------------------------------------------------------------------------------------ Organization: Topaz Technologies Pvt. Ltd. Chennai. Tenure: Sep’11 – Apr'12 Roles & Responsibilities: Assisting the software team to build an ERP tool for hospital management system based on the Practice Management System ------------------------------------------------------------------------------------------------------------ Organization: Medusind Solutions, Pvt. Ltd. Chennai. Tenure: Nov’05 – Aug’11 Roles & Responsibilities: Account Receivable Management, insurance calling, work allocation to the team, client communication and sending AR reports to the management and client ------------------------------------------------------------------------------------------------------------ Organization: L-Cube Innovative Solutions, Pvt. Ltd. Chennai. Tenure: Sep’04 – Nov’05 Roles & Responsibilities: Insurance calling & preparing appeals ------------------------------------------------------------------------------------------------------------ PERSONAL DETAILS Name: Chandru J. Father’s Name: Jayaseelan V. DOB: 02/09/1983 Gender: Male Marital Status: Married Nationality: Indian Passport #: Languages Known: Tamil, Kannada, Telugu, Hindi & English Place: BengaluruChandru J Date: