Rajkumar David

Accomplished Medical Billing Specialist and Team Leader with extensive expertise in A/R Denial Management, and Billing Solutions. Proficient in Processing Claims, Payments, Invoices, and Denial Resolution. Skilled in Ensuring Accuracy.

Proven Track

Record in Reconciliation and Account Dispute Resolution.

Strong Project

Management and Presentation Skills with a Commitment to Client Confidentiality.

Team Leader - Global Healthcare Billing Partners - Chennai

(2022-03 - 2024-04)

• Developing strategic plans and initiatives for denial management aimed at reducing denial rates, optimizing revenue cycle processes, and improving overall financial performance. This involves analyzing denial trends, identifying root causes of denials, and implementing targeted strategies to address them.
• Monitoring and evaluating the work of Team members to ensure adherence to best practices, compliance with regulations, and accuracy in denial resolution.
• Providing training to operation team members to enhance their skills and knowledge in denial management. This involves conducting regular training sessions, workshops, or one-on-one coaching sessions to address areas of improvement
• Assessing the performance of team members and providing regular feedback to help them improve their denial management skills. This may also involve setting performance goals and conducting performance evaluations to recognize achievements and address areas needing improvement.
• Generating reports and conducting analysis on denial management metrics and key performance indicators. This involves tracking denial rates, identifying root causes of denials, and implementing strategies to address recurring issues

Senior Executive - Global Healthcare Billing Partners - Chennai

(2016-08 - 2021-07)

• Assis the senior management team in identifying areas for process improvement, implementing workflow enhancements and reduce errors.
• Conducting in-depth root cause analysis of denials to identify underlying issues and trends contributing to denial rates. This involves collaborating with cross-functional teams, analyzing payer trends, and implementing corrective actions to address systemic issues.
• Maintain relationships with vendors by working with the team to ensure timely resolution of issues.
• Collaborating with external vendors to optimize denial management processes and maximize reimbursement. This includes evaluating vendor performance and ensuring alignment with organizational goals and objectives.

Senior Revenue Cycle Analyst - Access Health Care - Chennai

(2013-11 - 2016-08)

• Analyze the outstanding AR report & identifying the trend in denials.
• Checking eligibility and authorization for the claims that must be submitted.
• Calling insurance for claim status & clarifying the denials where we do not have access to insurance website.

Customer Service Executive - Helios Outsourcing Pvt Ltd - Chennai

(2012-09 - 2013-05)

• Permanent awareness of customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

BCA - Computer Applications - Patrician College of Arts and Science (2012-11)