Akila Wijesooriya
@akilawijesooriya
Highly motivated RCM professional with 8+ years in healthcare.
What I'm looking for
I am a dedicated Assistant Manager in Operations with over 8 years of experience in the healthcare industry, specializing in revenue cycle management (RCM). My journey has been marked by a commitment to optimizing revenue cycle performance, where I have successfully minimized billing errors and consistently surpassed the 95% CCR target for each account I managed. My expertise in medical billing, denial management, and accounts receivable collections has enabled me to streamline billing practices, ensuring accuracy and efficiency in all processes.
Throughout my career, I have actively participated in projects aimed at automating billing processes, which have significantly improved accuracy and streamlined operations. I have a proven track record of enhancing denial management processes by implementing proactive measures that have led to a substantial reduction in accounts receivable. My ability to generate insightful reports on revenue trends and collection rates has provided senior management with valuable information for financial planning and forecasting.
Experience
Work history, roles, and key accomplishments
Assistant Manager - Operations
Collective RCM Pvt (Ltd)
Oct 2023 - Present (1 year 8 months)
In my role as Assistant Manager - Operations, I manage denial processes, ensuring accuracy and compliance with SLAs. I analyze denied claims, generate reports, and collaborate with cross-functional teams to enhance billing practices and reduce denials.
Assistant Manager - Operations
Invent Healthmatics Pvt (Ltd)
Dec 2023 - Present (1 year 6 months)
As Assistant Manager - Operations, I manage the end-to-end revenue cycle, focusing on patient registration, billing, coding, claims processing, and collections. I implement quality assurance protocols, oversee billing teams, and ensure compliance with healthcare regulations, significantly improving revenue cycle performance.
Senior Lead Specialist (Process)
RCM Medigain LLC
May 2017 - Oct 2023 (6 years 5 months)
As Senior Lead Specialist, I oversee billing and VOB operations, ensuring compliance and accuracy. I track team performance, manage complex billing scenarios, and lead projects for system upgrades, enhancing overall billing efficiency.
HR Executive
Medigain Pvt Ltd
Aug 2012 - Mar 2013 (7 months)
As an HR Executive, I managed recruitment, payroll, and employee engagement activities. I facilitated training programs and maintained personnel records, contributing to a positive workplace environment.
Medical Billing Executive
Medigain Pvt Ltd
Aug 2016 - May 2017 (9 months)
In my role as Medical Billing Executive, I handled billing processes, ensuring timely and accurate submissions. I collaborated with healthcare providers to resolve billing issues and improve overall revenue cycle efficiency.
Intern - HR
Polytex Garments Ltd
Feb 2011 - Dec 2011 (10 months)
During my internship at Polytex Garments, I assisted in organizing training programs and managing employee files. I contributed to CSR activities and helped relaunch the company magazine, gaining valuable HR experience.
Education
Degrees, certifications, and relevant coursework
University of Kelaniya
Bachelor’s, Business Management
Bachelor’s in business management with a specialization in HRM. Focused on minimizing billing errors and consistently surpassing the 95% CCR target for each account managed. Implemented a thorough QA protocol to enhance the accuracy of first-claim submissions, leading to higher first-pass reimbursement rates.
Availability
Location
Authorized to work in
Job categories
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