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Madhusai PV

@madhusaipv

Dedicated team lead with extensive experience in medical billing.

India

What I'm looking for

I am looking for a role that allows me to leverage my expertise in revenue cycle management while fostering team collaboration and driving operational efficiencies.

I am a dedicated and results-oriented Team Lead with extensive experience in medical billing and accounts receivable within the healthcare industry. I have a proven track record of successfully leading teams to optimize revenue cycles, reduce denials, and enhance operational efficiency. My expertise lies in managing complex billing processes, resolving escalated issues, and implementing effective strategies to ensure compliance with regulatory standards.

Throughout my career, I have worked with notable organizations such as Omega Healthcare and Cerner Healthcare, where I honed my skills in denial management, claims processing, and appeals. I have consistently generated revenue for clients by preparing aging reports and educating teams on best practices. As a Team Leader at Huron, I managed a team of 16 members, performing audits and providing project updates while ensuring that we met our service level agreements. My commitment to delivering exceptional results is matched by my focus on quality patient care and organizational objectives.

Experience

Work history, roles, and key accomplishments

HC
Current

Associate Denial Management- RCM Operations

Health Recon Connect

Mar 2023 - Present (2 years 3 months)

Led denial management teams for projects with Corona Lab and Weiss & West Hospital. Focused on identifying denial causes and training staff on prevention strategies.

HU

Team Leader/ Operations Associate

Huron

Feb 2021 - Feb 2023 (2 years)

Managed a team of 16 on the HMO Medicare Project, performing audits and providing project updates. Conducted training for new joiners and handled AR, denials, and appeals.

RR

Process Specialist

R1 RCM

Aug 2020 - Jan 2021 (5 months)

Worked on denial workflow and accounts receivable for Maury and Baptist Health projects. Assisted teammates in meeting SLAs and received client appreciation for timely report clearing.

CH

Senior Revenue Cycle Specialist

Cerner Healthcare

Oct 2018 - Jul 2020 (1 year 9 months)

Handled projects for Maury Medical Center and Baptist Health, focusing on denial management and accounts receivable. Prepared SOP documents and educated the team to enhance revenue.

OH

Revenue Cycle Specialist

Omega Healthcare

Aug 2017 - Oct 2018 (1 year 2 months)

Worked as Medical Billing Specialist focusing on denial management, accounts receivable, and claims processing. Developed aging reports to improve TAT and generated revenue for clients.

Education

Degrees, certifications, and relevant coursework

SC

SVR Engineering College

Bachelor of Technology, Engineering

2013 - 2017

NC

National Junior College

Intermediate

2011 - 2013

BA

BALAAcademy

S.S.C, Secondary Education

2009 - 2011

Tech stack

Software and tools used professionally

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Madhusai PV - Associate Denial Management- RCM Operations - Health Recon Connect | Himalayas