Diwakar A

About Diwakar A

Knowledge of the Job:• ERA• Patient Payments• Vcc Payments• Facesheet • EOB• Correspondence Letters• Denials• Payer Portals • Insurance Payments• Refunds• ChartSwap• Bank ReconciliationResponsibilities:• Conducting Quality Control Calibration.• Responsible for Quality Audit Control and Re-Audit.• Generating Team Production Reports and Team Quality Reports of 50 members.• Posting Payments and Denials.• Process Trainer.• Creating Training Documents and SOP’s• Scheduling Team meetings for CQIP.• Processing of EOB’s in Radico Billing Remit module.Known Software’s & Work List:• Radico• E-Med• Converge• Waystar • eCW• ChartSwap• Change Health CareSoft Skill:• MS Office (Excel, Word, PowerPoint).• Basics of Lean Six Sigma.Achievements:• Reduced manual works by Automating the Team Production Reports and Team Quality Reports in excel with Flexible Formulas, Conditional Formatting, Data Validation, Pivot Table.• Assured 99% of Team Quality Accuracy by implementing Root Cause Analysis, 5 Why, Pareto Analysis, Correction Action, Feedbacks and Training.• During Back lock in a process, successfully planned to complete all records by training new resources – Which in ROI we got 3 more new projects from the same client.

Experience

1. Us Healthcare - Payment Posting - Subject Matter Expert

   Allyhealth Solutions

   May 2019 — Present · Chennai, IN

   US Healthcare, Payment Posting, Cash Posting, ERA, EOB, Insurance Payments, Patient Payments, Correspondence Letters, Refunds, Vcc Payments, Denials, ChartSwap, Facesheet, Payer Portals, Bank Reconciliation, Radico, eCW, E-Med, ChartSwap, Converge, Change Health Care, Waystar, MS Office (Excel, Word, PowerPoint).