Ketan Kanta Das

Experience

1. Credentialing Specialist

   3d Solutions

   Oct 2022 — Present · Chandigarh, IN

   As a dedicated Credentialing & Provider Enrollment Specialist at 3D Solutions, I was instrumental inoptimizing Revenue Cycle Management (RCM) for a diverse portfolio of medical specialties, with a core specialization in behavioral health practices. My responsibilities encompassed the full spectrum of the provider lifecycle, from initial provider credentialing and enrollment to contract negotiation and ensuring continuous payer compliance.Key Contributions & Responsibilities: Spearheaded the comprehensive credentialing process and provider enrollment for a wide array of medical specialties, with a significant focus on behavioral specialties, ensuring meticulous adherence to healthcare regulations and all payer-specific requirements. Managed crucial contract negotiation efforts, consistently securing improvedreimbursement rates and favorable terms that directly led to higher revenue and enhanced financial performance for our client base. Demonstrated hands-on expertise with various healthcare technology portals, including industry-standard platforms like Tebra and Charm, leveraging them to streamline billing workflows, manage provider data, and ensure data accuracy. Navigated the complexities of Medicare and Medicaid aspects and regulations, ensuring stringent government payer compliance and maximizing legitimatereimbursements for providers. Cultivated strong client relationships through direct client interactions and client handlings, providing proactive client support and expert guidance on credentialing and enrollment matters. Conducted rigorous credentialing audits to uphold data integrity and identify opportunities for process optimization, contributing to a robust compliance framework. Developed and presented detailed RCM reporting and performance analytics, providing actionable insights to leadership and clients on credentialing status, enrollment progress, and key revenue cycle metrics.