Venugopal T

About Venugopal T

With over 14+ years of experience in medical billing, medical coding, and CPT coding, I…

Experience

1. Revenue Cycle Manager

   Wound Pros Management Group, Inc

   Feb 2024 — Present · CA, US

   Roles & Responsibilities: 1. Oversee the Entire Revenue CycleManage the complete revenue cycle process, including patient registration, insurance verification, charge capture, claim submission, payment posting, and collections.Ensure all stages of the revenue cycle are efficient, accurate, and compliant with healthcare regulations.2. Optimize Revenue CollectionIdentify bottlenecks and implement strategies to improve cash flow and reduce days in AR.Minimize claim denials and maximize reimbursements by streamlining processes and reducing errors.3. Denial ManagementDevelop and monitor denial prevention and resolution strategies.Oversee timely follow-ups and appeals for denied or underpaid claims.4. Data Analysis and ReportingTrack key performance indicators (KPIs) such as denial rates, AR days, clean claim rates, and collection percentages.Prepare and present regular reports to senior management, highlighting trends, challenges, and opportunities for improvement.5. Technology and System OversightEnsure effective use of billing software, EHR/EMR systems, and clearinghouses.Evaluate and implement technological upgrades to enhance process efficiency.6. Staff Supervision and TrainingRecruit, train, and mentor the revenue cycle team.Set performance goals and conduct regular evaluations to ensure high standards.7. Patient and Provider CommunicationAddress escalated patient billing inquiries and resolve issues professionally.Collaborate with clinical teams to ensure accurate documentation supports billing claims.8. Payer CoordinationBuild strong relationships with insurance payers to address claim disputes, negotiate contracts, and resolve issues.Review and analyse payer contracts to ensure optimal reimbursement terms.9. Financial OversightAlign revenue cycle activities with the organization’s financial objectives.Collaborate with the finance team to prepare forecasts and assess the financial impact of revenue cycle strategies.

Education

• Hindusthan College of Engineering and Technology

  BE - Bachelor of Engineering