Physician with more than 12 years’ experience in the healthcare industry in acute care hospitals, multi - specialty academic medical centers and various healthcare technologies.
Hands on experience on various EMR-Healthcare Technology applications like- EPIC, McKesson, ECLIPSYS, MIDAS, MAPS Health Suite, Apollo Life Line, MEDINOUS, and Spirit Enterprise from Sphere Health Systems etc.
Primary areas of expertise - Healthcare Services delivery, Operations management and process improvement, with functional and technical experience in Revenue Cycle Management-Accounts Receivable reduction and reimbursement improvement. Other areas include online claim status applications - WebMD, TUFTS, Medicaid - and coding Web sites using Encoder pro and Flash Code.
Served as Subject Matter Expert in patient accounting/ business office implementations, responsible for development of methodologies, services, and delivery in these areas. Worked on a variety of patient accounting applications, including McKessonParagon/HBOC Star, Meditech, DDE, Medipac, and CUBS.
Residency in Emergency Medicine; Certificate in Computing (CIC), IGNOU, New Delhi; and Certificate in Programming, APTECH, New Delhi. Internship included rotational training in clinical specialties - Medicine/Surgery/ Obs and Gyn/Pediatrics/ENT/Ophthalmology/Dermatology/PSM/Psychiatry/Orthopedics and Traumatology.
Professional affiliations include Ministry of Health - Russian Federation; Medical Council of India; Delhi Medical Council; and Gujarat Medical Council.
C, C++, UNIX. Proficient in Russian, Hindi, Malayalam& English.
AREAS OF SPECIALIZATION:
Healthcare Information Technology
Client Relationship Management
Operations Transformation- Business Process Reengineering- Patient Accounting Business Office
Project Management&Strategic Planning
Revenue Cycle Management
Accounts Receivable Reduction
Healthcare Services Marketing
Confidential, Plano, TX
Responsible for the overall implementation of JIVA Care Management platform.
Lead all phases of the application lifecycle from analysis, coding, testing, documentation, implementation and maintenance.
Oversee scope, schedule, cost, and quality of all activities and deliverables.
Creating detailed project assessments and work orders/SOW. Responsible for Revenue recognition, forecast pipeline inventory, Project timelines, Project costs and high customer satisfaction.
Work closely with the Client and Confidential Senior Management to ensure on time, quality delivery of the product.
Engage with the stake holders (Nurses/Physicians/CMO) on the Client side and understand workflows and process gaps. Managed team of Business Analysts across various modules to ensure Client requirements are accurately captured. Work with PMG (Product Management Group) to identify potential product gaps and evaluate business case to be incorporated as future product offerings.
Works collaboratively with Clinical Services, Development teams and Business Analysts to ensure clinical content fully supports Utilization management, Case Management, Disease Management, Wellness/Health education, and performance improvement initiatives. Ensures that clinical content adheres to established evidence-based guidelines and remains NCQA and/or URAC compliant.
Lead and managed teams of onshore - offshore working model from requirements gathering through to development, testing, implementation and support. Periodic reporting of Project Status and Project Performance to the Management. Negotiate priorities and resolve conflicts among project stakeholders.
Oversee QA activities and ensure appropriate test/use case scenarios are accounted for.
Ensure compliance to deployment check lists and oversee Release/Install-Emergency releases to Client environments. Client support with UAT. Ensuring Client preparedness for Go-Live.
Healthcare IT-Consultant/ Project Manager
Responsible for providing second and third level support for multiple applications for large US based healthcare systems. Security, Policy governance, Application Maintenance, Server Monitoring.
Applications include McKesson Paragon & Epic. HIT Gap analysis evaluation. Hands on experience in various HIS applications like- Epic Hyperspace/SER, McKesson Paragon, Eclipsys, MIDAS, Cerner-Powerchart, MAPS Health Suite, Apollo Life Line, MEDINOUS, Spirit Enterprise-Sphere Health Systems, etc.
Epic-InSecurity Basket rights allocations, SER/EMP-account creations/inactivation, various configuration changes in Epic Text Space (Chronicles) and Hyperspace with privileged Admin access. Editing of Records and deletion in Chronicles. Template modifications. Paragon-FDB (Formulary Drug Base) uploads. Weekly/monthly server maintenance jobs. Change Control Management. Manual Testing before and after the implementation of application. Taking care of all kinds of Administrative needs of the Client (Change Request). Doing all dictionaries based and access related issues of the Client in reference to Administration, Clinical and Financial Modules. Closely monitoring the daily basis jobs related to activities of the Hospital (i.e., Printing, Fax Queues, Reports, Physician Web Station Master, etc.)
Experienced on application support tasks like user provisioning, termination, access management and worked on solving trouble shooting tickets on applications like GE-IDX Term/Flowcast,Lawson,Kronos,Omnicell,Misys,etc.
Incident Management and resolution. SLA compliance. Vendor Management.
Client interaction and interviewing to initiate and introduce automated healthcare environment.Documenting, tracking and following-up on all reported problems, enhancement requests and system change requests for various HIS modules.Client interaction, in terms of understanding the requirements and documenting requirements for further processing
Coordinate with the onsite team, Consultants and offshore team as point-of-contact for pre and post go-live phases of hospital implementations. Work in conjunction with the Report development team.
Business development for Middle East & EU market. Pre-sales demo readiness. Prepared Clinical test cases. Developed RFI/RFP bid documents.
Best practices implementation and hospital workflow restructuring. Clinical workflow analysis. Analyzing current state departmental & patient workflow and prepare process mapping.
Developed policies and procedures for revenue cycle areas.
Developed denial management tracking system.
Worked on ICD/CPT codes.
Evaluated current process flows in Revenue Cycle Department and introduced new processes to improve revenues and incremental cash flow for hospital services. Improved reimbursement rate from 68% - 83%.
Developed customized training documentation and conducted end user training sessions
Worked on multiple international projects (Sharjah-UAE, MoH-Bahrain, Manpower-UK). Participated in project team and project management status meetings.
Was also responsible for the delivery of administrative functions for employee strength of 7000+ across all sites of Confidential, India. Reporting directly to the Country Director.
Team management -Virtual team management across geographies. Recruitment/Training assistance.
Transitioned multi-level process. Developed policies and procedures.
Maintained status reports, required schedules and issues list. Coordinated production rollout.
Managed performance improvement initiatives addressing financial and service improvements
Marketing Manager-Healthcare Services Delivery
Served as clinical liaison between the Physician community/management and technical staff.
Negotiated business proposals.
Organized symposiums/press meets. Recruited and trained Marketing executives. C nceptualized and designed innovative marketing materials for utilization by the field force.
Assisted withWebsite/brochure development and advertising
Streamlined operations and enhanced customer satisfaction
Decreased TAT for insurance card delivery.
Implemented checklist procedure for insurance claims submission
Developed business opportunities and new marketing strategies
Achieved the set target for insurance policies from the first month and sustained steady profit generation.
Received appreciation letters from Senior Executive management