Tushar Sharma
@tusharsharma
Associate Operation Manager at R1RCM
Ghaziabad
Tushar Sharma is an experienced professional focused on US Healthcare Revenue Cycle Management (RCM). He excels at collaborating with clients to identify system gaps and meet detailed design requirements. His expertise covers AR follow-up, compliance (HIPAA, HITECH), and managing complex EHR solutions like Cerner and MyChart. He has a strong background in billing guidelines and process improvement.
Experience
Associate operation Manager
R1RCM
Handling Team of 35+ Associates for US Healthcare AR Follow-up. Handling all new hired Management trainee reports and giving them regular training with feedback session. Getting into weekly client calls for the Functional Review & touch base calls with the CBO(s) discussing over general issues in AR and reduction plan for 180+ aged AR. Handling weekly Calibration calls for the quality improvements in team. Handling client side queries and solutions for both Clinical EHR (R1 decision) and Facility EHR (E-premise, Cerner) solutions and Patient Charts (MyChart, iDocs). Working as per Federal and State Medical Guidelines CMS (Centers for Medicare & Medicaid Services). Following Healthcare Compliance (HIPPA, HITECH, ePHI) for US Healthcare RCM. One on one Sessions with New hired MT's and Senior analyst. Regular touch with HR for interview of new hires and process requirement. Creating new SOP's for new process. Evaluating business requirements, uncovering areas of improvement, implementing solutions with overall development as per client requirements. Working on business requirements docs, process flows and templates. Directly reporting to stakeholders and directors for various meeting with productivity and quality reports.
Assistant Manager
R1RCM
Handling Team of 15+ Associates for US Healthcare AR Follow-up. Getting into weekly client calls for the Functional Review & touch base calls with the CBO(s) discussing over general issues in AR and reduction plan for 180+ aged AR. Handling weekly Calibration calls for the quality improvements in team. Handling client-side queries and solutions for both Clinical EHR (R1 decision) and Facility EHR (E-premise, Cerner) solutions and Patient Charts (MyChart, iDocs). Working as per Federal and State Medical Guidelines CMS (Centers for Medicare & Medicaid Services). Following Healthcare Compliance (HIPPA, HITECH, ePHI) for US Healthcare RCM. Working on transition business gathering critical data and sharing final reports with stakeholders.
Management Trainee
R1RCM
Handling Team of 25 Associates for US Healthcare AR Follow-up. Working towards process improvement and quality. Working on updated ICD-9, ICD-10, CPT, HCPCS coding and Billing guidelines (both CMS-1500 and UB04 claims). Working on EHRs (E-premise, Cerner) solutions and Patient Charts (MyChart, iDocs) for facilities assigned. Following Healthcare Compliances (HIPPA, HITECH, ePHI) for US Healthcare RCM. Get in touch with client on weekly basis for making strategies for the resolution of stuck AR. Maintaining dashboard with improvements that we made in projects.
Sr. Analyst
R1RCM
Calling Insurance for resolving denial on claims. Working on R1 decision for Clinical and Medical claims, also for Facility EHR using Cerner & E-premise solutions and MyChart, iDocs for Patient Charts. Working towards payment on denied and stuck AR claims within Timely Filling Limit. Handling Mentorship role for 6 associates and turning them into an Expert associate. Calling Insurance for resolving denial on claims and clearing AR back blocks. Working on both CMS 1500 (Physician Claims) & UB 04 (Hospital Claims) Claim forms. Working on Cerner and E-premise Hospital Billing Tool. Assignment of tasks and helping in understanding user requirements.
associate-field representative
EXL
Representing level 3 team of British gas to look for accounts, handle meter jobs & Faults in meters to make job easy for field representatives. Working on data that is highly important for client that is British Gas.
Junior Engineer
HCL TECHNOLOGIES
Network connectivity troubleshooting Analysed software, hardware and network systems for various transmission systems. Worked with Routers Provided to BT Customer.
Education
IMT, Ghaziabad
MBA
Data analyst
SCTTM, Delhi
BCA
National Victor Public School
12th Board
National Victor Public School
10th Board