Chetna Suthar
West Jordan,UT
Summary
Initiative-taking and organizational assistant helping businesses thrive through creation of systems that enhance organization and flow of the business environment. Recognized for hard work, punctuality, and the ability to effectively communicate and work with colleagues, clients, employees, and senior management. Proven ability to increase profitability and customer loyalty.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Manager
VENTRA HEALTH
08.2021 - 01.2025
- Day-to-day awareness of revenue flow and guidance for Mountain West Anesthesia, one of the top 10 client revenue list members, held in queue for various reasons.
- I regularly work with our overseas team to communicate issues and align people, healthcare industry requirements, including but not limited to guidelines and applicable laws in invoices requiring resolution in a timely manner.
- Handled monthly claims inventory between 18,000 and 20,000, bringing in monthly revenue between $11M and $12M.
- Knowledge of all kinds of insurance, including Medicaid, Medicare, and commercial, including denials and appeals.
- Knowledge of patient billing, payment plans, and collection procedures.
- Have detailed knowledge of physician billing (CMS 1500) and hospital billing (UB-04).
- Knowledge of KPIs, insurance fees, and working directly with insurance provider relations regarding rates.
- Have knowledge of payment posting, credits, and debits.
- Knowledge of creating SOPs, providing portal access to the team, has been DSA for IHC Cerner (Citrix) to provide hospital access to employees.
AVEC RCM Client Operations Assistant Manager
CORONIS HEALTH
07.2020 - 11.2020
- Develop and implement operational strategies, policies and produces to optimize efficiency, productivity, and quality across the organization with all applicable to local state and federal laws regulations
- Identify areas for improvement and implement innovative resolution
- Responsible for monitoring operational performance and provide regular updates to senior leadership
- Run daily report to measure performance, average days delinquent, account receivable turnover ratio
- Perform audits, provide necessary training to improve quality with one touch resolution
Workers Compensation Supervisor
MED DATA
09.2016 - 07.2020
- Supervised AR Team of sixteen people
- Management knowledge
- Ex: (Time Sheet, Development Coaching, One on Ones, Productivity Metrics, Training, Performance Agreements, Weekly Productivity)
- Diligently work with Cash Posting team on submitting payments
- Knowledge of Posting Adjustments, Transfers, Updating Bill Type in Hospital Systems
- Knowledge of Monthly Client Summary, Collection, Create Client Reports and Attend Client Meetings Bi-Weekly
- Knowledge of Inventory Experience (Handles overs ten thousand accounts)
- Experience with Insurance Verification, Denials and Patient Registration
- Knowledge of Claim Number and Works with Self Employed Business
- Provide audits to team members to improve their quality of work
- Familiar with reporting to improve overall benchmark and aging inventory
- Knowledge of ICD 10 codes, DRG, REV CODE, CPT and HCPCS coding
- Familiar with Epic, AS400, PULSE hospital systems
- Familiar with Electronic Billing terms and software (Claims Management and Jopari)
- Knowledge of Medicare and Commercial payers (Knowledge of Medicaid Terms)
- Knowledge of various states' reimbursement and fee schedule calculation
- Generate appeals for denials and EOBs including non-compensable, not medically necessary, duplicate, not paid according to fee schedule
- Manage payment agreements/settlements and knowledge of litigation process, bankruptcies
- Have a knowledge of facility UB and HICFA bills (Inpatient, Outpatient, ER)
- Have knowledge of billing, follow up and appeals process
- Knowledge of HIPPA terms
- Created training SOP's and provide trainings to new hires
REP 1, Credit & Collections
COMCAST CABLE
11.2015 - 08.2016
- Responsibility of collecting $180k+ per fiscal year
- Employee of the month, kept up with green score card every fiscal year
- Provided timely and accurate Billing information resulting in increased cash flow
- Consistency exceeds company goal by 120 call per day (IB/OB)
- Maintained FCR while providing customers with world class customer service
- Being a Multitask and excellent negotiator explains customers Pro rates, fees, one-time charges, billing statements
Sales Associate / Lead Cashier
THE HOME DEPOT
10.2013 - 10.2015
- Supervised team of 10-12 people
- Built and maintained communication between team
- Document maintenance and filing
- Cash management
- Awarded by company for opening the newest credit accounts
- Exceed company goal of 10,000/week as salesperson in appliances
International Shipping Clerk
O.C. TANNER
05.2007 - 10.2013
- Processing invoices, SEDs, ship shipments on timely manner and accurate delivery
- Data entry, internal client care, working with freight courier, calculate duties and taxes, track shipments, assure orders and shipping quantity match picking documents
- Complete special projects at the discretion of the manager
- Create single point lesson to train new clerk
- Cross trained as a coordinator, working as a bridge between vendor, client services, and customer
- Worked in company jewelry store as a salesperson
- Promoted independence, productivity and choice making
Manufacturing Supervisor
ULTRADENT PRODUCTS, INC.
02.2005 - 04.2007
Education
Some College (No Degree) - Computer Science
Salt Lake Community College
Salt Lake City, UTSkills
- Customer relationship management
- Data analysis
- International coordination
- Document control
- Microsoft Office
- Microsoft Teams
- Debt collection
- AVAYA
- RingCentral
- Data Entry
- EPIC
- Cerner
- Meditech
- Waystar
- Innovative
- Leadership
- Reporting skills
- Team building
- SAP
- Google Docs
- Global Ship
- CRM
- Document Control
- Analytical skills
- AS/400
- CPSI
- Skype
- ZOOM
- Billing cycle expertise
- Account resolutions
- Healthcare industry
- Claims management
- Revenue metrics analysis
- Account monitoring
- Cash flow management
- Denial resolution
- Charging methodologies
- Medical billing
Volunteer Experience
The East Sandy Elementary School
Languages
- English, True
- Gujrati, True
- Hindi, True
Affiliations
- I have certification of Java
Languages
Hindi
Full Professional
Gujarati
Full Professional
Punjabi
Limited
References
References available upon request.
Timeline
Revenue Cycle Manager
VENTRA HEALTH
08.2021 - 01.2025
AVEC RCM Client Operations Assistant Manager
CORONIS HEALTH
07.2020 - 11.2020
Workers Compensation Supervisor
MED DATA
09.2016 - 07.2020
REP 1, Credit & Collections
COMCAST CABLE
11.2015 - 08.2016
Sales Associate / Lead Cashier
THE HOME DEPOT
10.2013 - 10.2015
International Shipping Clerk
O.C. TANNER
05.2007 - 10.2013
Manufacturing Supervisor
ULTRADENT PRODUCTS, INC.
02.2005 - 04.2007
Some College (No Degree) - Computer Science
Salt Lake Community College
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