MEGHAL SHAH
Ellicott City,MD
Summary
Collaborative, innovative executive with accountability for enhancing a company's performance in revenue cycle services, patient satisfaction, quality outcomes and financial strength. Offering extensive progressive leadership in healthcare revenue cycle management. Consistently achieve best practice performance expectations through team leadership, technology driven initiatives, KPI-focused and targeted process improvements. Possess record of goal attainment through simplifying processes, automation, strategic planning and operational decisions. Transform high potential staff into strong leaders who demonstrate creativity and savvy that is critical to financial and operational success.
Overview
20
20
years of professional experience
Work History
Director, Revenue Cycle Management - RCM Services
NEXTGEN HEALTHCARE, INC.
03.2010 - 03.2024
- Responsible for strategic planning, direction, and management of operational activities of end-to-end revenue cycle in collaboration with cross-functional teams and senior leadership for performance improvement/scalability and client satisfaction.
- Led multispeciality, primary care and pediatric divisions for over 1500 providers, 0.5B in annual collections.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Implemented innovative solutions to drive efficiencies, resulting in increased productivity and streamlined operations.
- Optimized operational processes using analytics tools to address client-specific metrics and reduced denials by 20% and clean claim rates to 98%
RCM Senior Operations Manager
FEDORA SOLUTIONS
01.2004 - 03.2010
- Implemented and managed RCM operations for over 1200+ providers both professional and hospital based with 80M in annual collections.
- Increased team productivity, providing ongoing training, coaching, and performance feedback to staff members.
- Spearheaded process improvements to reduce errors and increase overall quality in operations management.
- Implemented data-driven decision making to inform business strategies and drive operational excellence.
- Boosted employee retention rates through development of positive work culture, fostering teamwork, open communication, and professional growth opportunities.
Education
BS - Chemistry
M.G. Science Institute
Ahmedabad, India06.2001
Skills
- End-to-End Revenue Cycle Management
- Cross-Functional Leadership
- Performance Improvement & Scalability
- Integrated Client & Offshore Relationships
- Strategic Planning & Implementation
- Operations & Project Management
- Cost Saving Analysis
- Account Management
- Process Improvement & Simplification
- Technology-Driven Initiatives & Solutions
TECHNICAL PROFICIENCY
- Nextgen EPM & EHR
- EClinical Works
- GE Centricity
- EPIC
- Availity
- TriZetto
- Navicure
- Emdeon
- Microsoft Office
- Smartsheet
- Dashboard & Analytics
Professional Development
- Post-Graduate Diploma - Computer Applications (IGNOU Ahmedabad, India)
- Certified Professional Coder (CPC) (Inga Ellzey, USA)
- Certified Dermatology Coder (CDC) (AAPC, USA)
Timeline
Director, Revenue Cycle Management - RCM Services
NEXTGEN HEALTHCARE, INC.
03.2010 - 03.2024
RCM Senior Operations Manager
FEDORA SOLUTIONS
01.2004 - 03.2010
BS - Chemistry
M.G. Science Institute
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