Vishal Persaud
Hollis
Summary
I am a motivated Revenue Cycle Specialist with 10+ years of experience in healthcare operations and a specified expertise in ICD-10. I am highly skilled in analyzing and processing high volumes of patient information to achieve revenue generation goals, and I succeed in demonstrating exceptional leadership skills while managing a large team.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Manager
New York Spine Institute
03.2024 - Current
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Negotiated contracts with third-party vendors for billing-related services, achieving cost savings without compromising quality.
- Enhanced revenue by optimizing claims submission process, ensuring timely and accurate billing.
- Established and checked coding procedures, monitored reports and updated internal files.
- Implemented IDR Process for Out Of network Providers
Medical Biller/Coder - Revenue Cycle Supervisor
Orthopedic Associates of Manhasset
07.2017 - Current
- Oversee, supervise, and train a team of14 employees
- Advise employees on medical billing procedures and appropriate customer service practices
- Run, manipulate, and analyze financial reports to determine appropriate follow-ups
- Run collection projects and denial-based reports to identify significant trends, create projects, and make changes as needed
- Verify patient eligibility
- Review, send out, and scrub/audit claims
- Post in and out of network payments, as well as physician surgical billing charges
- Manage patient outstanding balances and refunds
- Thoroughly reconcile all payments posted to ensure accuracy of collections
- Monitor all unfulfilled charges and communicate effectively with physicians to ensure timely completion
Medical Biller/Coder
Premier Health Systems
02.2012 - 07.2017
- Reviewed medical procedures as documented by doctors
- Translated medical procedures into codes that can be translated by payers and other medical facilities (ICD9, ICD10)
- Coded treatment information using common procedure terminology (CPT)
- Collected and managed payments for each individual patient account
- Coordinated insurance reimbursement for care providers
- Processed payments received from insurance companies and maintain records to follow up with insurances on claims with denials
Education
Bachelor of Science - Biology
Farmingdale State College
Farmingdale, NYAssociate of Science - Health Science
Queensborough Community College
Bayside, NYSkills
- Microsoft Office Suite (Word, Excel, Outlook, Access, PowerPoint)
- Expert in deciphering EOBs and Remits
- Skilled in Out of Network, IDC10, CEPT & HCPCS with Modifiers
- Experienced in trend analysis, charge capture, and posting payments
- Highly adaptable supervisory skills that are equipped to handle conflict management, employee satisfaction, and the development of direct reports
- Excellent communication and ability to build strong relationships with employees on all levels of operations
- Self-motivated and proactive individual that takes ownership of tasks at hand
Timeline
Revenue Cycle Manager
New York Spine Institute
03.2024 - Current
Medical Biller/Coder - Revenue Cycle Supervisor
Orthopedic Associates of Manhasset
07.2017 - Current
Medical Biller/Coder
Premier Health Systems
02.2012 - 07.2017
Associate of Science - Health Science
Queensborough Community College
Bachelor of Science - Biology
Farmingdale State College
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