Jorie AI

Drive operational excellence, optimize financial performance, and lead strategic growth initiatives.

Chief Operations Officer - Offshore

Currently, I am spearheading the whole RCM Operations and overseeing EBITDA margins across RCM functions for US Healthcare providers with a team of 600+ professionals. I coordinate strategic planning & execution for delivering high operating margins and lead Automation and Robotics Solutions while maintaining high standards of program delivery and outstanding client & staff experience across all sites.

I ensure strategic alignment among departments (HR, Finance, Quality and Delivery of Operations department). I deliver Pre-Sales/Solutions support from RFP/RFI Management and provided thought leadership across new proposals. I also administer revenues, workforce and profitability for processes across projects and promote a culture of performance management and continuous improvement.

Vice President of Global Operations

Esquire Services Inc

Cultivated innovative investment strategies by exploring contemporary market trends and conceptualized sales and business development strategies to achieve growth via Mergers and acquisitions. Developed innovative marketing strategy to achieve organic growth.

Improved Net Promoter Score (NPS) within a short span for one of the largest RCM Billing companies. Built operational efficiencies for Provider Groups/Clinics and ASCs across the United States and supervised Quality Management to furnish Quality Projects for the utmost delivery of services to the client.

Vice President

JindalX

Founded & steered Jindal's Healthcare Operations and created a team of 50 within a year while providing smooth onboarding. Enhanced operational systems, processes and policies. Led a cross-functional team of Support Services (HR, IT and Finance) and augmented its effectiveness and efficiency. Spearheaded long-term planning, which included initiatives oriented towards operational excellence.

Deputy General Manager

UnitedHealth Group

Headed their Coding Operations while overseeing their daily Productivity Management, Quality Operations, and Process Improvement through various methodologies like Six Sigma, and Fish Bone Analysis. Created customized Operating Procedures for business standardization. Governed internal and external along with legal audits for the process and ODC.

 Service Delivery Manager - Coding Operations 

GPM Technologies

Performed Training Need Analysis (TNA) for developing customized training for existing team members, along with training & mentoring new hires. Managed Client Management by ensuring team delivery across coding functions. Instrumental across all the pilots for Evaluation and Management Coding Processes.

Lead - Coding Operations 

Pacific Ventures 

Overlooked Quality Management of Surgery Coding, Training, Quality Management, and Feedback Management for effective quality operations.

Quality Analyst- Medical Coding 

Ishvinder is a visionary and enterprising leader with over 19 years of experience in the US healthcare operations domain. He is currently the COO - Offshore at Jorie Healthcare Partners, a leading provider of revenue cycle management (RCM) & AI solutions for US healthcare providers. He holds a CPC certification and an MBA degree in Business Operations and Marketing.

As the head of India operations, Ishvinder oversees a team of 800+ professionals and coordinates strategic planning and execution for delivering high operating margins and client satisfaction. He also leads automation and robotics solutions and provides thought leadership across new proposals. He has a proven track record of innovating business strategies, creating new ventures, and building dedicated client bases and partnerships across the highly competitive US healthcare domain. He has honed his skills in RPA, AI, RCM,  and HCPCS compliances, data analytics using Power BI, R and Python, business intelligence (BI), US medical billing, business process improvement, process excellence, and client management. He constantly endeavours to keep his abilities both creative and analytical to find the best solutions for every challenge.

Ishvinder Singh

Client Services role in RCM end to end business. Transitioning clients and settling new processes. Assisting in the billing process, including claim submission, payment posting, and accounts follow-up. Generating and analyzing reports related to accounts receivable, aging reports, and key performance indicators to identify areas for improvement. Assisting in the training and development of staff, keeping them updated on industry changes and best practices. Utilizing medical billing software and systems for efficient claims processing and reporting. Identifying and addressing issues that hinder the timely collection of payments.Implementing quality control measures to minimize errors in billing and coding.Developing and implementing strategies to optimize revenue collection, reduce accounts receivable days, and increase overall financial performance. Implementing and optimizing billing processes to increase efficiency, reduce errors, and maximize revenue collection. Generating and analyzing reports related to accounts receivable, billing accuracy, denial rates, and revenue collections to identify trends and areas for improvement. Managing and leading a team of medical billing specialists, providing guidance, and ensuring staff productivity and morale.

Assistant Operations Manager

Client Services role in RCM end to end. Lead from the front for Pain Management authorization, eligibility verification and multi physician specialties AR end to end. Played a key role in the old AR clean up strategy. Transitioned clients and settled new processes.

Senior Team Lead - Operations

Nath Outsourcing Solutions Pvt. Ltd.

Full RCM End To End. Patient Calls, Provider Staff Call, Queries. Pain Management, Internal Medicine, Pediatrics , behavioral, rehabilitation clients end to end. Emerging Leader Award Received in 2021. Handled EV/Auth, complete AR with Collection/ Collection agency. Resolved big issues insurance auditing pain management providers and refund negotiation with provider relations.

Team Lead Operations 

Sr. AR Analyst

IDS-Argus Healthcare Services Private Limited

Process Associate

AR Analyst

Knack Global

With a decade plus of experience in US Healthcare RCM e2e DME, Hospital, Lab & Physician Billing. Worked on multi-speciality client services and delivered outstanding results while working on provider specialities like anesthesia, cardilologist, orthopedic, rehabilitation , internal medicine doctors, pain management, pediatrics, physical therapy, chiropractic, nephrology and PCP clinics, hospital outpatient and inpatient services. I have worked closely with charges, payments, edi, credentialing team to enhance first pass ratio, ncr/gcr, reducing days in AR by electronic submissions, ERA/EFT set up, getting worked denials in timely fashion and minimising rejections. I have also worked with collection agencies for follow ups with patients, patient queries regarding bills, patient payments statements, worker comps/automobile insurances and handled patient calls as well. I have also set up payment plans with patients on their responsibility. As an AR specialist my role was to contact insurance carriers through websites, email or telephone to resolve outstanding accounts and missing payments.
Analyze and resolve moderately complex insurance denials. Appeal and/or resubmit unresolved invoices to insurance carriers.
Research and respond to insurance correspondences, update registration information, post denial codes and adjustments in practice management systems. Research and obtain required documents to resolve misdirected payment issues.
As an AR Lead my core responsibilities were to perform collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections for our clients. In this role i have resolved big issues with the payers including credentialing, incorrect recoupments, medical records audits, authorization denials, negotiation with payers on recoupments. 
As an RCM Account Manager/Assistant Manager in operations, i have been the first point of contact for the provider offices including provider and their front end staff for their queries related to billing, collections & open AR towards end to end resolution. My thumb rule is team work. 
A successful team is a group of many hands and positive mindset.

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The Battle

Ishvinder Singh

Ashwani Kumar Sharma

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