John Dsouza

Background

About John Dsouza

Profile Summery • A dynamic professional with extensive experience in insurance, Coding & billing and revenue Cycle Operations • Well experienced HIM coding, Billing, insurance and claim process under various platforms with extensive experience under hospital & Practice management • Adept in maintaining effident documentation as per local authority regulations & billing requirements • Skilled in carrying out development of periodic reports for clinical staff and recognizing unbilled charges due to inadequate documentation • Significantly involved hospital revenue enhancement and various department like insurance finance & HIM • Possess extensive experience in identifying documentation requirements,acquiring authorizations, pre-approval request and claim correction • proficient in managing, motivating and leading teams for running successful business process operations with proven ability of achieving service delivery or process targets • Adroit at maintaining cordial relationship with customers, ensuring quality and service norms thereby achieving customer satisfaction and business retention • Adept in imparting training on documentation to doctors and other healthcare professionals. • Knowledge of price negotation for the new tariff with insurance co. according to bench mark set by the company. • Knowledge of reconcillation,quick remitance payment for high cost claim where in insurance co. will request for addtional discount, inreturn will help increase of revenew of the hospital. • Knowledge of keeping data of utilization/non untilization of perticular services and to overcome with the solution if there is any perticular service which is underpar and also to educate the doctors for proper documentation for the services which are utilized more. • Knowledge of volume disount