Robert Francis

Robert Francis
Hyderabad, Telangana 500047

robbie.rules16@gmail.com
+91 93476 89687
Willing to relocate: Anywhere
Work Experience
Credit & Collections Admin

Velosio Overseas Private Limited
December 2022 to March 2023
US Finance Collection Responsibilities
➢ Worked as credit card collection admin for a period of 11months. Job responsibilities both accounts
receivables and payables which included processing timely invoice payments through ACH Mode.
Renewals dayshifts upsize terms.
➢ Collection part include reaching end clients and customers via email or with the collection team.
Providing support on any payments dispute according to the company standards.
➢ Adhering to policies of payment terms plan for individual business prospects. Working on refund
analysing trends to resolve end customer payment disputes.
➢ Worked on payment processor application like Ebiz. PayPal. Strips. Tc. ERP application included cloud9
software namely working Microsoft hub for different regions categorised into T1 T2 & T3 Hubs Canada.
mentored co-workers' freshers provided support to onsite collection with immense services.
➢ Responds to customer inquiries relating to account issues and reconciles customer accounts and
disputes. requests for credits on invoice discrepancies.
➢ Used Power BI to reconcile future trends on collection ageing buckets and prepare unpaid reports.
➢ Manage the collection inbox to help streamline communication between clients, other departments,
and the collection agents.
➢ Communicate with Sales, Delivery, Billing, and Cash Applications teams. Regarding collection and
customer account related issues.
Senior analyst for Account Receivables team

Primera Medical technology Pvt Ltd - Hyderabad, Telangana
July 2018 to September 2022
Time of services from 07/09/2018 to 09/30/2022.
ROLES AND RESPONSIBILITIES.
Worked as senior analyst for Account Receivables team.
➢ Required need to Contact with insurance companies for further explanation of denials and
underpayments information.
➢ All issues are well analyzed before making the call.
➢ Take appropriate action on claims to guarantee resolution.
➢ Used to wok Major payers' denials and supported clinical triage appeals teams.
➢ Preparing appeal templates working on Write off and adjustments.
➢ Worked for Patient Access SRGA team. DRG coding appeals team.
➢ Running benefits plans for all the major payers and updating yearly individual plan benefits in Meditech
and other Erp system.
➢ Downloading file from client server to local server
Subject Matter Expert for Erisa Project Employee Retirement Income Security Act (ERISA)
➢ Patient access Process included good knowledge on Eligibility Verification and checking employer
information.
➢ Checking Patient plan benefits and maintaining patient cover letter
➢ Allocating assignments and workloads.
➢ Working on setting global trends accomplished provided ideas and created sops
➢ Quick to learn all the major. application. EPIC. Meditech. Global arms. SRGA.
➢ Deep research and investigation required before following up on Insurance payer for reimbursement
➢ Training new team members.
➢ Hosting and participating in team meetings and QA sessions.
Team Leader
AGS Health - India
May 2017 to May 2018
Responsible for overseeing the day-to-day operations of the team, distributing the workload evenly
amongst staff and making sure motivation and performance levels are maintained.
ROLES AND RESPONSIBILITIES
➢ Allocating assignments and workloads.
➢ Training new team members.
➢ Managing team performance and progress.
➢ Enforcing all company approved policies and procedures.
➢ Constantly looking for ways to improve processes and automation opportunities.
➢ Completing client requests.
➢ Implementing new initiatives and making sure all staff understand them.
➢ Managing and monitoring staff attendance.
➢ Giving prompt and accurate information on individual staff member performance.
➢ Hosting and participating in team meetings and QA sessions.
➢ Ensuring a safe and friendly working environment.
➢ Reporting to senior managers.
Started as senior account receivable- June 6th 2016 - April 31st 2017
Employers name - AGS Health
➢ Analyze the outstanding accounts on the ATB (Aged Trial Balance) and identify transactions requiring
follow-up with Insurance.
➢ Meticulous follow-up with the payer and complete post call action to resolve unpaid claims.
➢ Helping fellow associates in doubt clarifications and auditing.
➢ Reporting to team leader.
➢ Process Accomplishment awarded the employer of the month award for two consecutive times.
➢ Got promoted to Quality Role and trainee team lead in span of 14 months.
Was part NorthStar training batch and rewarded as best trainee award.
Sutherland Global Services Pvt. Ltd - Hyderabad, Telangana

December 2013 to May 2016
This position requires a comprehensive understanding of accounts receivable management in a
healthcare. This position requires strong working knowledge of managed care plans, insurance carriers,
referrals, and precertification procedures. Also required is a strong working knowledge of CPT, ICD-9 &
10, HCPCS, modifiers, coding, and documentation guidelines. Strong customer service, organizational
and communication skills are essential to this position. In addition, strict adherence to write-off policies,
refund policies and other accounts receivable policies as outlined in the Procedure Manual is required.
This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful
environment. Also required are general computer skills, typing skills and a working knowledge of
Medicare Compliance and HIPAA.
ROLES AND RESPONSIBILITIES
➢ Provide customer service through phone for all patients and authorized representatives regarding
patient accounts in accordance with practice protocol.
➢ Follow-up on all outstanding insurance claims in accordance with practice protocol with an emphasis
on maximizing patient satisfaction and practice profitability.
➢ Follow-up on all outstanding patient account balances in accordance with practice protocol with an
emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
➢ Follow-up on all returned claims, correspondence, denials and rebills within five working days of receipt
to achieve maximum reimbursement in a timely manner.
➢ Submit primary and secondary insurance claims electronically to ensure timely reimbursement.
➢ Verifying eligibility and status of claims to efficiently conduct accounts receivable follow-up and to
maximize revenue.
➢ Adhere to all policies related to HIPAA and Medicare Compliance.
➢ Credit Balance Part of credit balance team for a period of 8 months. Process includes preparing manual
refunds template and updating the same in insurance portal and collection tools.
➢ Adjusting overpayments received by insurance payer on patient due accounts. Same adjusting
improper payments by checking ERAs and contract plans of patient.
➢ Analysis of the patient credit balance to determine patient liability, handle reimbursements resulting
from the patient's payments, and recognize and stop the difficulties to prevent such mistakes. Careful
examination for double payments on a raised single claim. Issuing a Credit Note to create a credit that
reduces the amount due on the next invoice.
Education
12th Pas in Commerce

Vivek Vardhini junior college - Hyderabad, Telangana
May 2000 to June 2004
Bachelors Degree in Commerce in Commerce

B.R Ambedkar Open University - Hyderabad, Telangana
May 1999 to June 2004
10th Pass in SSC

Rock Memorial High School - India
June 1984 to June 2000
Skills / IT Skills
• Conversant with MS Office (Word, Excel & PowerPoint) To work under pressure situations, good
communication skills confident about myself, flexibility in any nature of work and originality in
approach. Personal Detail: Name: Robert Francis Father's Name: Albert Bernabas Date of Birth:
September 16th 1983 Marital Status: Married Nationality: Indian Religion: Christianity
• Trained in Diploma Computer Application. (D.C.A)
• Customer service
• Leadership
• Collection
• Accounts receivable
• Accounts payable
• Quality assurance

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Robert Francis

Hyderabad, Telangana 500047

Willing to relocate: Anywhere

Credit & Collections Admin

Senior analyst for Account Receivables team

Sutherland Global Services Pvt. Ltd - Hyderabad, Telangana

12th Pas in Commerce

Bachelors Degree in Commerce in Commerce

10th Pass in SSC

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