Highlights:

Skills:Healthcare EDI, EHR, EMR, RCM, X12, HL7, HIPAA, Healthcare Billing, TRIZETTO QNXT, FACETS, Allscripts Payerpath EDI, XML, Pearl Scripting,, BizTalk, EDI Hosting, Healthcare Claims Processing, Healthcare Payer Support ( EDI,EHR,EMR, Hosting Support), Healthcare Provider Support ( EDI, EHR, EMR, Hosting ), EDI Payment Gateways ( Healthcare Payments), Healthcare Clearing House ( EDI Tech Support ), HIPAA 834,837, HICFA CMS-1500, ICD-10-CM/PCS Codes, EDI-production environment, XML, SQL, Pearl Script, analysis, Database Structures & queries, Process a, HealthCare

Associate Vice President 02/2019 - current
AssureCare LLC, Cincinnati, New Jersey, Ahmedabad, Banglore , India , United States United States
Industry: HealthCare
Heading Global Growth and Revenues
Responsible for Global Growth and Revenue--
Technical Analyst - EDI 11/2014 - 10/2015
Trizetto, Pune, Maharashtra India
Industry: Healthcare , Software, Information Technology.
EDI Hosted Support & Production, RCM, FACETS, QNXT, ETS errors & trouble shooting, L 2,L3,L4,L5 EDI Processing & Support Functions. Successfully managed Transition AMS/EDI department from TRIZETTO India to COGNIZANT India..
? Played a pivotal role in handling Healthcare - EDI Hosted support functions and providing technical support for EDI-production environment, XML, SQL, Pearl Scripts, Data analysis, Database Structures & queries, Process automation Software tools. Microsoft-BizTalk, IBM WebSphere, HP Service Manager tool, EDI Claims Processing & Billing. ? Along with Cognizant Leadership managed and implemented new CTS rules & regulations post transition. ? Along with CTS Leadership successfully implemented Change Management. ? Successfully managed “System Transition & Integration”, introduced & successfully implemented VDI environment. ? Training and mentoring new joiners & freshers. ? Successfully Completed Training/Certification For Change Management, Transition Management, Managing Diverse Teams, Leadership Skills, Management Essentials And More Than A Dozen Healthcare Certifications.--
Consultant - EDI 04/2011 - 06/2012
Allscripts Healthcare, Pune, Maharashtra India
Industry: Healthcare , Software, Information Technology.
EDI Technical Support, Level 2 & Level 3 EDI Claims Processing & Support Functions. Clearing House Edi Support, Healthcare Provider EDI Tech Support.
? Played a pivotal role in handling Healthcare - IT solutions & core electronic claims & payment processing – Electronic data interface – EDI, EHR. Data analysis, Database Structures & queries, Process automation Software tools. ? Successfully managed PM-Allscripts, Payerpath, Navicure & McKesson Payment - Gateways (Clearing House) ? Recognised as a HIPAA 834,837, HICFA CMS-1500, ICD-10-CM/PCS Codes, 4010A1 & 5010 ANSI Specialist ? Provided the Healthcare - EDI solutions for Hospitals, Practices, Providers, Physicians / Doctors, Billers, etc. ? Managed EDI & CRM, Sales-Force, Windows Based and SQL Server( Remote Access/Client Server). ? Involved in processing the electronic & paper Insurance claims and inbound / outbound documents. ? Resolved the EDI/EHR data mapping errors with Providers, Medical Billers, Clearing House, Carriers / Payers. ? Interfaced with Payers, Hospitals, Practices, Providers, Physicians / Doctors, Billers, etc. to fix Health Insurance claims, EDI data mapping, data structure, billing issues. Healthcare Revenue Cycle Management. ? Services include Claim entry & processing, Eligibility checks, Denial management, Payment posting, AR, MRA & HCC processing, Plan Benefits administration, Members Enrollment, Authorizations, and Credentialing.--

Mumbai University 06/1993 - 04/1994
Mumbai, Maharashtra, India
Degree: Bachelor's Degree
Major:Financial Accounting & Auditing
Bachelor Of Commerce( Three Years integrated Course) Degree.

Login to view resume: Ashish Hadkar Resume - Medical Record & Health Information Technical Specialist, EDI, EHR, EMR, X12, BizTalk, QNXT, FACETS, Trizetto, Allscripts