PRAGATI SAWHNEY MPH

34 West, 86th street, New York, NY 10024

Email:ps878432@westpost.net; Cell: 917-353-5126
Qualified healthcare professional seeking healthcare consulting roles. Experien
ce in provider consulting, strategically resolving problems, and improving proce
sses to maximize productivity and reduce costs while ensuring compliance. Clinic
al background with Masters Degree from Mailman School of Public Health, Columbia
University.
KEY PROFICIENCES
> Hospital Practice and Provider Consulting
> Government and Managed Care Credentialing
> Research and Report writing
> Training and Presentations
> Project Management
> Analyzing and Forecasting work flow requirements
EXPERIENCE
Faculty Practice Manager, Downtown Bronx Medical & Dental Associates November
2008 - now
LINCOLN MEDICAL & MENTAL HEALTH CENTER (New York)
Government and Management Care Specialist for 400 MD Faculty Practice. Provider
liaison for third party payers, managed care, hospital and the affiliated billin
g company.
Accomplishments:
* Created and streamlined processes for new provider enrollments and established
efficient operational work flow in credentialing to ensure compliance with stat
e regulations and capture revenue.
* Initiated 1500 online provider profiles for three hospitals for Council of Aff
ordable Health Care and enrolled around 100 providers in Emblem Health and Empir
e Blue Cross Insurances to gain revenue.
* Set up efficient Revenue Cycle Processes to capture charges.
* Recovered 4.75 million Medicare/Medicaid claim denials Medicaid/Medicaid dolla
rs due to incomplete credentialing of physicians.
Coordinator of Physician Coding Initiative Project, Compliance Department Jul
y 2007 - Nov 2008
MEMORIAL SLOAN-KETTERING CANCER CENTER (New York)
Managed the Physician Coding Initiative Project for 400 physicians across 54 ser
vices. Generated comprehensive financial reports and played a key role to ensure
analyst accuracy via the Compliance Audit Application Program.
Accomplishments:
* Exceeded organizational expectations by doubling the audit cycles for the proj
ect in one quarter via efficient use of resources.
* Reduced Medicaid over-and under-billing error rates of the physicians' out-pat
ient billing codes by increasing coding training sessions without increasing cos
ts.
* Raised the standard, quality, and quantity of audits by streamlining audit sam
ples, tweaking the online Physician Coding Program and creating monthly financia
l reports to study individual department revenue.
Revenue Cycle Intern, Compliance Department
June 2006-Sept 2006
NEW YORK EYE AND EYE INFIRMARY, CONTINUUM HEALTH PARTNERS (New York)
Accomplishments:
* Complied with hospital billing requirements and researched insurance reimburse
ments for outpatient visit charges during two consecutive years.
* Reported accurate revenue losses by condensing and classifying patient data fo
r the first quarter of two consecutive years.
* Presented findings and recommendations at 2006 Greater New York Hospital Assoc
iation conference.
Acting Director and Lecturer, Dental Hygiene Program
September 2002 -January 2005
MINISTRY OF HEALTH, COLLEGE OF HEALTH SCIENCES (Bahrain)
Program Director and full time faculty for the 2 year dental degree. Managed all
aspects of the program.

General Dentist and Specialty Assistant

April 1998 - August 2002
PRIVATE CLINIC PRACTICES (Bahrain)
Worked as a general dentist and assisted procedures in Orthodontic and Implant c
enters

Dental Clinical Residency

October 1996-January 1998
BVP DENTAL COLLEGE AND HOSPITAL (India)
Clinical residency rotations in all dental specialties. Passed American National
Dental Board Exam part 1
SELECTED PRESENTATION
> Change in Medicaid Policy: Comparison of Medical and Dental Medicaid Programs
in Expenditures and Recipients in New York City to the State and the Nation; Ann
ual Public Health Conference 2007, Washington DC
> Profile and Assessment of New York Hospital Queens; Columbia University Mailma
n School of Public Health, Health Policy Department
> Study of Inpatient Clinical Reimbursement for two consecutive years, 2006 Grea
ter New York Hospital Association, New York
EDUCATION
Masters of Public Health in Health Policy and Management (2005-2007)
Columbia University Mailman School of Public Health, New York
Honors: Runner-Up, Health Information Technology Essay Contest, HIMSS.GPA: 3.4
Bachelors in Dental Surgery (1992-1996)
Pune University Dental College and Hospital, Pune, India
Honors: Microbiology & Pathology; Math 640/700, Verbal570/700 Essay 5/6
CERTIFICATIONS
> Certificate; Healthcare Financial Management Association, New York
Physician Practice Management, 49 lessons, 12.25 credit hour (July 2009)
> Certificate, American Academy of Professional Coders, New York
"In-service Medicare and Modifiers" (December 2009)
> Certificate, National Government Services-Center for Medicare & Medicaid Servi
ces, New York
"Internet-based Provider Enrollment Chain of Ownerships System" (June 2009)
> Certificate; New Horizon Computer Learning Center, New York
Microsoft Access (March 2008)
> Certificates; Center for Leadership Studies, MSKCC, NY (July 2007-August 2008)
Fundamentals of Supervision; Diversity Management; Billing & Core Compliance Con
cepts, HIPPA laws

AWARDS AND CERTIFICATES OF APPRECIATION

* Health IT. 'Runner Up' Prize- Health Information Technology Essay Contest, HIM
SS, December 2006
* First Prize Toastmaster Club Debate & Public Speaking, Manama Toastmasters, Ba
hrain, June & Feb 2004,
* Certificate of Appreciation, Lions Club of Riffa, Bahrain, December 2002
* First Prize Debate, Dental College and Hospital, Pune, India 1993
PROFESSIONAL AFFILIATIONS
* Toastmasters International
* Indo-American Arts Council
* Columbia University Alumni Network
* Women In Health Management
* Ivy-league Alumni Association
* American Public Health Association