Our Claims360 solution provides an efficient and automated solution for claims adjudication. This system integrates all claims-related data and processes for a 360-degree view of the claims and enables real-time processing and monitoring of claims.
CredsVault offers secure storage and management of sensitive provider credentialing information, making it easier to maintain compliance and minimize risks.
Our WiseLens solution provides advanced data analytics and reporting capabilities to help payers make informed decisions and improve overall operations.
Our Auth360 solution provides a comprehensive utilization management solution that helps payers make informed decisions, improve care quality, and reduce costs.
Our Auth360 prior authorization solution streamlines the prior authorization process, reduces administrative costs, and improves overall efficiency.
CallsDesk is a call center solution designed specifically for healthcare payers. This solution streamlines the call center process and enhances customer service while improving operational efficiency.
MemberDesk is a member portal that provides members with real-time access to their information and benefits and the ability to log disputes and grievances.
Our ProviderDesk solution provides a streamlined and efficient process for managing provider information and interactions, including prior authorization requests and dispute resolution.
Our AI Audit HUB solution leverages predictive analytics and machine learning to identify potential revenue leakage, reduce rework, and improve the payment accuracy of claims.
Learn about RSTACK Solutions' Comprehensive Applications, Consulting, Infrastructure, Cloud, and BPO services
Our application services provide you with the tools and technology you need to streamline your operations...
Our cloud services offer a flexible and scalable infrastructure to support your growing business needs
Our consulting services provide expert guidance and support to help you achieve your business goals
Mahesh R is an Associate Director with over 16 years of experience in K.P.O. operations and transitions in U.S. Healthcare (M.A., Commercial, MAPD plans). Mahesh has a proven track record of managing large service delivery operations and transitions for multiple stakeholders, with a focus on Medicare Advantage implementation strategies and payer methodologies. He has successfully directed enrollment, benefits management, claims cycle, member services, provider relations, and delegated entities operations and has implemented CMS compliance, appeals & grievances, and credentialing activities.
At RSTACK Solutions, Mahesh has been responsible for process improvement, new business development, vendor management, customer service, operations management, transition management, quality management, training, and resource planning for Healthcare line of business.
Previously, Mahesh worked as a Service Delivery Manager at ApexonHealth. He was an integral part of the analytics team and provided subject matter expertise and coaching on U.S. Healthcare to leaders and trainers.
Before joining ApexonHealth, Mahesh served as a Senior Manager at the same company. Earlier, he worked as an Operations Manager at Hinduja Global Solutions for over 13 years. During his tenure with Hinduja Global Solutions, Mahesh successfully conducted El Paso Visit (Texas) & Jamaica Visit (Caribbean Island) & provided subject matter expertise & 360° coaching to the Leaders and Trainers. Mahesh holds a bachelor’s degree from Bangalore University.
