Abhishali Sangral
Gurugram
Summary
Ambitious Specialist Quality with track record of strong organizational and leadership skills with 5+ years of experience as Specialist Quality and Accounts Receivable Follow-up . Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans and scripts. Dedicated to analyzing and resolving defects. Auditing the accuracy of the team's work, coaching and providing them regular feedback to improve their performance for maximum Client success. Evaluating the services and team's daily, weekly and monthly performance to ensure the work is free of defects to meet an organization's quality standards. Experience in different projects like Adjustments, Self-pay, timely filing, home health (Equipment and Supplies) and Appeals. Proven project handling skills with effective stakeholder management and interpersonal skills. Exceptional skills in managing massive volumes of data-leveraging latest tools and technologies integrating multiple data sources; logical knowledge and reporting structures well within timelines. Hardworking Analyst who always is eager to learn new things .
Overview
5
5
years of professional experience
Work History
Quality Analyst, Senior Analyst
R1RCM Global Pvt. Ltd
10.2018 - Current
- R1RCM is leading provider of services and technology to healthcare providers in United States
- Their mission is to help healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all, areas.
- To Recommend, implement, and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
- Compiling and analyzing statistical data, detects errors and take actions depending upon that.
- Identify problems and suggest practical and effective solutions for client related issues.
- Ensuring that user expectations are met during the testing process and Client success rate is achieved with the help of new updates
- Making reports on quality achieved and provide various measures to increase productivity without effecting the quality
- Taking regular meetings for team members and weekly refresher sessions of new hires and BQM Users
- Giving regular feedbacks and trainings required for maximum error reduction
- Working closely with the US clients to make sure that team is fulfilling all the requirements for business success
- Creating and emailing Weekly insights and Knowledge boosters for checking error trends and improvement of process
- Additionally provided tools training and mentorship for New US process to new hire.
- Responsible for analyzing the claims and invoices, understanding them, researching on denial reasons and providing the best possible solution.
- Working on Appeals, analyzing why appeal is required, checking appeal Timely filing asking appeal packets and uploading those packets to insurance portal.
- Providing mentorship and floor support to new Analysts and helping them to understand the process updates and scenarios.
- Consistently trying to increase the Production numbers with good Quality and Always ready to extend shift hours as per Process requirements.
- Keeping myself updated with the latest updates & trying to learn more by discussing with QAs & Managers
- Demonstrated good judgment in selecting methods & techniques for obtaining solutions.
- Achieved various Rewards and Recognition
- (R1 Star of the month and R1 Venus awards)
- Achieved A1 ratings for best quality work.
Education
Bachelor of Technology - Computer Science Engineering
Vivekananda Institute of Technology (R.T.U)
Jaipur , Rajasthan05.2018
Higher Secondary Certificate (HSC) -
Kendriya Vidyalaya No.3 (CBSE)
Bhisiana Bhatinda03.2014
Secondary School Certificate (SSC) -
Kendriya Vidyalaya No.1 (CBSE)
O.F, Itarsi03.2012
Skills
- TECHNICAL SKILLS
- Languages known – C, JAVA Core
- Tools – MS office, Adobe Acrobat
- Portals, softwares and Websites – R1 Portal, ICitrix Portal (Client Portal), CPR, ePremis, Change Assurance, Horizon, Harmony, Genesys
- US Healthcare portals (Select Health Regence Blue Cross United Healthcare Availity Noridian)
- Verbal Communication
- Troubleshooting
- Teamwork and Collaboration
- Multitasking Abilities
Languages
English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)
German
Beginner (A1)
Timeline
Quality Analyst, Senior Analyst
R1RCM Global Pvt. Ltd
10.2018 - Current
Bachelor of Technology - Computer Science Engineering
Vivekananda Institute of Technology (R.T.U)
Higher Secondary Certificate (HSC) -
Kendriya Vidyalaya No.3 (CBSE)
Secondary School Certificate (SSC) -
Kendriya Vidyalaya No.1 (CBSE)
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