Summary
Overview
Work History
Education
Skills
Accomplishments
Seminars Workshops Attended
Achievements Activities
Personal Profile
Personal Information
Projects
Disclaimer
Trainings Undergone
Professional Skill Set
Timeline
Generic

Abhilasha Gaurav

Bangalore

Summary

Dynamic professional with extensive experience at Omega Healthcare, excelling in team leadership and operational improvements. Proven track record in enhancing revenue and reducing authorization denials. Proficient in MS Excel and automation, coupled with strong communication skills. Recognized for outstanding performance and commitment to client satisfaction.

Overview

11
11
years of professional experience

Work History

Assistant Manager

Omega Healthcare pvt.ltd
Bangalore
02.2020 - Current
  • Handling 3 Team lead with PC
  • Dealing in major projects Auth, Denial, AR (Oncology Auth & Denials, Radiation, Radiology, Urology, office Visit),Hospital(UB04) AR & Denials
  • Client communication daily & weekly basis.
  • Management Review daily and weekly basis.
  • Focusing on AR deficiency and aging, reduction in Auth denials.
  • Focusing on client query in live oncology project, Radiology, and office visit
  • Focusing on increasing revenue
  • Ensure clients SLA is met including service delivery, timely report, and quality control.
  • Ensure effective communication with the client on the project & the issue faced by the client is resolved.
  • Develop a strategy the Team uses to reach its goal.
  • Improve the operational system, processes, and policies in support of organization missions.
  • Tracking and maintaining metrics for a variety of data includes attendance, productivity etc.
  • Identifying trends with fast query responses from clients improves productivity.
  • Create reports to update the company on the team's progress.
  • Monitor team members' participation to ensure the training they are being provided is being put into use, and also to see if any additional training is needed.
  • Maintaining the team performance data on Daily/weekly/monthly for monthly/weekly review with the manager’s user wise & implementing the action plan for the BQ user to improve.
  • Automation for process improvement

Subject Matter Expert (SME)

Access Healthcare pvt.ltd
Pune
01.2017 - 02.2020
  • Handling Effectively handled a team of 8 members in the healthcare process environment.
  • Responsible for the AR department team being handled, Responsible for Staffing team members on tasks and Inventory analysis to be done on a daily basis.
  • Maintaining team production on a daily basis, Quality and attendance on weekly basis, assisting in recruiting and training new recruits assigned to the Operation Process Billing department.
  • Review and analyze weekly and monthly reports for the old AR. If any challenges seen take necessary actions.
  • Prepare weekly presentations for supervisors to know the performance of the team and process being handled.
  • Respond to client’s Query against any unresolved AR
  • Data gathering and analysis as required by Management.
  • AR, denial Supervision
  • Dealing in a major project which have several sub clients

Senior Account Receivable

Advantage Healthcare Solutions
Ahmedabad
01.2015 - 01.2017
  • Responsible for obtaining prior and ongoing authorization for service in a timely manner.
  • Analyze faxed requests and documentation to determine coverage and approval utilizing criteria; utilize nurses for medical reviews when necessary
  • Contacting insurances (by phone, e-mail, and regular mail) for eligibility, benefits, network status and authorization, documenting information
  • Develop and improve AR control and management tools on a regular basis
  • Provides superior customer service to internal and external clients, customers, and patients
  • Handling 3-member team
  • Solving other department Query
  • Track and report status of collections
  • During working in Advantage Healthcare, I was awarded the best employee for a quarter.

Education

B.Tech -

Oriental University
Indore
01.2015

Intermediate -

Bal Vidya Niketan
Jehanabad, Bihar
01.2010

High School -

Bal Vidya Niketan
Jehanabad, Bihar
01.2008

Skills

  • Microsoft Word
  • Microsoft PowerPoint
  • Basics of C
  • C
  • MS -Excel
  • Automations

Accomplishments

Won Best Manager and TL award in Omega.

During my time working at Advantage Healthcare, I was awarded the best employee for a quarter

Seminars Workshops Attended

  • Role Of Professional, Oriental University, Indore (IETE Sub Centre, Indore)
  • Robotics workshop-2013, Oriental University, Indore

Achievements Activities

  • Selected in the first five toppers of electronics and communication branch in 6th sem and got scholarship by AICTE in EETP (engineering enhancement training program) at BSNL, Indore.
  • Attended some program as a member of IETE organization at Oriental University, Indore.
  • Attended Yeppoon event at Oriental University, Indore organized by Microsoft.

Personal Profile

Hard working, Co-operative, Adaptive, Cooking, Surfing Internet, Listening Music

Personal Information

Date of Birth: 10/31/93

Projects

RFID based attendance system, In this project we are going to make a simple circuit based on an 8051 Microcontroller which will take attendance of students by swapping cards on radio frequency., proteus, Inkscape, Simulink, pcb technology, 3, Hardworking, teamwork Mobile incoming call indicator, In this project we are going to make a simple circuit that will detect a mobile phone. In which we have used a led which will glow instantaneously when a mobile phone rings., PCB Technology, 2, Hardworking

Disclaimer

I hereby declare that the information given above is true to the best of my knowledge & belief.

Trainings Undergone

Doordarshan Kendra, Patna (Bihar), I became familiar with various technical areas concerning T.V broadcasting such as MSR, TV studio chain, uplink, downlink chains, terrestrial broadcasting, news production and transmission., Punctuality

Professional Skill Set

  • Microsoft Word
  • Microsoft PowerPoint
  • Basics of C
  • C++
  • MS-Excel

Timeline

Assistant Manager

Omega Healthcare pvt.ltd
02.2020 - Current

Subject Matter Expert (SME)

Access Healthcare pvt.ltd
01.2017 - 02.2020

Senior Account Receivable

Advantage Healthcare Solutions
01.2015 - 01.2017

B.Tech -

Oriental University

Intermediate -

Bal Vidya Niketan

High School -

Bal Vidya Niketan
Abhilasha Gaurav