Intergy, Centricity, eCw
Adarsh S
Reimbursement, Billing Specialist
MS Palace Flat# 202 3rd Cross Rd, Kullappa Colony, Shivalingaiah Colony, Jeevan Bima Nagar Bangalore
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Accomplished Assistant Manager with in-depth experience consistently rising through ranks. Well-versed in sales, personnel management, accounting and inventory management. Dedicated to complete knowledge of company products and services for optimized customer service.
Overview
10
10
Years of professional experience
8
8
Months of professional experience
Work History
Assistant Manager
Omega Healthcare Management Services Private Limited
Bangalore
03.2023 - Current
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Made hiring recommendations to increase company's productivity and profitability with quality workers.
- Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
- Reviewed billing problems, researched issues, and resolved concerns.
- Drafted strategic business intelligence roadmap, complete with data governance policies and tactical information safeguards.
- Utilized financial software to prepare consolidated financial statements.
- Designed and maintained financial models to identify and measure risks.
- Followed guidelines when reviewing applicant data to determine eligibility
- Assisted clients with accurate eligibility form, application and document completion.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Evaluated employee performance and conveyed constructive feedback to improve skills
Assistant Manager
GEBBS Healthcare Solution Pvt Ltd
Navi Mumabi
09.2021 - 03.2023
- Monitored employee productivity and optimized procedures to reduce costs.
- Coordinated with General Manager in different operational issues and promotional activities and taught employees how to collaborate on daily job tasks and achieve service targets.
- Supervised operations team to support operational excellence and excellent as per SLA
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Trained and guided team members to maintain high productivity and performance metrics.
- Prevented delays and claim denials by correcting information prior to submission.
- Established team priorities, maintained schedules and monitored performance
Senior Team Lead
Omega Healthcare Management Services Private Limited
Bangalore
11.2017 - 08.2021
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Helped minimize escalations by reaching out to clients in advance of expected problems.
- Trained department employees in proper billing and accounting procedures.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Contributed knowledge to help improve financial management, billing and tracking systems.
Team Lead
RCM Medigain Indian Pvt. Ltd
Bangalore
01.2016 - 11.2017
- Trained new team members by relaying information on company procedures and safety requirements.
- Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
- Coached team members in techniques necessary to complete job tasks.
- Worked with team to identify areas of improvement and devised solutions based on findings
Process Coach
GetixHealth India Pvt Ltd
Bangalore
12.2014 - 12.2015
- Utilized variety of instructional design methodologies to create effective learning experiences.
- Provided coaching and mentoring to employees.
- Coordinated training schedules across sites with supervisors and managers to optimize training initiatives and work-flow management
- Analyzed and evaluated training effectiveness and program outcomes.
Reimbursement Specialist
Pradot Technologies Private Limited
Bangalore
01.2012 - 11.2014
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Delivered timely information to insurance representatives to resolve common and complex issues.
Education
Degree - Computer Science
01.2010 - 04.2013
PUC 12th STD -
01.2008 - 04.2010
S.S.L.C 10th STD -
01.2001 - 04.2008
Skills
Radiation Therapy Knowledge
Oncology Knowledge
Urology Knowledge
Staff Management
Strategic planning
Staff supervision
Data Analysis Tool Design
Trend Monitoring
A/R expertise
Eligibility & Benefits Verification
Payment Posting, Credit Balance
Specialty Authorization
Customer Service In/Out Bound
Software
Clearing House, Payor Portals
Microsoft Excel, Power Point, Onenote & BI
Timeline
Assistant Manager - Omega Healthcare Management Services Private Limited
03.2023 - Current
Assistant Manager - GEBBS Healthcare Solution Pvt Ltd
09.2021 - 03.2023
Senior Team Lead - Omega Healthcare Management Services Private Limited
11.2017 - 08.2021
Team Lead - RCM Medigain Indian Pvt. Ltd
01.2016 - 11.2017
Process Coach - GetixHealth India Pvt Ltd
12.2014 - 12.2015
Reimbursement Specialist - Pradot Technologies Private Limited
01.2012 - 11.2014
Sarba Bharathiya Shikshapeeth - Degree, Computer Science
01.2010 - 04.2013
Sarba Bharathiya Shikhshapeeth - PUC 12th STD,
01.2008 - 04.2010
Sree Vasavi Vidya Peeta (SVVP) - S.S.L.C 10th STD,
01.2001 - 04.2008