Ameya Bhausaheb Davkore
Quality Team Leader
Dombivali
Summary
As a meritorious and potentially equipped Quality Control in Revenue Cycle Management with
7 yrs. of experience, I aspire to be a successful individual at the forefront of every venture. With my
strong academics, US Healthcare domain knowledge into credit and collection and my extensive
experience in handling Account Receivables and Claim denials I seek a suitable position in your
esteemed organization which can effectively utilize my skills for the development of the organization
while providing me ample growth opportunities.
Overview
7
7
years of professional experience
2
2
Certifications
Work History
Quality Team Leader
Credence Global Solutions
02.2024 - Current
- Team Leadership & Development: Lead and mentor a team of 35–40 auditors, fostering a culture of continuous improvement and preparing team members for advancement within the organization.
- Quality Assurance & Process Governance: Oversee the Authorization scope of the Natera project, ensuring adherence to Quality Standard Documents (QSD) and maintaining high-quality benchmarks through daily snapshots and monthly performance key tracking (PKT).
- Data Management & Reporting: Maintain and update comprehensive quality dashboards, providing actionable insights to operations and clients to streamline processes and enhance efficiency.
- Stakeholder Engagement: Conduct weekly review calls and calibration sessions with internal and external stakeholders, ensuring alignment on quality expectations and continuous feedback loops.
- Process Improvement Initiatives: Collaborate with team members to identify areas for process enhancement, leading to measurable improvements in audit accuracy and operational workflows.
- Compliance & Training: Ensure strict adherence to QSD standards through regular training sessions, coaching, and performance evaluations, contributing to a 15% improvement in team compliance metrics.
Lead Quality Expert
Inventurus Knowledge Solutions
04.2023 - 02.2024
- Acting Team leader for 15 Quality analyst, Cross training QE’s on multiple project to create a backup auditor in absence of Primary QE of any project.
- Generation of Quality reports on a daily basis.
- Ensure that coaching, refresher training and assessments happen as per findings in the QA audits.
- Ensure that all coaching logs are up to date.
- Manage SOP’s and make sure that latest version is being used, by updating the associates on the floor
- Implement new PKT tool in IKS and provide training and create SOP documents for the QE's
- Managing Client calibration & internal calibration calls and also collaborating data from other functions.
Quality Executive
Inventurus Knowledge Solutions
06.2021 - 03.2023
- Participate in client calls and understand the quality requirements both from process perspective and for targets
- Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager
- Collect data on individual transactions (chart, claim, EOBs etc.) on the errors
- Provide face to face feedback and also send emails with the type of errors etc. on daily basis
- Provide inputs to the training team on common mistakes made to enhance training curriculum
- Test files/batches for new clients/processes to be processed as part of familiarization
- Generation of QA reports on a daily basis
- Give feedback and coach associates on key job capabilities based on QA findings.
- Ensure that coaching, refresher training and assessments happen as per findings in the QA audits.
- Update and develop content as per the latest SOP and process updates given by the client
Revenue Cycle Representative
Inventurus Knowledge Solutions
10.2019 - 05.2021
- Worked on General AR Aging claims follow up.
- Assign work file received from supervisor and get the work done from fresher’s and send the day end report back to supervisor.
- Reviewing denied claims related to front end and resolve them using established tools.
- Responsible for resolving the outstanding AR for the process and handling claims denials for both federal and commercial insurances.
- Assisting supervisor in preparing daily client task reports for AR process.
- Doing research and identifying trends.
- Coordinating the team in absence of supervisor.
- Mentoring the team and preparing mentorship plan.
Accounts Receivable
GeBBS
06.2018 - 10.2019
- Worked on General AR Aging claims follow up.
- Coordinate with insurance companies regarding denied/pending/rejection claims.
- Worked on special projects which received from supervisor.
- Working with internal team to meet client expectations.
Education
B.M.S - Bachelors of Management Studies
Model College
Mumbai, India 04.2001 -
High School Diploma -
Friends College
Mumbai, India 04.2001 -
SSC -
Cms School
Mumbai, India 04.2001 -
Skills
Quality management systems
Strategic thinking
Operational excellence
Documentation control
Employee management
Corrective action planning
Employee engagement
Quality process audits
Quality control checks
Teamwork and collaboration
Time management
Continuous improvement strategies
Problem-solving abilities
Team leadership
Strong work ethic
Accomplishments
- Awarded Best Quality Team Leader of the Quarter at Credence Global Solutions
- Awarded as Best Quality Expert 2 times in IKS Health Pvt.Ltd.
- Awarded with “The Ace Employee” in IKS Health Pvt.Ltd.
- Awarded with “Rising Star Award” once in IKS Health Pvt.Ltd.
- Completed 7 QC tools.
Certification
Lean Six Sigma Green Belt Certification
Listening music, Playing Football & Carrom
Projects:
Robot Process Automation
PKT Tool Automation and Implementation
Appeal Creation
Timeline
Lean Six Sigma Green Belt Certification
02-2025
Quality Team Leader
Credence Global Solutions
02.2024 - Current
Interactive Dashboards with Looker Studio
08-2023
Lead Quality Expert
Inventurus Knowledge Solutions
04.2023 - 02.2024
Quality Executive
Inventurus Knowledge Solutions
06.2021 - 03.2023
Revenue Cycle Representative
Inventurus Knowledge Solutions
10.2019 - 05.2021
Accounts Receivable
GeBBS
06.2018 - 10.2019
B.M.S - Bachelors of Management Studies
Model College
04.2001 -
High School Diploma -
Friends College
04.2001 -
SSC -
Cms School
04.2001 -
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