Amit Chaudhary
Ghaziabad
Summary
Ambitious Quality Analyst with track record of dependability and leadership having 7+ years of experience in US healthcare industry. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Dedicated to analyzing and resolving defects.
Overview
7
7
years of professional experience
Work History
SR. QUALITY ANLYST
KISER GLOBAL SOLUTIONS PVT LTD.
06.2020 - Current
- Conduct daily quality audit and provide feedback in accordance with quality criteria to prevent errors.
- Recommend and monitor preventive and corrective actions.
- Prepare daily, weekly and monthly quality audit reports forward those reports to respective Management.
- Conduct daily , weekly, monthly error based (EBT) training sessions.
- To Conduct the Process Knowledge Test (PKT) and monitor the performance of individuals.
- Provide Trainings to team working on denials Management.
- Conduction of calibration meetings among Quality team, Operations and Onshore team.
- Updating of SOP for Denial Management Team.
- Suggest the innovative ways to streamline the process.
SR. AR ANALYST
KISER GLOBAL SOLUTIONS PVT LTD.
06.2018 - 06.2020
- Follow up on denials or callable inventory with the Insurance companies
- Working on denials with complete resolution.
- Sending appeals to the Insurances to both commercial and federal Govt payers.
- Achieve the Production targets with the quality benchmark.
- Interacting with the Practice for escalations.
- Working on the Correspondence received from Insurance and post denials on the claims.
- Follow up on the Refund and retraction cases.
- Maintain Daily , weekly and monthly production log.
- Allocating the work order to the team whenever required.
SR. AR ANALYST
PACIFIC AN ACCESS HEALTHCARE COMPANY
05.2016 - 05.2018
Education
B.Tech - Information Technology
Uttar Pradesh Technical University
Lucknow06.2011
Skills
- Interpersonal Communication
- Self-Directed
- Conflict Resolution
- Dependable and Responsible
- Research
- Organization and Time Management
- Multitasking Abilities
- Computer Skills
Timeline
SR. QUALITY ANLYST
KISER GLOBAL SOLUTIONS PVT LTD.
06.2020 - Current
SR. AR ANALYST
KISER GLOBAL SOLUTIONS PVT LTD.
06.2018 - 06.2020
SR. AR ANALYST
PACIFIC AN ACCESS HEALTHCARE COMPANY
05.2016 - 05.2018
B.Tech - Information Technology
Uttar Pradesh Technical University
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