A dynamic and competent professional with 8 years of experience in ensuring process quality and adherence to industry standards. Proficient in conducting audits, identifying areas of improvement, and implementing corrective actions. Rich experience in end-to-end solution of US health care RCM business
Overview
2
2
years of professional experience
Work History
Sr. Quality specilisty (Assistant Manager)
Sagility Health Solution
05.2022 - Current
Spearheading process transition initiatives inclusive of assessing business requirements, coordinating in developing process flows, etc
As well as setting up targets, SOP & SLA and maintaining Critical to Quality targets
Benchmarking best practices, reviewing metrics to ensure consistency in quality of interaction with clients and foster a continuous improvement in service levels
Managing in deploying and building TQ framework processes
Ensuring appropriate resource allocation and risk mitigation while managing end-to-end process quality, customer satisfaction and costs
Communicate effectively with the team and management on project development, timelines and results
Set the vision, direction and culture of the team by managing individual and team performance expectations and goals
Responsible for driving a robust feedback mechanism and building competencies through monthly/annual performance review to ensure individual and process excellence
Ensure a succession planning is in place within the team in case of contingency, attrition or promotion
Delegating projects, by retaining the active control
Understanding client requirements/VOC through monthly reviews and Annual Client Value surveys, deploy action plans to improve customer satisfaction
Performs defect analysis and evaluates trends using statistical methods, identifies elements (CAPA) that is needed to support business objectives and improve accuracy
Conduct one-one/appraisals for the team members and provide feedback, coach them on improving performance.
Team Leader Quality
Accurio Health Pvt. Ltd
05.2002
Perform transaction or call monitoring; share feedbacks with the team within 24 hours of the transaction monitoring
Analyze the major pain areas and provide resolution through root cause analysis for Operational Metrics
Ensure smooth transition of changes\migration of new Process into Operations by conforming to quality
Conduct pre shift briefing for the team to share the process updates
Also sending weekly Quality refresher emails and day end reports
Create SOPs and circulate the same post Ops & Client approvals
Responsible for sharing the process health dashboard with the management on weekly basis for client reviews and meetings
Also doing monthly top defect sessions to discuss major areas of improvements
Provide training to the new hires.
AR Analyst
R1 RCM Global Services Pvt. Ltd
05.2002
Denial claims follow-up, claim submission, payment posting, Post payment follow-up (PPFU) and credit balance
PATIENT CARE COORDINATOR
Apollo Hospital
05.2002
Denial claims follow-up, claim submission, payment posting, Post payment follow-up (PPFU) and credit balance