S. Ananth Balaji
Chennai
Summary
A senior management professional with 17 years of experience in managing operations with key focus on meeting and exceeding performance of the team on metrics while ensuring optimal utilization of resources. Efficient in analyzing performance reports, identifying areas of improvement and implementing measures to meet objectives. Expertise in driving success in start-ups/processes as well as reshape performance in struggling units. Strong listening and interpretative skills to accelerate and provide solution. An out-of-the-box thinker with proven track record of establishing processes, streamlining workflow and creating work environment to enhance productivity. Worked in demo entry, charge posting, Payment Posting, AR/Denial Management, appeals and credit balance in Physician Billing.
Overview
3
3
Languages
17
17
years of professional experience
Work History
Client Service Manager
Anicut Health Care Solutions Private Limited
12.2025 - Current
Service Delivery Manager AR
Medical Billing Wholesalers
01.2023 - 12.2025
- Planning and process development - Innovate to optimize production and constantly improve Production, Quality and Turnaround Time
- Coordinate with multiple resources efficiently and effectively throughout the development lifecycle and ensuring projects completed on time.
- Handling client conference calls, management meetings
- Addressing Clients concerns and provide resolution based on the need.
- Measuring user/employee performance, and human intervention.
- Identifying areas of improvement and providing training to address the growing needs
- Conduct meetings and presentation of work techniques that will enhance the knowledge of the subordinates and their work quality is increased.
- Analyze and interpret reports associated with client specifics
- Monitoring and Planning for effective usage of FTEs
- Delegate duties to many employees while performing their own duties and tasks.
- Weekly connect with Global Teams for quality assurance, Onboarding New clients.
- Provide suggestions to management for strategic business needs.
- Handled a team of 150 diversified people.
Team Lead Operations AR
Omega Health Care Private Ltd
03.2021 - 10.2022
- Handling AR Team, client conference calls and management meetings
- Identify training needs and arrange for training, re-training and cross training, as required.
- Working out detailed project plans for implementation through the initial period of pilot testing and establish firm communication channels with the client for all types of escalations
- Addressing Clients concerns and provide resolution based on the need.
- Co-ordinate with Quality team to ensure minimum error percentage across all clients.
- Measuring user/employee performance, and human intervention.
- Identifying areas of improvement and providing training to address the growing needs
- Effective usage of FTEs to level load the daily deliverables.
- Responsible for daily deliverables of target for each client.
- Delegate duties to many employees while performing their own duties and tasks.
- Co-ordinate with Quality team to ensure minimum error percentage across all clients.
- Provide Deficit action plans.
- Weekly connect with Global Teams for quality assurance, Onboarding New clients.
- Handled a team of 60 diversified people.
Team Lead Operations
E care India Private Limited
03.2016 - 08.2020
- Working as a Team Lead (Account Manager)
- Responsible for daily deliverables of target for each client.
- Responsible for the entire practice from charges to collections.
- Handling 30 members, with complete RCM.
- Responsible person for team attendance, attrition, quality and production.
- Working with team and client to meet deliverables and client expectations.
- I observe and enforce the institution’s policies and regulations.
- Making ensure that every claim reflect the correct balance.
- Need to run aging report and prepare "Plan" with allocated resources.
- Concentrating in older claims and higher dollar values.
- Taking necessary actions according to the client manual.
- Weekly client calls will be handled and sharing updates to the team.
- Weekly basis preparing reports and sharing to client from charges to denials volume received and addressed.
- Taking care of reports for each month and maintaining the regular track.
- Concentrating in AR bucket and resolving the queries.
- Making ensure that every claims billed within the filing limit.
- Satisfying the Client’s requirement with quality and Time factor.
- Preparing invoice for every month and sharing to client.
- Selecting Best team member and sharing management for rewards and recognition's
- Team appraisals will be taken care and provided rating based on their performance
- Trainings will be provided for associates to improve their skills.
- Best "Team leader" award received 4 times, underwent certified six-sigma course conducted by management.
Group Coordinator
Tekessence Software Solutions
05.2012 - 12.2015
- Successfully transitioned volume migration from one vendor to vendor
- Coordinate with internal teams- EDI, credentials, rules, automation team for root cause analysis.
- Payer site administration by remote access. Client and Provider profiling credentials. Providing access control to respective domains.
- Flexible in handling both claim tracking and denials, ensuring ownership in solving cases in limited TAT
- Measuring user/employee performance, and human intervention. Identifying areas of improvement and providing training to address the growing needs
- Internal quality audits for in-house process periodically
- Handled a diversified team of 15 members for Clustering
- Weekly connect with onshore and Global teams for quality assurance and calibration
- Handling escalations from providers and resolving complex issues
- Provide status reporting of team activities against the program plan or schedule.
- Keep the project manager and product committee informed of task accomplishment, issues and status
- Serve as a focal point to communicate and resolve interface and integration issues with other teams
- Recognize and celebrate team and team member accomplishments and exceptional performance
- Ensuring completion of daily production within TAT with minimal defects.
- Create an environment oriented to trust, open communication, creative thinking, and cohesive team effort.
- Assure that the team addresses all relevant issues within the specifications and various standards.
Senior Executive
Technosoft Global Services
07.2009 - 03.2012
- As part of AR process, Specialized in the areas of Appeals and reconsiderations, denial management
- Identify the outstanding claims with payer through ageing reports from clients.
- Placing calls to obtain information on claim status and document the details in to client software.
- Taking care of AR for the allocated practice and making sure all the claims addressed with in TAT.
- Making sure all the rejections and denials worked with in TAT.
- Addressing aging claims and High dollar claims as priority in the current practice.
- Making sure all the claims paid without TFL
Education
Bachelor of Arts - BSC Chemistry
Nandhanam Arts And Science Collage
Chennai, India 04.2001 -
Skills
Being a self-confident
Able to perform in a team work
Punctual in all aspects
Good grasping power
Computer Typing (Around 40 Words per minute) Computer Trouble shooting
Personality development program and call center training program in INSNET
Expert in MS office
Platform C
Interests
Listening to Songs, Surfing Net
Timeline
Client Service Manager
Anicut Health Care Solutions Private Limited
12.2025 - Current
Service Delivery Manager AR
Medical Billing Wholesalers
01.2023 - 12.2025
Team Lead Operations AR
Omega Health Care Private Ltd
03.2021 - 10.2022
Team Lead Operations
E care India Private Limited
03.2016 - 08.2020
Group Coordinator
Tekessence Software Solutions
05.2012 - 12.2015
Senior Executive
Technosoft Global Services
07.2009 - 03.2012
Bachelor of Arts - BSC Chemistry
Nandhanam Arts And Science Collage
04.2001 -
DECLARATION
I hereby declare that all the statements made in the above application are correct to the best of my knowledge and belief. Date: Place: Chennai Yours Faithfully S. ANANTH BALAJI