Cooking
Anuradha Yadav
Specialist Quality
Noida,UP
Summary
Experienced professional dedicated to delivering high standards, enhancing processes, and safeguarding product integrity. Possesses strong team collaboration skills and adapts easily to evolving requirements. Brings extensive experience and knowledge to address operational demands effectively.
Overview
6
6
years of professional experience
Work History
Quality Specialist
R1 Rcm
10.2023 - Current
- Enhanced team performance through regular training sessions and knowledge sharing, resulting in an increase in overall efficiency.
- Analyzed data from various sources(denials, AR days) to identify trends impacting product quality, making strategic recommendations for improvements based on findings.
- Reviewed production processes and identified potential quality issues.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Create Process Knowledge and General RCM based PT questions to improve the Quality.
- Publish daily feedbacks to associates and conduct weekly reviews with Ops team leader and managers with action plan along with CQIP Plan.
- Plan for Rewards and Recognition on the top Quality performer.
SENIOR AR ANALYST
R1 Rcm
07.2022 - 09.2023
- Responsible for managing primary / secondary / tertiary claims ageing reports.
- Streamlined daily Consolidated AR production reports for efficient record keeping purposes.
- Create and file appeals as necessary.
- Check the correct status of AR follows up denials/payments by directly calling insurance companies.
- Prepared detailed aging reports for management review on a regular basis, highlighting potential risks in the AR portfolio.
- Trained new hires on accounts receivable procedures, contributing to a knowledgeable and efficient workforce.
AR Analyst
R1 Rcm
06.2021 - 06.2022
- Reviewed Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to ensure proper payment, adjustments, and patient responsibility.
- Tracked and follow up on unpaid claims, ensuring timely payment and resolution of any discrepancies.
- Communicated with providers, and insurance companies to address billing inquiries and resolve payment issues
- Document all activities related to accounts receivable follow-up in a consistent and comprehensive manner.
- Maintain patient confidentiality and adhere to HIPAA regulations.
PRIVILEGE BANKER
ICICI Bank
01.2020 - 06.2020
- Cross selling of new products and services for both new and existing privilege customers.
- Achieve sales target for CASA and other products.
- Maintain good relationship with customers.
- Provide guidance and advice to the customers about the products and services offered.
TRAVEL CONSULTANT
Travel Triangle
01.2019 - 12.2019
- Research, explore and study different travel destination options.
- Research destination and travel prices, customs, weather conditions, reviews etc.
- Research and study clients' specifications and wishes.
- Suggest suitable travel options that best suite clients' needs.
Education
MBA - Financial Management
Prestige Institute of Management, Gwalior
Gwalior, IndiaBachelor of Commerce -
Vijaya Raje Government Girls PG College
Gwalior, India 04.2001 - 06.2017
Intermediate -
Rishi Galav Public School
Gwalior, IndiaRishi Galav Public School
Gwalior, India 04.2001 - 04.2012
Skills
Analytical skills
Medical billing
Quality management systems
Performance monitoring
Audit reports
Teamwork and collaboration
Corrective actions
Quality metrics
Documentation control
Interests
Singing
Personal Information
- Date of Birth: 06/18/96
- Nationality: Indian
- Marital Status: Married
Timeline
Quality Specialist
R1 Rcm
10.2023 - Current
SENIOR AR ANALYST
R1 Rcm
07.2022 - 09.2023
AR Analyst
R1 Rcm
06.2021 - 06.2022
PRIVILEGE BANKER
ICICI Bank
01.2020 - 06.2020
TRAVEL CONSULTANT
Travel Triangle
01.2019 - 12.2019
Bachelor of Commerce -
Vijaya Raje Government Girls PG College
04.2001 - 06.2017
Rishi Galav Public School
04.2001 - 04.2012
MBA - Financial Management
Prestige Institute of Management, Gwalior
Intermediate -
Rishi Galav Public School