Ashish Kumar Pandey
Chennai
Summary
Dedicated People Leader who excels at using methods and technology to successfully streAmline operations and increase Profit &Amp; productivity to meet the customer deliverables. Loyal, assertive and enthusiastic, with extensive domain knowledge of process optimisation and an unsurpassed work ethic. Am seeking an opportunity to add value and contribute in growth of the organisation while establishing a rewarding career.
Overview
11
11
years of professional experience
10
10
years of post-secondary education
3
3
Certifications
5
5
Languages
Work History
Assistant Manager
Omega Health care
Chennai
02.2022 - Current
- Managed a maximum team size of 120 FTEs with 5 Team lead as direct report
- Accountable for complete SLA, Daily TAT, Health and Growth of the team
- Streamlined additional process to bring them to TAT
- Built macros with IT team to auto generate client specific format reports
- Ensured sharing of knowledge and best practices within the company and counselled Supervisors/Team leads to enhance performance and arrest attrition
- Collaborating with key stakeholders across the organization to identify areas for improvement within existing processes.
- Enforced company policies consistently while handling disciplinary actions when necessary with fairness and respect.
- Developed strong working relationships with staff, fostering a positive work environment.
- Regularly connect with team on both an individual and group basis, lead the team with empathy ask questions and listen to the problems .
- Give recognition and encouragement on daily basis
- Conducted employee performance evaluations, providing constructive feedback for growth and development.
- Facilitated clear communication between employees and upper management through regular meetings and updates.
- Implemented staff training programs, enhancing process knowledge and improving customer service skills.
- Collaborated with the management team to develop strategic plans for business growth and improvement.
- Been a part of recruitment team, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Manage the operations and revenue cycle functions for assigned client(s) to successfully achieve financial and productivity goals
- Regularly conduct audits of team members and provide individual feedback monthly (minimum); identify needs for and provide training to address any competency and quality gaps in performance
- Create action plan to drive AR reduction, track progress for AR action plans and any AR aging off target, ensure team is aware of and following payor rules and guidelines, identify payor contractual issues that need addressed.
- Review and confirm correct usage of contractual and backend adjustment journal codes
- Ensuring all the updates from the client is recorded
- Maintain records for overall performance and progress of the team
- Maintain process documents and ensure regular updates and updates and ensure all updates from client are recorded
- Ensuring the On the Job training (OJT) is been completed for new hires with the required bench mark.
- Ensuring sunrise meeting and daily team briefs, refresher session, biweekly assessments on project updates are conducted.
- Ensure the team meets the daily targets based up on the planned allocation and strategy.
- Part of new hire recruitment, ABF, planning & forecasting of staffing.
- Maintaining a risk register to avoid unforeseen project risks.
- Review credit and small balances
- Maintain communication and escalate issues as needed to Senior Manager
- Update staff and the client on Regulator guidelines related to RCM billing activities and protocols to be followed.
- Ensures the implementation of Key Performance Indicators (KPIs) with focus on reducing turnaround times and increasing productivity with Quality metrics achieved
- Develop audit reports on productivity to ensure all processors are able to meet and exceed their productivity targets
- Ensures all revenue cycle policies and procedures are created and updated regularly and ensures the information is distributed to and understood by all staff.
- Compile and analyze data for billing errors and work on solutions to reduce billing errors.
Group Lead
Access health care
Chennai
07.2020 - 01.2022
- Handling DME Projects with 20 Different clients
- Ability to handle entire functions of Healthcare from Billing till Accounts Receivable & Collections
- Business Process Improvement
- Develop process improvement workflow with consolidated inputs from Vendor Management client and in depth analysis of denials management
- Providing regular training and feedback to the AR staffs for process improvement
- Organize, Plan and Implement monthly cyclic
- Monitoring production log, Quality Audits & issues log
- Conducting weekly meeting with the team internally to get them know the status of the respective client
- Keep tracking of KRAs & share it with the team on monthly Basis & conduction one on ones on their performance
- Adhere to the process & company polices.
Team Lead
Ags Health care
Chennai
06.2016 - 06.2020
- Manage the flow of day-to-day operations, inventory allocation, communicating the daily/weekly/monthly goals to the employees
- Meting clients SLA by understanding their expectations
- Training - Assisting the other team leaders in the project with guidance and clarification/assistance whenever needed
- Scheduling/conducting the training to the employees on new updates/instructions
- Reports - This plays a very vital role on my day flow
- Preparing various reports as required by the management to track, review, share the performance/inventory details etc., Meetings - Daily, Weekly/ Monthly meetings for various groups to keep the day-to-day operations functionalities running consistently
- Financial Aspect - Aiding the management to improve the EBITDA by cutting down unnecessary costs and implementation of automation to improve efficiency.
Sr. Executive /Quality Control Analyst / Process Coach
Ags Healthcare
Chennai
06.2014 - 06.2016
- Responsible for team training activities for new hires (Freshers and Experienced)
- Conducted refreshment training based on TNI
- Responsible for three process transitions
- Experienced in Process Re-engineering
- Experienced in running reports by ageing, priorities, month end and do a deep dive based on client requirement and met client expectations
- Proactively identified escalated issues and improved existing processes flow
- Performs call monitoring and provides trend data to site management team
- Coordinates and facilitates call calibration sessions for AR staffs on weekly basis
- Perform Quality check on the worked accounts, identify errors, provide feedback to the employees verbally and via e-mails, maintain a log of feedbacks
- Perform RCA and CAPA based on the gaps identified.
Executive AR to Senior Executive AR
Dell international services
Chennai
12.2012 - 06.2014
- Responsible for meeting daily targets based on SLA
- Played a vital role in team bonding activities
- Responsible for Allocation of inventory to the team individually.
Team Lead
AGS Health
Chennai
Education
MBA - Finance - Accounting
Bharthiar University - Coimbatore
Coimbatore 04.2012 - 04.2014
Some College (No Degree) -
Hindusthan College of Arts And Science
Coimbatore 04.2009 - 04.2012
Intermediate -
Hindusthan Matriculation School -Coimbatore
Coimbatore 04.2007 - 04.2009
S.S.C -
Oxford Public School
Bangalore 04.2004 - 04.2007
Skills
Task Delegation
Employee Performance Evaluations
Project Management
Recruitment and hiring
Technical Skills
MS Office (Excel, Outlook, Word and PowerPoint)
Google applications (Drive, Docs, Sheets and Forms)
Worked with Citrix basic softwares
Cerner
IDX
Groupcast
EPIC
Allscripts PM & HER
Cloud based platforms
MDIV
Certification
Lean Six Sigma Green Belt - Linkdin Learning
Accomplishments
- Best Debut award - Dec 2014 Ags Health.
- Best Performer Award - Dec 2015 Ags Health.
- Extra Miler Award - Dec 2015 Ags Health.
- Best Team lead award - July 2017 Ags Health.
- Best Performing Team aware - 2023 Omega health care.
Leadership Accomplishments
- Successfully handling multiple projects with 120 head count with 4 team Leads
- Experienced in streamlining critical AR projects in Omega.
- Successfully cleared all the old unpaid claims and took it a resolution that resulted in customer appreciation.
- SPOC for Client contact and communication for multiple locations (BCP projects).
- Received client appreciations for setting a benchmark in performance for Omega and other vendors of Client.
- Reduced AR ageing from 100+ to less than 35 days.
Disclaimer
I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars.
Timeline
Assistant Manager
Omega Health care
02.2022 - Current
Group Lead
Access health care
07.2020 - 01.2022
Team Lead
Ags Health care
06.2016 - 06.2020
Sr. Executive /Quality Control Analyst / Process Coach
Ags Healthcare
06.2014 - 06.2016
Executive AR to Senior Executive AR
Dell international services
12.2012 - 06.2014
MBA - Finance - Accounting
Bharthiar University - Coimbatore
04.2012 - 04.2014
Some College (No Degree) -
Hindusthan College of Arts And Science
04.2009 - 04.2012
Intermediate -
Hindusthan Matriculation School -Coimbatore
04.2007 - 04.2009
S.S.C -
Oxford Public School
04.2004 - 04.2007
Team Lead
AGS Health