Balaji Raju
Greater Chennai
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision- making skills and sound judgment to positively impact company success.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Team Leader - Customer Success & Transition
4D Global Medical Billing Solutions Pvt. Ltd
Chennai
07.2022 - Current
- With overall 5+ years of experience in US Healthcare industry handled end to end clients from various states
- As a Success and Transition Senior Team Leader Transitioned over 25+ clients in the past 2 years across different scopes like Charge entry, Payment posting, Credentialing, AR.
- Coordinated with clients during the Transition Phase to streamline the business and increase revenue during and post-transition.
- As a client service representative, I am focused on bringing in additional business from existing clients and increasing revenue for the company.
- Handled clients from different specialties.
- Assisted the DOO and EVP in all aspects of operational management.
- Managed a team of 15+ employees.
- Developed and implemented new programs and services.
- Designed processes and systems supporting business needs before, during, and after transitions.
- Partnered with operation teams to understand needs and mitigate potential problems.
- Experience in developing and implementing operational strategies and plans, managing budgets and resources, and overseeing the day-to-day operations of a complex organization.
- Understanding of the unique challenges and opportunities facing the US healthcare industry, as well as the applicable laws and regulations.
- Ability to lead and motivate a team of staff, and to build and maintain relationships with other stakeholders.
- Ability to identify and solve problems, and to collect and analyze data to make informed decisions.
- Ability to communicate effectively with staff, patients, and other stakeholders.
- Working with senior management to develop and implement the organization's overall strategy.
Senior Process Associate
Prochant India Pvt Ltd
Greater Chennai
07.2019 - 05.2021
- Set clear team goals and delegated tasks and set deadlines
- Client Ownership
- Dashboard Report Analysis and Client Calls
- Scheduling frequent internal department calls along with the Client Advocate to discuss on client ongoing issues
- Discovered training needs and provided coaching
- Set up and calibrated machinery to meet specific production requirements
- Conducted team member meetings and updated members on best practices and continuing expectations
- Produced weekly, daily and monthly activity reports and forecasts
- Conducted training and mentored team members to promote productivity and commitment to friendly service
- Handling the Transmission and rejection team to make sure all the electronic and paper claims are sent out properly
- Mentored and guided employees to foster proper completion of assigned duties
- Promoted high standards through personal example to help each member understand expected behaviors and standards.
Process Associate
AGS Health Pvt Ltd
Greater Chennai
05.2018 - 07.2019
- Coordinated with contracting department to resolve payer issues
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Generated, posted and attached information to claim files
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Prepared insurance claim forms or related documents and reviewed for completeness
- Reviewed outstanding requests and redirected workloads to complete projects on time
- Maintained confidentiality of patient finances, records, and health statuses
- Processed and recorded new policies and claims
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Education
Bachelor of Engineering - Mechanical Department
Jeppiaar SRR Engineering college
01.2016
Skills
- Business Development
- Team Development
- Strategic Planning
- Documentation Management
- Planning and Coordination
- Problem-Solving
- Decision-Making
- Analytical and Critical Thinking
- Multitasking Abilities
Certification
- Lean Six Sigma Green Belt certified
Timeline
Senior Team Leader - Customer Success & Transition
4D Global Medical Billing Solutions Pvt. Ltd
07.2022 - Current
Senior Process Associate
Prochant India Pvt Ltd
07.2019 - 05.2021
Process Associate
AGS Health Pvt Ltd
05.2018 - 07.2019
Bachelor of Engineering - Mechanical Department
Jeppiaar SRR Engineering college
- Lean Six Sigma Green Belt certified
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