BALAVIGNESHWARI ALAGARSAMY
Senior Quality Consultant
Chennai,TN
Summary
Insightful Sr process consultant and Sr Quality consultant with 5.4 year background in BPO industry. Experience in U.S. Health Care process, Worked in Different Projects which is Directly linked to all major Adjudication and the Re-adjudication of a claim process.
Overview
5
5
years of professional experience
3
3
years of post-secondary education
Work History
Senior Quality Consultant
HINDHUJA GLOBAL SOLUTIONS (HGS)
Chennai, Tamil Nadu
04.2018 - Current
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Conduct calibration and Assessment on monthly basis.
- Crafted training materials and ran on-boarding sessions to train incoming team members.
- Performed root cause analysis through Pareto chart and flow chart.
- Used MS PowerPoint and MS Excel to create presentations , flowcharts and graphs to prepare for various meetings.
- Partnered with management to create , develop and implement quality initiatives , resulting in reduced over payment.
- Provided training to over10 onboarding team members in 2021 (process training)
Senior Process Consultant
SOURCEHOV PVT LTD NOW PART OF EXELA TECHNOLOGIES
Chennai, Tamil Nadu
06.2016 - 04.2018
- Ensured to process assigned claim forms and inspect apt allocation of co-pays, deductibles, reimbursements and co-insurance.
- Wide experience in data entry and medical claim processing.
- Profound knowledge of codes applicable in CPT, HCPC, revenue .
- Ability to process claims for surgery, radiology, lab and medicine for CMS 1500.
- Performed and managed routine follow up activities.
- Solid understanding of claim processing .
Education
Bachelor of Science - Computer Application
St. Thomas College of Arts & Science
Koyambedu, Chennai - 600107 06.2013 - 04.2016
Skills
Comprehensive problem-solving abilities
MS-office, word, excel
Self-confidence, excellent team player, co-operation with others, hard work and dedication
Positive attitude skills and committed to work
Ability to prioritize work and multi task, willingness to learn new assignments
Quality assessment
Accomplishments
- Won the top gun award for the outstanding performance on the job.
- Documented and resolved payment issue which led to reduction of over payment.
- Certificates of client appreciation.
Won the top gun award for the outstanding performance on the job.
Eligible for Top gun Award,
- Production should be above 100%.
- Quality should be 100%.
- EIR (Error identification rate) should be above 2%. ( my average EIR is approximately 4% and sometime it will be 15% or 8%).
- Need to be top performer in team.
- Need to give PE (perfect experience)
- Overturn should be zero.
I comply all above points and won 5 top gun awards.
Timeline
Senior Quality Consultant
HINDHUJA GLOBAL SOLUTIONS (HGS)
04.2018 - Current
Senior Process Consultant
SOURCEHOV PVT LTD NOW PART OF EXELA TECHNOLOGIES
06.2016 - 04.2018
Bachelor of Science - Computer Application
St. Thomas College of Arts & Science
06.2013 - 04.2016