Summary
Overview
Work History
Education
Skills
Accomplishments
Projects
Timeline
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Bharath Shankar

Bharath Shankar

Manager
Chennai

Summary

  • Passionate and mission-oriented Healthcare Operations Manager with 15+ years of experience in leading and managing teams in Healthcare industry
  • Skilled in gathering and analyzing the user needs, translating them into actionable product requirements
  • Responsible for MIS Report – Client TAT / Quality /Team performance / SLA report
  • Proven ability to identify gaps and enhance the performance of existing processes
  • Skilled in deploying necessary education, services and tools to support team
  • Highly skilled in effective communication, interpersonal relations and data analysis

Overview

17
17
years of professional experience
3
3
years of post-secondary education
2
2
Languages

Work History

MANAGER

Exela Technologies
06.2021 - Current
  • Lead a team of 97+ FTE's, providing guidance, coaching, mentoring and supervision
  • Accountable for achieving production, quality and operational performance goals by improving processes, analyzing and leading initiatives
  • Participated in hiring, training, staffing and development of Claims adjudication, AR Posting and G & A teams
  • Skilled in Adjudication, Payment posting, disputes / appeals / Premium process
  • SPOC for customer and for any escalations within team
  • Having Good knowledge in US Healthcare Claims Adjudication and AR Process
  • Conducting Project Review Meeting on monthly basis to review the performance of the processors and output of the project
  • Maintaining Project related reports as per ISO standard
  • Monitored all programs, identified potential risks and designed necessary mitigation.

ASSISTANT MANAGER

Exela Technologies
02.2017 - 05.2021
  • Lead a team of 62 FTE's for a period of this year
  • Working as Assistant Manager for US project in the Healthcare Industry
  • Handling Emblem Health Maestro 24hrs TAT project
  • Handling AR Posting, Invoicing & Refund Process
  • Attending client calls directly and providing instruction to entire team
  • Ensuring the customer SLA is met in terms of TAT/Quality/Security/Age
  • Act as a liaison between managers, employees and customers
  • Effective communication to team on percolating organization updates / Challenges
  • Ramp-up new projects as per the plan.

PROJECT CO-ORDINATOR

Exela Technologies
12.2012 - 01.2017
  • Lead a team of 65 FTE's for a period of this year
  • Working as Project Coordinator for US project in the Healthcare Industry
  • Handling CS90 & CS90 MA both LOB's
  • Attending client calls directly and ensuring the customer SLA is met in terms TAT/Quality/Security.

CO-ORDINATOR

Exela Technologies
01.2011 - 11.2012
  • Lead a team of 34 FTE's for a period of this year
  • Working as Coordinator for US project in the Healthcare Industry
  • Participating in the Conference calls with the Client
  • Responsible for Production / capacity planning.

TEAM LEADER

Exela Technologies
06.2007 - 12.2010
  • Maintaining the attendance for the Adjusters
  • Ensure the production reports are maintained properly
  • Training customer instructions
  • Trouble shooting for the adjuster during production
  • Email contact with the customer regarding the instructions/clarifications
  • Ensure the claims adjudicated by the Adjusters are meeting the Customer Quality
  • Ensure the claims adjudicated by the Adjusters are meeting the Customer TAT
  • Conduct a weekly meeting with all the employees
  • Maintaining Project related reports as per ISO standard
  • Preparing material for the PRM meetings & do the presentation.

Education

Bsc -

Madras University
01.2004 - 04.2007

Skills

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Accomplishments

  • Green star award for the month of Dec'21
  • Successfully completed onsite transition project "HMS AR Posting & Refund" through WEBEX and team reached steady state.

Projects

FSA - One Bill (Flexible Spending Account), 06/2007 -12/2010

FSA - Cams, 01/2011 -11/2012 

Wellpoint Adjudication - Facets, CS90 / CS90 MA, 12/2012 - 10/2014 

HMS AR Posting & Refund, 11/2015 -Present 

Emblem Health Maestro, 04/2017 -Present 

Elevance Health Anthem DDC 06/2021 -Present

Timeline

MANAGER

Exela Technologies
06.2021 - Current

ASSISTANT MANAGER

Exela Technologies
02.2017 - 05.2021

PROJECT CO-ORDINATOR

Exela Technologies
12.2012 - 01.2017

CO-ORDINATOR

Exela Technologies
01.2011 - 11.2012

TEAM LEADER

Exela Technologies
06.2007 - 12.2010

Bsc -

Madras University
01.2004 - 04.2007

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Bharath ShankarManager