C. MERYL.BERNADETTE. ASHA
Chennai
Summary
Quality-focused professional with hands-on experience in medical billing and audit processes. Expertise in reviewing claims, identifying discrepancies, and ensuring adherence to compliance standards. Proven track record of improving accuracy, minimizing denials, and supporting efficient revenue cycle operations.
Overview
7
7
years of professional experience
6043
6043
years of post-secondary education
1
1
Certification
Work History
Quality Analyst
Firstsource Solutions Ltd
Chennai
11.2024 - Current
- Conducted root cause analysis to identify process deficiencies.
- Monitored defect trends and provided feedback for enhancements.
- Facilitated cross-functional meetings to discuss quality initiatives.
- Conducted root cause analysis to investigate the source of problems in production process.
- Collaborated with teams to improve quality assurance processes.
- Developed and maintained quality documentation and reporting processes for performance tracking.
- Analyzed feedback data to identify trends and recommend action plans for enhancement.
- Monitored adherence to client specifications through consistent quality checks and audits.
- Supported cross-functional teams in achieving operational excellence through quality initiatives.
Role Play - Team Lead
Allysmart Business Process Solutions
05.2023 - 11.2024
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Coached team members in techniques necessary to complete job tasks
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Generated reports detailing findings and recommendations.
- Maintained database systems to track and analyze operational data.
- Allocated accounts based on the priority.
- Maintained all the necessary trackers.
- Prepared monthly business review reports.
Quality Analyst-AR
Allysmart Business Process Solutions
02.2023 - 11.2024
- Developed and maintained quality assurance procedure documentation.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Edited, proofed and critiqued internal documents to improve clarity.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Analyzed quality and performance data to support operational decision-making.
Senior Process Executive-AR
Cognizant Technology Solutions
01.2021 - 05.2022
- Worked in both denials and follow up Claims.
- Worked towards Resolution by taking appropriate action
- Assisted new joiners in regards to the process
Customer Care Senior Representative-AR
NTT Data
05.2019 - 12.2020
- Achieved performance goals on consistent basis.
- Worked in End to End Client
- Worked in both denials and follow up Claims
Education
B.E - Electronics And Communications Engineering
Sathyabama university
Chennai, TamilnaduHSC -
I.C.F Silver Jubilee Matriculation Hr Sec School
ChennaiSSLC -
I.C.F Silver Jubilee Matriculation Hr Sec School
ChennaiSkills
- Report creation
- Quality Improvement
- Training implementation
- Documentation skills
- Critical Thinking
- Quality documentation
- Process improvement
- Attention to detail
- Problem solving
Accomplishments
- Achieved result by completing Task with accuracy and efficiency.
- Supervised team of 15 - 20 members.
- Provided constructive feedback and training to team members, improving overall team performance and productivity.
- Identified process gaps and suggested improvements that enhanced workflow efficiency.
- Consistently met and exceeded quality benchmarks and KPIs set by the organization.
Certification
Lean Six Sigma Green Belt , License : 108570040 , Institute : Benchmark Six Sigma
Lean Six Sigma Black Belt , License : 113903337 , Institute : Benchmark Six Sigma
Software
EPIC
CERNER
Modmed's Practice Management Software
EIS
Languages
English
Proficient
C2
Tamil
Proficient
C2
Timeline
Quality Analyst
Firstsource Solutions Ltd
11.2024 - Current
Role Play - Team Lead
Allysmart Business Process Solutions
05.2023 - 11.2024
Quality Analyst-AR
Allysmart Business Process Solutions
02.2023 - 11.2024
Senior Process Executive-AR
Cognizant Technology Solutions
01.2021 - 05.2022
Customer Care Senior Representative-AR
NTT Data
05.2019 - 12.2020
B.E - Electronics And Communications Engineering
Sathyabama university
HSC -
I.C.F Silver Jubilee Matriculation Hr Sec School
SSLC -
I.C.F Silver Jubilee Matriculation Hr Sec School