Dayanandan R

Work History

THINK FOUNDER ADVISORS LIMITED

03.2023 - Current

Responsible for supervising team of 20 members to work on assigned cases
Monitor Team's production and SLA delivery
Keep record of client KPIs and team's performance against KPIs
Monitor issue logs raised by client partners and review each issue log prior to being escalated to customer
Provide subject matter expertise on Accounts Receivable processes
Manage and handle escalations effectively raised by clients
Provide mentorship, training and coaching to team
Adhere to organizational policies and procedures
Lead by example by demonstrating highest standards of ethical behavior
Monitoring and reporting team performance as needed
Keep Standard Operating Procedures updated and establish due control mechanisms
Work with Team Lead, quality and business transformation team to identify, recommend and implement process improvement projects
Collaborated with management to identify and prioritize new development concepts
Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features

STARMARK HEALTHCARE SOLUTIONS

11.2021 - 03.2023

Follows up on submitted claims, monitors unpaid claims, and identifies underpaid and not billed claims with appropriate corrections and documentation.
Analyzing claim denial management.
Reviews EOB/ERA denials and Patient history note to understand and resolve denial on claim.
Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.
Was able to manage, track and follow up over 35 claims for future date follow-up within expected time frame.
Identifying Global Issue impacting single or multiple patient accounts.
Identifying scenarios with global issue for entire patient account or multiple patient accounts.
Streamlined daily reporting information entry for efficient record keeping purposes.

BRIGHT DRIVE HEALTHCARE

03.2021 - 11.2021

Responsible for supervising over 15 team members to work on assigned cases
Monitor Team's production and SLA delivery
Keep record of client KPIs and team's performance against KPIs
Monitor issue logs raised by client partners and review each issue log prior to being escalated to customer
Provide subject matter expertise on Accounts Receivable processes
Manage and handle escalations effectively raised by clients
Provide mentorship, training and coaching to team
Adhere to organizational policies and procedures
Lead by example by demonstrating highest standards of ethical behavior
Monitoring and reporting team performance as needed
Keep Standard Operating Procedures updated and establish due control mechanisms
Work with Team Lead, quality and business transformation team to identify, recommend and implement process improvement projects

OMEGA HEALTHCARE SOLUTIONS

09.2017 - 03.2021

Perform pre-call analysis and check status by calling payer or using IVR or web portal services about 45 claims.
Maintain adequate documentation on client software to send necessary documentation to insurance companies and maintain clear audit trail for future reference
Record after-call actions and perform post call analysis for claim follow-up
Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received prior to making call
Perform analysis of accounts receivable data and understand reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of reasons for denials / underpayments

LOGIX HEALTHCARE

11.2015 - 01.2017

Perform pre-call analysis and check status by calling payer or using IVR or web portal services about 65 claims per day.
Maintain adequate documentation on client software to send necessary documentation to insurance companies and maintain clear audit trail for future reference
Record after-call actions and perform post call analysis for claim follow-up
Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received prior to making call
Perform analysis of accounts receivable data and understand reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of reasons for denials / underpayments

GLOBAL REVENUE CYCLE MANAGEMENT

07.2014 - 10.2015

Perform pre-call analysis and check status by calling payer or using IVR or web portal services about 60 claims per day.
Maintain adequate documentation on client software to send necessary documentation to insurance companies and maintain clear audit trail for future reference
Record after-call actions and perform post call analysis for claim follow-up
Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making call
Perform analysis of accounts receivable data and understand reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of reasons for denials / underpayments