DAYANANDAN R
Bangalore
Summary
Forward-thinking Operations Specialist bringing about 9 years of expertise in Operations for Healthcare sector businesses. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies.
Overview
11
11
years of professional experience
Work History
SUBJECT MATTER EXPERT - AR
THINK FOUNDER ADVISORS LIMITED
Bangalore
03.2023 - 12.2025
- 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
- Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features
Sr ANALYST - AR
STARMARK HEALTHCARE SOLUTIONS
Bangalore
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.
Sr. Executive AR
OMEGA HEALTHCARE SOLUTIONS
Bangalore
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.
Executive AR
GLOBAL REVENUE CYCLE MANAGEMENT
Bangalore
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.
Education
B COM -
MATS UNIVERSITY
BANGALOREPUC -
ALMIGHTY PRE UNIVERSITY COLLEGE
BANGALORESkills
- Coaching and mentoring
- Monitor teams production and SLA delivery
- Motivate team members
- Client service and quality oriented mindset
- Expertise in medical terminologies
- Comprehensive Problem solving abilities
- Decision making abilities under pressure
- Communication Skills
- Analytical Thinking
- Collaboration and Teamwork
- KPI monitoring
- Claim denial analysis
- Client escalation handling
- Process improvement
- Compliance adherence
- Task prioritization
Languages
- Kannada
- Tamil
- Hindi, Intermediate (B1)
- Kannada, Intermediate (B1)
- Tamil, Intermediate (B1)
- English, Bilingual or Proficient (C2)
Languages
English
Proficient
C2
Tamil
Intermediate
B1
Hindi
Intermediate
B1
Telugu
Intermediate
B1
Timeline
SUBJECT MATTER EXPERT - AR
THINK FOUNDER ADVISORS LIMITED
03.2023 - 12.2025
Sr ANALYST - AR
STARMARK HEALTHCARE SOLUTIONS
11.2021 - 03.2023
Sr. Executive AR
OMEGA HEALTHCARE SOLUTIONS
09.2017 - 03.2021
Executive AR
GLOBAL REVENUE CYCLE MANAGEMENT
07.2014 - 10.2015
B COM -
MATS UNIVERSITY
PUC -
ALMIGHTY PRE UNIVERSITY COLLEGE