Deepak Kumar

• Managing end-to-end operations for the assigned LOB, ensuring all service level agreements (SLAs) and key performance indicators (KPIs) are met.

• Leading a team of analysts and seniors, focusing on resource allocation, workflow management, and operational excellence.

• Driving process transformation initiatives to optimize productivity and reduce turnaround time (TAT).

• Conducting performance reviews and providing strategic direction to the team to align with organizational goals.

• Engaged in intensive leadership training to shift from individual contributor to operational management role.
• Acquired knowledge in budget management, client relationships, and strategic planning through senior leadership shadowing.
• Executed 90+ aged accounts receivable reduction, effectively clearing outdated inventory.
• Worked collaboratively with HR and finance teams to fulfill operational needs.

• Conduct audits on claims by implementing quality control measures and delivering weekly training to BQM users with quality scores below 95%

• Initiated career in accounts receivable, later expanding contributions to three diverse departments.
• Delivered comprehensive training for new hires, facilitating effective onboarding and support during first two months.
• Engaged with multiple departments to streamline processes and improve overall functionality.

• Managed referrals to specialist offices for patients from client hospital acting as PCP office.
• Resolved patient inquiries regarding eligibility and verification through effective communication.
• Contacted payers to obtain authorization status for referrals, improving workflow efficiency.

• Extracted outpatient claim statuses from web portal to enhance tracking efficiency.
• Cleared rejections in denial management team, improving claim acceptance rates.
• Conducted insurance claims audits to ensure compliance and accuracy.