Certification in SAP -SD
DINESH KUMAR VANADASS
QUALITY ANALYST -AR
Chennai
Summary
To be a part of an organization and to apply my professional, technical, managerial and team leading qualities and thus develop myself and work towards the goal of the company .EDUCATIONAL QUALIFICATION : Qualification Name of the Institution Medium/ University Year of passing Percentage obtained Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Overview
9
9
years of professional experience
5
5
years of post-secondary education
3
3
Certifications
2
2
Languages
Work History
Quality Analyst
AGS Health PVT.Ltd
03.2024 - Current
- Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
- Identified process inefficiencies through meticulous data analysis, leading to streamlined operations and increased productivity.
- Analyzed quality and performance data to support operational decision-making.
- Created and revised procedures, checklists and job aids to reduce errors.
- Developed and maintained quality assurance procedure documentation.
Senior Analyst
R1 Rcm
10.2022 - 02.2024
- Manage billing operations for multi-specialty medical group with 25+ providers serving thousands of patients.
- Ensure accurate and timely submission of claims to private insurance companies, Medicare, and Medicaid.
- Resolve complex billing issues and manage appeals process to reverse denial of payment decisions.
- Train and supervise a team of five medical billers on policies, processes, and procedures.
- Processed insurance claims for orthopedic practice with 10 providers and large patient base.
- Conducted timely follow-up of unpaid claims and appealed denied claims.
- Assisted patients with billing inquiries and payment plans.
- Maintained 98% clean claim rate.
- Mentored junior analysts, fostering professional development while enhancing overall team performance.
- Collaborated with cross-functional teams to identify areas of improvement, leading to increased operational effectiveness.
- Nurtured strong working relationships with clients, ensuring their needs were met while exceeding expectations on deliverables.
Senior Executive
Omega Healthcare
10.2021 - 07.2022
- Worked in call center environment handling manual and automatically dialed outbound calls.
- Used scripted conversation prompts to convey current account information and obtain payments.
- Maintained high volume of calls and met demands of busy and productive group.
- Verified compliance with relevant laws, regulations and best practices related to customer account management.
- Maintained consistently high success rate of collecting on overdue accounts.
- Documented customer payment interactions and account statuses for future reference.
- Developed strong relationships with customers to foster timely payments and account resolution.
- Negotiated payment plans with customers to prevent accounts from entering collections.
- Maintained high volume of calls and met demands of busy and productive group
Account Executive
Miramed Ajuba
09.2020 - 10.2021
- Manage billing operations for multi-specialty medical group with 25+ providers serving thousands of patients.
- Ensure accurate and timely submission of claims to private insurance companies, Medicare, and Medicaid.
- Resolve complex billing issues and manage appeals process to reverse denial of payment decisions.
- Train and supervise a team of five medical billers on policies, processes, and procedures.
- Implemented new billing software, resulting in 20% increase in reimbursements
- Performed billing and coding for busy pediatric practice.
- Verified patient insurance eligibility and obtained prior authorizations.
- Collaborated with practice manager to improve billing workflows.
- Reduced accounts receivable aging from 60 to 30 days.
Senior Executive
MedAbyss RCM Healthservices Pvt Ltd
07.2019 - 07.2020
- Performed billing and coding for general practice.
- Verified patient insurance eligibility and obtained prior authorizations.
- Collaborated with practice manager to improve billing workflows.
- Reduced accounts receivable aging from 60 to 30 days.
- Manage billing operations for multi-specialty medical group with 25+ providers serving thousands of patients.
- Ensure accurate and timely submission of claims to private insurance companies, Medicare, and Medicaid.
- Resolve complex billing issues and manage appeals process to reverse denial of payment decisions.
- Train and supervise a team of five medical billers on policies, processes, and procedures.
- Implemented new billing software, resulting in 20% increase in reimbursements.
- Cultivated a culture of continuous improvement by promoting open communication channels for feedback from all levels within the organization.
Senior Executive
Global Healthcare Billing Partners Pvt. Ltd.
11.2016 - 06.2019
- Manage billing operations for multi-specialty medical group with 25+ providers serving thousands of patients.
- Ensure accurate and timely submission of claims to private insurance companies, Medicare, and Medicaid.
- Resolve complex billing issues and manage appeals process to reverse denial of payment decisions.
- Train and supervise a team of five medical billers on policies, processes, and procedures.
- Implemented new billing software, resulting in 20% increase in reimbursements.
- Processed insurance claims for General practice with 10 providers and large patient base.
- Conducted timely follow-up of unpaid claims and appealed denied claims.
- Assisted patients with billing inquiries and payment plans.
- Maintained 98% clean claim rate.
- Implemented comprehensive risk management strategies to protect the organization from unforeseen financial pitfalls.
Education
SSLC -
Rajalakshmi Matriculaton Higher Secondary School
Chennai, India 01.2009 - 01.2009
BE - Electronics and communication Engineering
SRININVASA INSTITUTE OF ENGINEERING AND TECHNOLOGY
CHENNAI 05.2011 - 05.2015
HSC -
Nazareth Matriculation Higher Secondary School
Chenai 06.2010 - 06.2011
Skills
Quality improvement
Continuous improvement
Audit processes
Quality processes
Correction action planning
Data validation
Certification
Industrial Visit - Doordharshan(Pondicherry).
Additional Information
PROFESSIONAL TRAINING
● Undergone SAP SD certification course in Propel technology
Accomplishments
- Resolved Many ageing and pending claims in Hospital billing
Affiliations
- Project Management Institute
- American Medical Informatics Association
Software
Languages
2,Proficient,2,Proficient
Timeline
Quality Analyst
AGS Health PVT.Ltd
03.2024 - Current
Senior Analyst
R1 Rcm
10.2022 - 02.2024
Senior Executive
Omega Healthcare
10.2021 - 07.2022
Account Executive
Miramed Ajuba
09.2020 - 10.2021
Senior Executive
MedAbyss RCM Healthservices Pvt Ltd
07.2019 - 07.2020
Senior Executive
Global Healthcare Billing Partners Pvt. Ltd.
11.2016 - 06.2019
BE - Electronics and communication Engineering
SRININVASA INSTITUTE OF ENGINEERING AND TECHNOLOGY
05.2011 - 05.2015
HSC -
Nazareth Matriculation Higher Secondary School
06.2010 - 06.2011
SSLC -
Rajalakshmi Matriculaton Higher Secondary School
01.2009 - 01.2009
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