GAURAV KUMAR
NEW DELHI
Summary
Dynamic Senior Collection Representative at Optum Global Solutions with proven leadership abilities and expertise in payment posting. Skilled in Excel analysis and problem-solving, I effectively led teams to enhance performance and achieve targets, ensuring accurate processing of insurance payments and optimizing client satisfaction.
Overview
10
10
years of professional experience
Work History
Senior Collection Representative
Optum Global Solutions Pvt. Ltd.
12.2022 - 05.2025
- Worked on NextGen software for Payment posting of Insurance Payment.
- Worked on various account status such as no claims, overpaid, correctly paid posting issue, no charges, underpaid, move to self-pay.
- Posting the required adjustment in Client Software.
- Worked on Self Pay (Patient payment).
- Worked on Patient Overpayment/Insurance Overpayment Scenarios by refund amount to the Patient/ Insurance or to check related encounters.
- Analyzing the source of data and keyed best and understanding deliverables with qualitative logic.
- Prepare Client Logs as per the Client Preferences.
- Maintain Prospect Report and Inventory Report to check the number of accounts in Client queue of Credit Balance and EOB Review.
- Team Support.
- Data Allocation for Team.
- Responsible for Team’s Floor Decorum.
Senior Analyst
R1
08.2021 - 12.2022
- Worked on Payment Posting for Dynamic client (Wisconsin) for 6 months.
- Accurately post payments received from insurance companies and patients.
- Review and analyze Explanation of benefit (EOB), ERA and Copay and post it correctly.
- Attend Weekly client Calls for wider knowledge and process improvement.
- Lead team effectively and efficiently to achieve the team’s target.
- Assign work and tasks to team members based on their strengths and workload capacity.
- Generate daily reports and file provide insights on team performance and project progress.
- Providing training to new resources and resolved their query.
Analyst
EMDSPvt. Ltd
06.2020 - 07.2021
- Worked on Payment Posting for Dynamic client (Medisoft, Sycamore & handling multiple clients).
- Payment posting received from Insurance companies in various softwares.
- Creating day end reports.
Analyst
RUBIX IS INDIA PVT. LTD.
07.2017 - 12.2020
- Worked as Payment poster.
- Worked over multiple clients like ALTA, CROZER & many projects.
- Also worked on Credit balance project.
Backend executive
Weblink India Pvt Ltd
06.2015 - 11.2016
- Worked over many portals to find Placement India.com, Matrimonial india.com.
Education
BCA -
Jamia Hamdard University
01.2015
Senior Secondary -
CBSE Board
01.2012
Matriculation -
CBSE Board
01.2010
Skills
- Excel functions and analysis
- Communication skills
- Leadership abilities
- Organizational capabilities
- Problem-solving techniques
Hobbies and Interests
- Learning new Concepts
- Observing things
Disclaimer
I consider myself familiar with corporate & technical aspects and good relationship ability. I hereby declare that the information furnished above is true to the best of my knowledge.
Languages
- English
- Hindi
Personal Information
- Father's Name: Mr. Kishor Kumar
- Date of Birth: 06/30/94
- Nationality: Indian
- Marital Status: Married
Timeline
Senior Collection Representative
Optum Global Solutions Pvt. Ltd.
12.2022 - 05.2025
Senior Analyst
R1
08.2021 - 12.2022
Analyst
EMDSPvt. Ltd
06.2020 - 07.2021
Analyst
RUBIX IS INDIA PVT. LTD.
07.2017 - 12.2020
Backend executive
Weblink India Pvt Ltd
06.2015 - 11.2016
BCA -
Jamia Hamdard University
Senior Secondary -
CBSE Board
Matriculation -
CBSE Board
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