Gopinath Ganesh
Medical Billing Specialist
Chennai
Summary
Agile and adaptable staff leader with stellar work history of 11+years of Medical Billing experience with Payer/Provider process knowledge and overall 12+ years of experience. Skilled at training employees and leveraging organized approaches to handle daily planning, scheduling and customer service requirements. Forward-thinking and industrious with diplomatic communication style focused on maximizing engagement and satisfaction. Proactive and hardworking individual focused on continuous operational improvement.
Overview
13
13
years of professional experience
5
5
years of post-secondary education
1
1
Certification
3
3
Languages
Work History
Assistant Manager Quality & Training
Omega Healthcare
Chennai
10.2022 - Current
- Handling team of 7 Team Leads,14 Process coaches and 103 auditors across Service Lines approximately 250-300 Trainees per month
- Managing Training and Quality together and ensuring smooth transition of any Fresher/Lateral joining organization
- Managing Attrition and ensuring throughput of 97% with First time pass ration of 90%
- Responsible for improving standard of training materials
- Consistent in maintaining timelines for training program and certification on On Job Training
- Weekly connect with Clients and Bi-weekly connect with internal stakeholders (6 Specialties) sharing current status and progress on both Quality and Training performance
- Creating POA to at risk projects identified through VOC and move them to no risk through quality initiatives – Saved 37 Practices
- Systematic auto-allocation in Workflow tool for auditors reducing Leads time and to perform focused audits
- Systematic Feedback, Audit dashboard and assessments were made mandatory for agents to acknowledge and then start their production
- Rule Based audit Tool to improve FTR and smart audit based on inventory, reducing 14 auditor FTEs
- Change management tool created with support of Technology team to register any update or changes to Project across all Departments of Organization
- Collaborated and coordinated with Training & KM team/team members across other locations to ensure standardization of processes
- Responsible for smooth transition on new clients and BCP.
Team Leader
ANNEXMED
Chennai
01.2022 - 10.2022
- Handling team of 10 Process coaches, 6 Process and Communication Trainers and approximately 80-120 Trainees per month
- Captured, analyzed and improved training effectiveness – learner's feedback, knowledge & skill assessment results and ramp-up efficiency
- Responsible for making team adhering to documented training processes (new hire training, cross training and refresher training)
- Creating Batch Plan and sharing AR tracker with Operations every week and Monthly Dashboard meetings with Operations Manager
- Updated, maintained and reported training records which includes attendance and performance details
- Conducting awareness sessions on HIPAA – for new hires during foundation training and all employees as periodic refreshers
- Supported On-Job Trainers in reviewing/building content, manuals, question banks and job aids for all processes/training programs.
Assistant Team Leader
Prochant
Chennai
12.2020 - 01.2022
- Handling team of 7 Process coaches and 4 Technical trainers across Service Line on Durable Medical Equipment & Infusion billing approximately 70-90 Trainees per month
- Conducted regular feedback sessions with team members to identify areas for improvement and provide guidance on career development
- Monitored team performance, identified areas of weaknesses and provided timely interventions to ensure targets were met
- Managed recruitment process, trained and mentored new hires, and provided guidance to existing team members
- Facilitated team meetings and brainstorming sessions to encourage creativity and open dialogue
- Assigned tasks based on individual strengths and weaknesses, resulting in improved team collaboration and effectiveness
- Implemented system for tracking and reporting on team performance, providing key insights for management.
Process and Communication Training Senior Associate
NTT Data
Chennai
10.2018 - 12.2020
- Exceeded expectations on required standard of training effectiveness (a) Learners feedback – 4.75 on scale of 5 (b) Batch Average Scores – 85% (c) Training throughput (% of learners clearing training) – 95%
- Created lookalike Software and Multiple billing summaries – Received appreciation email from Training Director for efforts and received many rewards and incentives for consistent performance.
Trainee Team Leader Operation
AGS Health Care
Chennai
10.2012 - 04.2018
- Reduced operation cost by avoiding printing of 700 claims on monthly basis and reduced cost for practice
- It also reduced workload of 0.75 FTE for process comprising of 4 FTE's
- Avoided fine imposed by Client for Poor quality by improving quality scores from 78% to 97%
- Consistently exceeding client expectation in quality for all four projects and received Star Quality award
- Created training Module in Denial management with RTE for Industry freshers and received certificate from Executive director for efforts
- Improved team morale and motivation through positive reinforcement and team-building activities
- Developed and maintained Agile team culture by facilitating team building activities and promoting environment of continuous improvement.
Customer Support Executive Operations
HGS
Bangalore
11.2010 - 03.2012
- Developed and maintained customer service support systems to streamline customer interactions and increase customer satisfaction
- Highest Instant Customer Feedback among 1200 employees and received lot of rewards and recognition for same
- Moved to Bangalore as Non-designated trainer to take care of KT.
Education
Bachelor of Arts - Criminology
TamilNadu Open University
Chennai 06.2016 - 06.2018
Higher Secondary Certificate - Computer Science
Shanthosh Vidhyalaya Higher Secondary School
Chennai 06.2005 - 04.2007
Secondary Education -
Shanthosh Vidhyalaya Higher Secondary School
Chennai 05.2002 - 05.2003
Skills
Work Flow Co-ordinationundefined
Personal Information
- Date of Birth: 12/15/1989
- Nationality: Indian
- Driving License: Yes
Certification
Six sigma Green Belt
Timeline
Six sigma Green Belt
01-2024
Assistant Manager Quality & Training
Omega Healthcare
10.2022 - Current
Team Leader
ANNEXMED
01.2022 - 10.2022
Assistant Team Leader
Prochant
12.2020 - 01.2022
Process and Communication Training Senior Associate
NTT Data
10.2018 - 12.2020
Bachelor of Arts - Criminology
TamilNadu Open University
06.2016 - 06.2018
Trainee Team Leader Operation
AGS Health Care
10.2012 - 04.2018
Customer Support Executive Operations
HGS
11.2010 - 03.2012
Higher Secondary Certificate - Computer Science
Shanthosh Vidhyalaya Higher Secondary School
06.2005 - 04.2007
Secondary Education -
Shanthosh Vidhyalaya Higher Secondary School
05.2002 - 05.2003
Similar Profiles
Elizabeth QuisenberryElizabeth Quisenberry
Medical Coder at Omega HealthcareMedical Coder at Omega Healthcare
Jerome RohithJerome Rohith
Quality Control Analyst at Omega HealthcareQuality Control Analyst at Omega Healthcare
Jonalyn CostalesJonalyn Costales
Medical Billing Associate at Omega HealthcareMedical Billing Associate at Omega Healthcare
Anusha ChagantiAnusha Chaganti
Senior Medical Coder at Omega HealthcareSenior Medical Coder at Omega Healthcare
Vedavalli SVedavalli S
Senior Technical Lead at Alten Calsoft LabsSenior Technical Lead at Alten Calsoft Labs