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-ordinationProject PlanningCost ReductionCustomer ServiceTask DelegationGoal tracking and Report writingProduct and Service Knowledge
Employee Performance Evaluation
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