Harishma Banu
Quality Auditor
Perumbakkam
Summary
To get a job in a reputed concern, to show good track records in the given work and to provide efficient support for the development of the concern. I achieved with my expert knowledge and leadership Qualities.
Overview
5
5
years of professional experience
2018
2018
years of post-secondary education
Work History
Quality Auditor- AR
NYX Med
01.2025 - Current
- Maintained strict adherence to quality standards by conducting regular audits, resulting in reduced error rates.
- Collaborated with peers to measure ongoing process performance, enacting changes based on historical data.
- Provided training and mentorship to team members, fostering a culture of learning and growth.
- Collaborated closely with other departments for achieving operational excellence across the organization.
- Conducted root cause analyses to identify underlying issues affecting process performance, enabling targeted solutions that addressed core problems rather than symptoms alone.
- Supervised meetings to maintain interdisciplinary communication of process weaknesses and performance.
Quality Control Analyst - AR
OMEGA HEALTHCARE Pvt. LTD
07.2023 - 01.2025
- Improved overall production efficiency by identifying and resolving quality control issues.
- Enhanced product quality by conducting thorough analyses and implementing corrective actions.
- Inspected items and compared against standards to meet regulatory requirements.
- Supported continuous improvement initiatives by analyzing data trends and recommending process enhancements.
- Conducted root cause analysis for recurring issues, developing long-term solutions to prevent recurrence.
Senior Executive RCM - AR Caller
GUIDEHOUSE INDIA Pvt. LTD
07.2022 - 07.2023
- Manage AR Accounts by ensuring accurate and timely follow-up.
- Being a part of process trainer and trained more than 40 people in a Team.
- Identifying issues and trends that result in nonpayment of claims due to internal or external review.
- Elevating significant issues to the supervisor.
Process Executive RCM - AR Caller
ISource IT Enabled Services
03.2021 - 07.2022
- Utilized strong assessment skills to determine medical necessity for post-payment denials.
- Review and work on all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm that all patient demographics and insurance are current and up to date.
- Perform timely and accurate submission of claims.
- Process an average of 1,200 claims per month.
- Works on prior authorization to initiate and obtain the auth number in the portal, as well as in phone calls.
- Hands-on experience in eligibility and benefits, denial management, and appeals.
Executive RCM - AR Caller
GLOBAL HEALTHCARE BILLING PARTNERS
12.2020 - 03.2021
- Ensure complete review of claims and forward to correct insurance company.
- Handle all claims on denials, rejections and also no response workqueue and follow up review and document accordingly.
- Perform timely and accurate submission of claims.
Education
Diploma - Civil Engineering
Seshashayee Institute of Technology
Tiruchi, India01-2017
Skills
Microsoft office(word, powerpoint, Excel,open office,) all versions
CORE QUALIFICATIONS
- Constantly looks for better solutions
- Exceptional analytical and problem solving skills
- Works well with management
- Enjoys the process of innovation
- Very strong team building skills
Disclaimer
I, (Harishma Banu.A) do hereby declare that the information furnished above are true worthy to the best of my knowledge.
Timeline
Quality Auditor- AR
NYX Med
01.2025 - Current
Quality Control Analyst - AR
OMEGA HEALTHCARE Pvt. LTD
07.2023 - 01.2025
Senior Executive RCM - AR Caller
GUIDEHOUSE INDIA Pvt. LTD
07.2022 - 07.2023
Process Executive RCM - AR Caller
ISource IT Enabled Services
03.2021 - 07.2022
Executive RCM - AR Caller
GLOBAL HEALTHCARE BILLING PARTNERS
12.2020 - 03.2021
Diploma - Civil Engineering
Seshashayee Institute of Technology
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