Himanshi Sharma
Assistant Manager
Nagina
Summary
Detail-oriented Healthcare professional with expertise in appeals, claims, and clinical documentation review. Demonstrated ability to enhance process quality and compliance through effective leadership and data management. Skilled in building networks and facilitating communication with internal and external stakeholders to ensure timely responses to client needs.
Overview
2
2
Languages
6
6
years of professional experience
Work History
Assistant Manager
Chcs Services
11.2020 - Current
- Led team in implementing process improvements, enhancing operational efficiency and service delivery.
- Coordinated scheduling and resource allocation, optimizing workforce utilization across departments.
- Developed training programs for new staff, fostering skill development and team cohesion.
- Providing training to new and ongoing batch on time-to-time basis to meet the business objective
- Coordinated scheduling and resource allocation to optimize workforce utilization across departments.
- Established performance metrics to evaluate team effectiveness, facilitating targeted development plans.
- Established performance metrics to evaluate team effectiveness and facilitate targeted development plans.
- Conducts the complete research for the reason of appeal and grievance, performs complete clinical documents overview comparing with manuals and guidelines for best of decision making to meet with quality goal.
- Demonstrated proficiency in ICD-10, ICD-9, CPT, and HCPCS coding systems to ensure accurate billing and compliance.
- Served as primary contact for team inquiries regarding product information and support, ensuring timely responses.
- Collaborated with team members to implement Continuous Quality Improvement strategies, enhancing service delivery processes.
- Using a combination of data analysis, user research, benchmarking, metric reporting, and consistent content audits to identify high impact opportunities for improvement across all content areas
- Managing the flow of day-to-day operations to meet with all SLA goals.
- Conducts frequent Quality Control checks on outgoing deliverables providing necessary mentorship whenever needed.
- Conducts the complete research for the reason of appeal and grievance, perform complete clinical documents overview comparing with manuals and guidelines for best of decision making to meet with quality goal.
- Proficient in ICD-10, ICD-9, CPT Codes, HCPCS Codes
- Performed frequent quality control checks on outgoing deliverables, ensuring accuracy and compliance.
Education
B.tech - biotech
K.S.V.C.E.M.bijnor/A.K.T.U.
Lucknow01-2020
Intermediate -
ISC
St. Mary's School Nagina01-2016
High School -
ICSE
St. Mary's School Nagina01-2014
Skills
Project management
Healthcare expertise
Data analysis
Research and analysis
Change management
Quality improvement
Stakeholder communication
Team collaboration
MS Office proficiency
Root-cause analysis
Relationship building
INDUSTRIAL TRAININ
- Two weeks industrial training, 2019, BIOVACCINE(India) pvt .ltd., Learn basic techniques of the industry
- Two months industrial, 2019, MRD life sciences lab Lucknow, Advanced biotechnology techniques
Timeline
Assistant Manager
Chcs Services
11.2020 - Current
B.tech - biotech
K.S.V.C.E.M.bijnor/A.K.T.U.
Intermediate -
ISC
High School -
ICSE