Janvi Pal
Quality Analyst
Mumbai
Summary
Experienced claims professional adept at leading teams to excellence, specializing in handling aged accounts and client escalations. Skilled in fostering a collaborative work environment, generating quality reports, and providing constructive feedback to enhance team performance. Also knowledgeable in optimizing company profitability and growth strategies.
Overview
9
9
years of professional experience
Work History
Quality Analyst (Promoted)
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
- Quality monitoring & reporting
- Spot feedback BOD & EOD feedback
- Coaching sessions for bottom quartiles
- Raise alerts for critical errors
- Weekly transaction processing
- Process Knowledge test (PKT)- preparing questions
- Knowledge transfer (KT) & quality scorecard discussion for new businesses
Line Trainer (Promoted)
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
- Develop training materials and deliver sessions to onboard new employees.
- Provide hands-on demonstrations
- Monitor trainee progress through assessments
- Address trainee questions and concerns
- Maintain accurate training records
- Tracked attendance and evaluated progress for assigned trainees.
- Contributed to the retention of top talent by providing employees with the resources and support necessary to excel in their roles.
Sr Account Receivable Specialist
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
- 1. Follow up with insurers/patients on overdue accounts regularly.
- Analyze patient accounts to resolve billing discrepancies, denials, and underpayments.
- Ensure timely claims submission and accurate documentation as per guidelines.
- Professionally handle inbound/outbound calls to resolve billing inquiries.
- Use software to update accounts, track progress, and maintain records.
- Stay updated on insurance regulations, coding guidelines, and industry trends.
- Meet monthly productivity and quality targets set by client/management.
Sr Account Receivable
Inventurus Knowledge Solutions Private
08.2017 - 08.2019
- Follow up on unpaid accounts receivable on a regular basis with insurance providers, patients, or both.
- Examine and evaluate patient accounts to find and fix errors in billing, denials, and underpayments.
- Ensure timely submission of claims and accurate documentation in accordance with insurance guidelines and client requirements.
- Handle inbound and outbound calls professionally and resolve billing-related inquiries and issues.
Customer Service Representative
Intelenet Global Services
12.2014 - 03.2016
- Analyze and evaluate the quality of claims processing
- Handle high-priority accounts and address client escalations effectively
- Handling inbound or outbound calls
Education
MBA - Human Resource
Parle Tilak Vidyalaya Association’s Institute
Mumbai 04.2001 -
Post Graduation Diploma in Advertising & Media -
Garware Institute of Career Education And Developn
Mumbai 04.2001 -
Bachelor of Mass Media -
V.P.M's R. Z. Shah College Mulund
MUMBAI 04.2001 -
HSC 12th Board -
Friends' Jr College
Mumbai 04.2001 -
SSC 10th Board -
Vani Vidyalaya
Mumbai, India 04.2001 -
Skills
Written Communication
Audit processes
Quality Improvement
SQL knowledge
Collaborative Team Player
Daily Report
MS Word
MS Excel
MS Powerpoint
Timeline
Quality Analyst (Promoted)
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
Line Trainer (Promoted)
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
Sr Account Receivable Specialist
Gebbs Healthcare Solutions Pvt Ltd
09.2019 - Current
Sr Account Receivable
Inventurus Knowledge Solutions Private
08.2017 - 08.2019
Customer Service Representative
Intelenet Global Services
12.2014 - 03.2016
MBA - Human Resource
Parle Tilak Vidyalaya Association’s Institute
04.2001 -
Post Graduation Diploma in Advertising & Media -
Garware Institute of Career Education And Developn
04.2001 -
Bachelor of Mass Media -
V.P.M's R. Z. Shah College Mulund
04.2001 -
HSC 12th Board -
Friends' Jr College
04.2001 -
SSC 10th Board -
Vani Vidyalaya
04.2001 -