Offering blend of leadership abilities and strategic thinking, eager to learn and grow in dynamic environment. Contributes to team cohesion and project execution with keen communication and problem-solving skills.
Overview
9
9
years of professional experience
Work History
SENIOR TEAM MANAGER – Operations
IKS Health
07.2023 - 08.2024
Working closely with Client Services and Vice President -Operations in implementation completing a thorough assessment in each of phase and monitoring progress which is one of the key factors for a successful Soft Go Live / Go Live phase for a large enterprise account
Contributed to the knowledge transfer for the set up with training team and collaborated on establishing the SOP's post initial implementation & discovery client calls
Maintained a systematic approach in having the data saved in right format by using Resolution Matrix, Update tracker & Data Validations
Developed / Implemented management controls and quality assurance processes to ensure accuracy and efficiency of claims submissions, rejections, denials, which directly improved the first pass collection ratio and first pass billing ratio enhancing the payments for the hospital / account
Managed monitoring and reporting of the productivity monthly and collaborated with Vice President - Operations on periodic audits and training requirements
Working knowledge of multiple health care applications like Nextgen, Rain Tree, Epic, Modmed and Health record software – E’HR
Team Manager – Operations
IKS Health, Pvt. Ltd
08.2020 - 07.2023
Currently managing 25 FTE’s spread across 7 regions/ states
Internal/ External SLA’s
Follow up ageing, AR Days, 90+ %, Cash Collections, Denial & Rejection %’s (First Pass Collection & Billing ratios), Payment per visit, Charge per Visit
Working on AR POA’s and driving the team to achieve the same within the ETOC
Daily/ Weekly work allocation
Inventory management
Driving team’s productivity
Conducting monthly performance reviews with team (1-1 Connects) and providing the areas of improvement and explaining the growth opportunities
Weekly cadence with billing & posting teams to understand the daily inflows and keep the client informed proactively on projections and issues (If any)
Revenue Cycle Office
IKS Health, Pvt. Ltd
01.2019 - 07.2020
Analysed account receivables and corrections needed for various payers - Commercial, Medicare and Medicaid
Good ability to interpret rules and regulations set by Medicaid Medicare and commercial insurance payers
Identified process gaps and suggested with plan of action
Met all productivity and collection goals including dollars collected and accounts handled
Reviewed and worked on all unpaid and denied insurance correspondence, both phone appeals and written appeal with correct insurance information to date
Organize, identify, and improve workflow through daily and weekly productivity report challenges and concerns and requests for assistance
Assisted as floor support to help the new joining folks to understand the denials and help them understand the best practices with payer’s websites walk through
Provided feedback on the common trending errors and worked closely with the team to improve the Quality and Production numbers without losing the TAT
Was awarded for the consistent quality for over 6 months and meeting 120% production target
Ensure workflow, including collecting payments stays currents and on track with regards to insurance carriers, clients, and internal audits
Customer Service Associate
Amazon Development centre India
08.2016 - 01.2019
Worked as Customer service associate for Amazon.co.uk via live chats and email
Was moved to Pilot project Concession Abuse prevention squad – CAP and assisted concession abuse detected customers with intricacy and utmost patience maintaining the compliance policies
Worked with Merchant Risk Investigation (MIR) team for couple of months in between at the time of business requirement
Was awarded the following Master Blaster for best performance in the year 2017 fourth quarter, Bronze Scepter award, Won Customer Obsession award & Top 100 peers award
Financial advisor
[24]7, NSL Arena
07.2015 - 05.2016
Joined as Interactive Social media advisor and was later promoted as Digital Interaction Advisor
Worked on live medium chats for the CITI bank process
Assisted all the financial issues of the customers such as cashing checks, routine banking transactions and assisting customers with account deposits or withdrawal
Education
Graduation -
Sree Dattha College
Under graduation - undefined
Govt. College
SSC - undefined
Maharaja high school
Skills
Coaching and mentoring
Disclaimer
I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars.
Timeline
SENIOR TEAM MANAGER – Operations
IKS Health
07.2023 - 08.2024
Team Manager – Operations
IKS Health, Pvt. Ltd
08.2020 - 07.2023
Revenue Cycle Office
IKS Health, Pvt. Ltd
01.2019 - 07.2020
Customer Service Associate
Amazon Development centre India
08.2016 - 01.2019
Financial advisor
[24]7, NSL Arena
07.2015 - 05.2016
Under graduation - undefined
Govt. College
SSC - undefined
Maharaja high school
Graduation -
Sree Dattha College
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