Kalyan Varma Angaraju
Hyderabad
Summary
Diligent Quality Auditor with fair approach and strong attention to detail. Reduces errors and increases conformance by conducting thorough audits and routine reviews. Focused on helping root out systematic errors and improve consistency.
Overview
6
6
years of professional experience
Work History
Quality Auditor
Omega Healthcare
Hyderabad
06.2023 - Current
- Conducted audits and provided feedback to improve quality standards.
- Prepared RCA and CAPA plans to address quality issues. Consolidated and generated daily, weekly, and monthly quality and production reports.
- Conducted ATA (Audit the Auditor) and provided feedback to auditors.
- Delivered coaching and OJT for new hires, enhancing team performance.
- Acted as a process coach, ensuring adherence to operational procedures.
- Analyzed trends, allocated work orders and tasks, and worked to reduce aging AR.
- Suggested solutions to improve operational efficiency and quality.
- Supported management with comprehensive reporting and task execution.
AR Executive Specialist
AGS Health
Hyderabad
10.2020 - 05.2023
- Expertly processed, reviewed, and adjusted claims with zero critical errors within TAT.
- Analyzed EOBs to identify discrepancies and successfully appealed denied claims.
- Consistently met performance standards and contributed innovative ideas to improve processes.
- Managed workload to meet performance standards and resolved claim denials and rejections using medical billing and insurance expertise.
- Analyzed trends and provided necessary reports.
- Provided updates and stay informed on process changes and knowledge updates.
Process Associate
Visionary RCM (Now Coro Health)
Hyderabad
08.2018 - 10.2020
- Provide expert support in reviewing, investigating, negotiating, processing, and adjusting claims.
- Called US insurance companies on behalf of doctors to follow up on outstanding accounts receivable.
- Acted as a mentor and trainer, guiding freshers and juniors by clarifying process-related doubts to enhance their productivity.
- Supported the team in achieving productivity goals through knowledge sharing and guidance.
- 100% Process adherence to transaction processing timelines involving medical management processes.
Education
Bachelor of Science - Computers
MNR Degree College
Hyderabad 04-2018
Intermediate - MPC
Narayana Junior College
Hyderabad04-2015
Matriculation -
TVR High School
Hyderabad04-2013
Skills
- DETAIL-ORIENTED
- TEAM MANAGEMENT
- QUALITY ASSURANCE
- PROCESS IMPROVEMENT
- DATA ANALYSIS
- COMMUNICATION
- PROBLEM-SOLVING
- COLLABORATION
- 5 WHY ANALYSIS
Softwares
- Centricity
- Paragon
- Epic
- Imagine
- MMIS
- MDIV
Accomplishments
As an AR caller executive:
- SPOT RECOGNITION AWARDS for 7 consecutive months
- 2 EXTRA MILER AWARDS
- CLIENT RECOGNITION & APPRECIATIONS
As a Quality Auditor :
- QCA Certification
- Management Recognition & Appreciation
Timeline
Quality Auditor
Omega Healthcare
06.2023 - Current
AR Executive Specialist
AGS Health
10.2020 - 05.2023
Process Associate
Visionary RCM (Now Coro Health)
08.2018 - 10.2020
Bachelor of Science - Computers
MNR Degree College
Intermediate - MPC
Narayana Junior College
Matriculation -
TVR High School
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