Summary
Overview
Work History
Education
Skills
Softwares
Accomplishments
Timeline
Generic

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
Hyderabad
04-2015

Matriculation -

TVR High School
Hyderabad
04-2013

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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Kalyan Varma Angaraju