Karthic Srinivasan
Chennai
Summary
To obtain a challenging level assignment and responsibility,with growth oriented organization that will enable me to use my strong organization skills, knowledge, educational background and conscientiousness towards work
Overview
7
7
years of professional experience
Work History
NDA(Non Designated Auditor)
Omega Healthcare Services Pvt Ltd,
Chennai
01.2024 - Current
- Audits: Doing a regular audit based on the production volume with respect to sampling percentage to meet the daily target.
- Audit Feedback: Provide the proper feedback as per the priority as follows : Verbal, E.Mail, Acknowledgement tool.
- Report Generation: Preparing the daily/weekly quality reports such as ABCD report, Team SLA presentation, TLM & INI report, Sampling planner, Client audits, etc..
- Client E.Mail: Responding the client emails and escalation emails on time manner and update in Escalation tracker,
- Regulatory Updates: Stay informed about changes in healthcare regulations and billing practices to ensure the organization remains compliant.
- Training and Support: Provide training and support to billing staff on quality standards, Client escalations and compliance issues.
Senior Process Executive AR
Omega Healthcare Services Pvt Ltd
Chennai
05.2021 - 12.2023
- Data Analysis: Analyze accounts receivable data to identify trends, patterns, and issues affecting cash flow and collection performance.
- Denial Analysis: Investigate and analyze claim denials and rejections, identifying root causes and implementing corrective actions to reduce future denials.
- Process Improvement: Identify inefficiencies in the AR process and recommend improvements to enhance collections, reduce delays, and streamline operations.
- Training: Provide training and support to AR staff on best practices, billing procedures, and system/software usage to enhance their effectiveness and accuracy based on the project.
Senior Process Executive AR
Global Healthcare billing partners Private Limited
Chennai
01.2018 - 03.2021
- Denial Management: Review and address claim denials or rejections by gathering necessary documentation, correcting errors, and resubmitting claims as needed. Getting connect with payers via calls to get the claims resolved.
- Claim Follow-Up: Contact insurance companies to follow up on unpaid or denied claims, ensuring timely resolution of outstanding balances.
- Process Improvement: Identify opportunities to improve the accounts receivable process, enhance efficiency, and reduce the number of outstanding claims.
- Compliance: Ensure that all collection activities comply with relevant regulations, such as HIPPA and adhere to the organizations policies and procedures.
Education
B.Tech - Mechanical Engineering
Kalasalingam University
Srivilliputhur04-2017
High School Diploma -
St Britto Higher Secondary School
Madurai04-2013
Skills
- Problem-Solving Skills
- Team management
- Compliance Regulations
- Technical Proficiency
- Quality Assurance Techniques
- Denial management
- Revenue cycle management
- Microsoft Office
- EMail Client: Outlook Express, Live-mail, Web-mail,Ms-
OutlookO365 - Typing skill: 30 WPM
Languages
English
Proficient
C2
Hindi
Upper Intermediate
B2
Tamil
Proficient
C2
Accomplishments
- Successfully worked with service line team in the development of Al tool called ARIS to ensure that all the billing staff working properly with respect to the denials and SOP.
- Successfully contribute in the development of "ECS Project"
- Successfully contribute in the "Project Automation process" to reduce the manpower and cost.
- Successfully contribute in the "RuBAT implementation" in terms of capturing documentation error's based on denial sop prior to manual audit.
Personal details
Current Address
Flat F1 Block A
10/229 Iyyapan kovil street,
Arunachala apartments, Periyakolathuvanchery Chennai-600122
Phone : 9150260146
Date of Birth: 31-10-1995
Timeline
NDA(Non Designated Auditor)
Omega Healthcare Services Pvt Ltd,
01.2024 - Current
Senior Process Executive AR
Omega Healthcare Services Pvt Ltd
05.2021 - 12.2023
Senior Process Executive AR
Global Healthcare billing partners Private Limited
01.2018 - 03.2021
B.Tech - Mechanical Engineering
Kalasalingam University
High School Diploma -
St Britto Higher Secondary School
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