M Revathi
Quality Analyst - Healthcare, Insurance
Bengaluru
Summary
Dynamic and results-driven professional with experience in Quality Assurance, Skilled Client management, applying QC tools to drive compliance, efficiency, and service excellence, and Proven track record in process optimization, system validation, and leading high-performing teams.
Overview
11
11
years of professional experience
3
3
Tamil, English and kannada
Work History
Medical Term’s
- 9 Years @ Medical Term’s (Revenue Cycle Management end to end)
PRADOT PVT. LTD
- 3 Years and 3 Months
- Spearheaded daily operations for healthcare support services, ensuring adherence to SLAs, compliance, and service excellence.
- Led a cross-functional team in managing patient data, claims, EMR workflows, or provider interactions with accuracy and empathy.
- Conducted routine audits on case handling, documentation accuracy, and HIPAA compliance, reducing process gaps.
- Monitored key performance indicators (KPIs) and implemented corrective actions to enhance turnaround time (TAT) and quality scores.
- Acted as the primary liaison between internal teams and clients to resolve escalations and implement feedback-based improvements.
- Designed and executed internal QA checklists, audit frameworks, and reporting dashboards to track process health.
- Trained new team members on healthcare protocols, compliance standards, and documentation best practices.
- Collaborated with Quality, Training, and Process Excellence teams to drive continuous improvement and audit readiness.
- Ensured strict adherence to industry standards and regulatory guidelines (e.g., HIPAA, CMS) through ongoing monitoring and process updates.
- Delivered monthly audit insights and trend analysis to senior leadership to drive policy-level decisions.
Quality analyst
AGS Health PVT. LTD
07.2020 - Current
- 4 Years || Quality analyst ||
- Fast-tracked clinical deliverables: Partnered with hospital administrators and physicians to accelerate scanned-report distribution, slashing average turnaround cycles and improving physician access to results.
- Client relationship owner: Managed day-to-day communications, resolved escalations within SLA, and aligned service expectations—maintaining high client-satisfaction scores.
- Turnaround-time champion: Drove a targeted process-improvement sprint that lifted on-time delivery (TAT) from 53 % to 78 % in just 30 days through root-cause analysis and workflow redesign.
- Organizational streamliner: Re-engineered team hierarchy and clarified roles, eliminating bottlenecks and boosting operational throughput and accountability.
- Data-driven performance reporting: Tracked KPIs via dashboards, presented insights to senior leadership, and secured resources for continuous-improvement initiatives.
Executive AR
Omega Healthcare Management Services PVT. LTD
05.2015 - 01.2017
- Omega Healthcare Management services PVT. LTD
Education
Bachelors - Commerce
Rabindranath Tagore University
Indian 06.2023
Skills
Maintaining service excellence by ensuring compliance with billing standards, payer guidelines, and internal processes
Soft skills like attention to detail, communication, problem-solving, and time management, as well as hard skills such as data analysis, regulatory knowledge, process improvement, and proficiency in QA methodologies
Awards
- Star Employee, 3
- Quarterly Champ, 2
Timeline
Quality analyst
AGS Health PVT. LTD
07.2020 - Current
Executive AR
Omega Healthcare Management Services PVT. LTD
05.2015 - 01.2017
Medical Term’s
PRADOT PVT. LTD
Bachelors - Commerce
Rabindranath Tagore University