Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Manmohan Kour

Account management associate
Hyderabad

Summary

Dynamic and Meticulous healthcare professional with close to 5 years of experience Collectively in denial management, AR calling, & Accounts management. Demonstrated success in Solely leading Global project identifying efficiencies and problem areas within data streams, while communicating needs for offering comprehensive solutions benefiting diverse clients, payors,providers, and patients. Seeking challenging role to leverage expertise in addressing the unique concerns and assist through Effective strategies and superior critical thinking skills.

Overview

6
6
years of professional experience
6
6
Certifications
4
4
Languages

Work History

Account Management Specialist

Advanced Medical Pricing Solutions
09.2021 - Current
  • Spearheaded and handled Account management project,
    providing comprehensive solutions for clients, payors, providers,
    TPA's and patients, resulting increased client satisfaction.
  • Utilized multiple tools to perform analysis and generated
    reports for clients and detailed reports on performance, providing
    actionable insights for process optimization
  • Collaborated closely with senior leadership to establish account
    priorities aligning with overall business objectives.
  • Streamlined internal processes for improved efficiency in
    account management tasks.
  • Maintained detailed records of all client interactions for accurate reporting purposes and data-driven insights into future strategy development efforts.
  • Ensured timely and effective communication with clients,
    collaborating on key initiatives to drive mutual success.
  • Collaborated with cross-functional teams to deliver seamless
    result's to clients, resolving issues promptly and efficiently.
  • Provided expert guidance on company products and services.
  • Worked on Platforms such as Dragon, mailXtream, Carenavigation,
    DocuSign, ZOHO CRM, Etc.
  • Tracked statistical information for department and compiled data into reports submitted to management according to timetables.
  • Supported new Account Management associates as they acclimated to their roles, serving as a mentor and resource for best practices in the field.

Senior Process Consultant

Hinduja Global Solutions, HGS
09.2018 - 11.2020
  • Streamlined processes by identifying inefficiencies and
    implementing solutions to enhance productivity.
  • Played an instrumental role in achieving departmental goals by
    consistently delivering results on target or above expectations.
  • Maintained accurate documentation of processes, facilitating
    easy reference for internal audits and knowledge transfer.
  • Managed critical projects both Provider and Physician based and , successfully met deadlines while maintaining high-quality outputs.
  • Supervised team of process associates to enhance
    accountability, develop professional skills and improve efficiency.
  • Conducted training sessions for team members, leading to a
    25% improvement in adherence to quality standards.
  • Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
  • Liaised with insurance companies to negotiate settlements for complex or high dollar-value denied claims, securing maximum reimbursement possible for the organization via calls.
  • Ensured compliance with industry regulations and guidelines during denial management activities, avoiding potential legal issues or penalties.
  • Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
  • Reviewed provisions of certificates or policies to determine patient's medical coverage losses. Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
  • Generated, posted and attached information to claim files.
  • Maintained confidentiality over sensitive medical data while ensuring adherence to regulatory compliance standards within the accounts receivable function.
  • Worked on Multiple denials such as Duplicate, Authorization, bundled/unbundled, member not found, member not eligible, lack of medical records, workers compensation denials etc.
  • Generated calls and simultaneously worked on Portals for quick resolution and for time & data efficiency.
  • Worked on Client systems such as Meditech, Nextgen, Cerner etc.

Education

Bachelor of Science - Electronics Technology

Aurora Degree College
Hyderabad, India
05.2001 -

Skills

  • Report Writing

    • undefined

    Certification

    Certified with Level 5 Trinity Spoken English Conducted by Trinity College London

    Timeline

    Account Management Specialist

    Advanced Medical Pricing Solutions
    09.2021 - Current

    Senior Process Consultant

    Hinduja Global Solutions, HGS
    09.2018 - 11.2020

    Bachelor of Science - Electronics Technology

    Aurora Degree College
    05.2001 -

    Similar Profiles

    CREATE PROFILE
    Manmohan KourAccount management associate