Manoj Reddy
Bangalore
Summary
Detail-oriented professional committed to improving organizational outcomes by monitoring performance initiatives. Focused on planning, implementing, and optimizing procedures. Specializing in operations and dedicated to maximizing quality. Methodical Quality Analyst known for high productivity and efficiency in task completion. Specialized skills include process improvement, Quality improvement, reports and communication, ensuring successful project outcomes and stakeholder satisfaction.
Overview
9
9
years of professional experience
Work History
Quality Analyst
ACN Healthcare RCM managment
Bangalore
04.2024 - Current
- Software – EPIC.
- Audited on denial management, credit balance, and no response work queues.
- Analyzed data to identify trends and areas for improvement in the process.
- Collaborated with teams to develop and implement quality assurance protocols.
- Conducted a root cause analysis to investigate the source of problems in quality.
Senior Specialist
Medibuddy
Bangalore
01.2022 - 12.2023
- Analyzed data trends to identify opportunities for process improvements.
- Developed strategic plans to enhance operational efficiency across departments.
- Establishes and implements short- and long-term account goals and objectives.
- Synthesizing key findings from the database, conversion tracking, identifying gaps, and communicating to stakeholders.
- Connecting with the finance team every month for billing, ensuring accuracy in billing data, reconciliation, raising invoices, and following up with clients for the release of payments.
Senior AR Specialist
Quest infosoft pvt. Ltd
Bangalore
05.2021 - 12.2021
- Software - NextGen
- Worked on 90+ buckets, analyzing and resolving.
- Worked on denial management and appeals.
- Communicating with clients, presenting over pendency, and resolving high-aged cases.
- Tracking and improving collections.
- Make calls to the insurer and resolve.
Revenue Cycle Specialist
Cerner Healthcare Services Pvt Ltd
Bangalore
06.2018 - 04.2021
- Software - Cerner CPM.
- Make an analysis on collectible and non-collectible buckets.
- Analyzed denied claims to identify trends and recommend corrective actions.
- Trained new team members on revenue cycle procedures and software applications.
- Processed appeals related to denied or rejected claims in a timely manner.
AR Executive
Omega Healthcare pvt. ltd
Bangalore
07.2016 - 09.2017
- Software - Jaguar
- Collaborated with healthcare providers to resolve billing discrepancies and disputes.
- Coordinated with insurance companies to verify claims and payment status.
- Denial management.
Education
B. B. M -
Alva's Education Foundation
Mangalore03.2016
Commerce -
RNS Vidyaniketan PU College
Bangalore04.2011
S. S. L. C -
St. John's High School
Bangalore04.2009
Skills
- Quality assurance
- Root cause analysis
- Denial management
- Quality improvement
- Training and development
- Time management
- Training material development
Hobbies and Interests
- Hard-core music listener
- Practicing playing guitar
References
- Prubali Barman, Medibuddy, 9011842677
- Priya Sridhar, Cerner Healthcare, 9066732413
Languages
- English
- Kannada
- Telegu
- Hindi
- Tamil
Accomplishments
- Recognized and awarded by the client on their visit to India for achieving 100% score on the ATA for the complete month.
Timeline
Quality Analyst
ACN Healthcare RCM managment
04.2024 - Current
Senior Specialist
Medibuddy
01.2022 - 12.2023
Senior AR Specialist
Quest infosoft pvt. Ltd
05.2021 - 12.2021
Revenue Cycle Specialist
Cerner Healthcare Services Pvt Ltd
06.2018 - 04.2021
AR Executive
Omega Healthcare pvt. ltd
07.2016 - 09.2017
B. B. M -
Alva's Education Foundation
Commerce -
RNS Vidyaniketan PU College
S. S. L. C -
St. John's High School
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