MOHAMMED NASRUDDIN SAMIULLAH
Team Leader AR Operations
Vellore,TN
Summary
A competent professional with 10 years of experience in US Healthcare of which 8 years’ experience in AGS health and 2 years in Coronis Ajuba as Team Leader. Exposure in Demographics, Charges and Insurance Verification and taking care of the Frond End Rejection and Claim rejection process,Clearing house and Details
Manage a team size of 30+ Executives and ensure that all key metrics of performance as per the Client SLA are met and exceeded. Mentoring and monitoring the performance of teams to ensure efficiency in process operations and meeting of individual and group targets.
Participating in operations of the delivery unit, ensuring daily service levels, operational targets and quality targets are achieved.
Process Stabilization and ensuring continuous improvement in service levels by benchmarking against best levels of performance.
Documentation of outcomes and processes. Monitoring the overall functioning of processes, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level. Handling Parallon Billing Edits project as ( MUE Edits, CPT and HCPCS) code and find out the solution to resolve these edits.
Hands on experience with Navinet,Change Healthcare,Cigna,UHC,Batch creation,Availity,NextGen Tool
Handling software tools like Centricity,Athena Health,Parallon VDI ( Artiva,Erequest,360, HPF,Meditech and Cerner applications.
Handling clients like SCP and Parallon
An enterprising leader with the ability to motivate personnel towards achieving organizational objectives and adhering to industry best practices.
Overview
10
10
years of professional experience
3
3
Certifications
1
1
Language
Work History
Team leader AR
Coronis Ajuba Solutions
09.2023 - 09.2025
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
- Mentored junior staff members, helping them develop their leadership potential and advance in their careers.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Increased customer satisfaction ratings by closely monitoring service quality standards and addressing any issues promptly.
- Streamlined workflows for increased efficiency, reducing turnaround times for critical tasks.
- Maintained an inclusive and diverse team culture, promoting respect and understanding among all members.
- Motivated team members to surpass their targets, recognizing and rewarding their achievements.
Team leader AR (Edits Frontend and Claim rejection process)
AGS Health Private Ltd.
08.2015 - 08.2023
Education
B.Sc - Computer Science
Thiruvalluvar University
01.2015
Skills
Operations Management
Framing work direction and planning for the associates after through assessment of their capabilities
Preparing and presenting various monthly reports pertaining to process / productivity
Managing deliverables to the clients in a promptly
Process Management
Mapping business requirements and coordinating in developing and implementing processes in line with the pre-set guidelines; spearheading process transition initiatives
Monitoring the overall functioning of processes, identifying improvement areas and implementing adequate measures to maximise customer satisfaction level
Handling on-boarding calls for enhancing the service delivery
Team Management
Managing team functions viz manpower planning, recruitment selection, induction, performance appraisal, training, developing and retaining talent along with attracting best talent from the market
Leading, mentoring and monitoring the performance of team members to ensure efficiency in process operations and meeting of individual and group targets
Formulating training programs to suit the dynamic environment and enhance efficiency; rating the team members annually based on their performance in the year
Customer Relationship Management
Mapping client's, identifying improvement areas and implementing measures to maximise satisfaction levels
Serving as a point of contact for the client for escalations and ensuring continuous interaction with customers to ensure that areas of concern can be worked upon for improved service levels
Certification
Certification course in MS-Office
Additional Information
KPI related Reports:
- Aging Reports
- Production and Quality Reports
- Client Call minutes
- Invoice Reports
- MBR Reports
- Calling Tracker Reports
- Clarification Tracker Reports
- Escalation Tracker Reports
- Client Appreciation Tracker Reports
- Transaction Reports
- Client Instruction Reports
Internal Reports:
- Attendance Reports
- Monthly Best Performers Reports
- BCP Reports
- Risk Management Reports
- Knowledge Transfer Reports
- Priority accounts Tracker Reports
- Team Personal Details Reports
Timeline
Team leader AR
Coronis Ajuba Solutions
09.2023 - 09.2025
Team leader AR (Edits Frontend and Claim rejection process)
AGS Health Private Ltd.
08.2015 - 08.2023
B.Sc - Computer Science
Thiruvalluvar University