Professional with over 12 years of experience in driving team performance and achieving customer service level agreements. Proven track record of aligning business objectives with operational efficiency. Strong leadership skills complemented by effective planning and organizational capabilities. Committed to enhancing productivity through collaboration and process optimization.
Overview
13
13
years of professional experience
Work History
Assistant Manager of Operations
IENERGIZER IT SERVICES PVT. LTD.
Noida
11.2018 - Current
Managed global operations for US clients, ensuring adherence to KPIs and service level agreements.
Conducted daily meetings with clients to discuss updates and team performance.
Oversaw 180 FTEs and seven team leaders to drive operational efficiency.
Monitored daily performance metrics including SLAs, call quality, and productivity.
Handled escalations related to client issues, personnel matters, policies, and processes.
Collaborated with workforce management to maintain schedule adherence and optimize staffing.
Prepared audit reports and performance summaries on daily, weekly, and monthly bases.
Fostered team development through training programs and motivational events.
Subject Matter Expert
Pacific BPO PVT LTD
Noida
02.2016 - 11.2018
Leading member of process training and compliance for entire RCM
Train the new hires and team members
Ensuring Client KPI & Service level agreements are met by daily performance monitoring
Implement operational improvements, audits and effective measures to handle escalations
Maintaining effective communication with client, onshore and leadership teams
Looking for opportunities of automation in the existing processes to create capacity and absorb more work
Working upon process improvement ideas by closely working with the team
Project Management: Review and create project plans for project, global sourcing and off shoring
Work on billing projects, Claims and check the claims status in the given time frame
Prepare FTE estimate, project timelines
Identify potential risks and prepare a mitigation plan
Kaizen, Proactive action planning and execution.
Senior Analyst
Rsystems International PVT LTD
Noida
02.2015 - 02.2016
Claim Resolution through calls/websites, reducing 60+ and 90+ AR and ensuring payment flow
Worked on Govt
And commercial payers
Analyzing denial, payment trends for different payers
Providing on job training to new hires/Conducting brain storming sessions
Involved in daily work allocation
Creating process SOPs
Internal audit for new joiners/peers.
Analyst
Porteck India Infoservices
11.2012 - 01.2015
Claim Resolution through calls/websites, reducing 60+ and 90+ AR and ensuring payment flow
Worked on Govt
And commercial payers
Analyzing denial, payment trends for different payers.
Education
Bachelor of Technology - Computer Science and Engineering
B.Tech
12.2012
12th - Science (PCM)
J P Academy
Meerut, Uttar Pradesh
06.2008
10th - Matriculation
J P Academy
Meerut, Uttar Pradesh
06.2006
Skills
Process improvement and excellence
Leadership and management
Team engagement and recognition
SOP creation and review
US healthcare insurance expertise
Email communication
Microsoft Office proficiency
Citrix applications
Medical management system
Genesys and Avaya knowledge
Client relationship management
Project management
Workforce planning
Industryoverview
Preferred Provider Organization (PPO)
Indemnity Health Insurance
A/R Follow up & Denial Management
Documentations & Claim submissions
Credit Balance & Correspondence
Benefit and Eligibility Verification
Patient Scheduling and Documentation
Transport and Language
CMS/UB forms
Customer Service
Patient Indexing
Personal Information
Father's Name: Mool Chand Chauhan
Date of Birth: 06/05/1990
Nationality: Indian
Languages
Hindi
English
Timeline
Assistant Manager of Operations
IENERGIZER IT SERVICES PVT. LTD.
11.2018 - Current
Subject Matter Expert
Pacific BPO PVT LTD
02.2016 - 11.2018
Senior Analyst
Rsystems International PVT LTD
02.2015 - 02.2016
Analyst
Porteck India Infoservices
11.2012 - 01.2015
Bachelor of Technology - Computer Science and Engineering