Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Software
Certification
Timeline
Generic
Prashanth Umapathy

Prashanth Umapathy

Senior Learning Specialist | Quality Control Auditor | Medical Claims Biller – End to End | Denials Management Specialist
Hyderabad

Summary

Dynamic training professional with extensive experience at Ventra Health, specializing in training program development and employee engagement. Proven track record in coaching and mentoring, enhancing onboarding processes, and utilizing learning management systems to optimize training delivery. Recognized for fostering a culture of continuous learning and achieving high trainee satisfaction rates.

Overview

10
10
years of professional experience
2
2
Certifications
4
4
Languages

Work History

Senior AR Trainer

Ventra Health
09.2024 - Current
  • Developed and delivered engaging training sessions to new staff, focusing on operational procedures and company policies.
  • Assisted in the creation of training materials that aligned with organizational standards and facilitated employee learning.
  • Monitored trainee progress through hands-on evaluations, providing constructive feedback to enhance skill development.
  • Collaborated with team leads to identify training needs, ensuring programs met the specific requirements of various departments.
  • Implemented onboarding programs that streamlined the integration process for new employees, improving overall retention rates.
  • Utilized Learning Management System (LMS) to track training completion and generate reports on employee performance metrics.
  • Conducted refresher courses for existing staff to reinforce knowledge of compliance protocols and operational best practices.
  • Engaged in ongoing professional development to stay current with industry trends, enhancing personal training techniques and methodologies.
  • Evaluated the effectiveness of training initiatives by tracking participant progress and gathering feedback for continuous improvement.
  • Provided one-on-one mentoring to help individuals reach their full potential within the organization.
  • Collaborated with subject matter experts to create accurate training content.
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Delivered dynamic presentations to facilitate learning and retention among diverse audiences.
  • Conducted comprehensive needs assessments to identify gaps in knowledge and skills, informing future program development.
  • Developed customized training materials for various industries, ensuring relevance to the target audience.
  • Streamlined processes for creating, updating, and distributing training materials, resulting in significant time savings for staff members involved in these tasks.
  • Streamlined onboarding process, reducing new hire ramp-up time.
  • Led cross-functional team to update training curricula, keeping pace with industry changes.
  • Optimized training delivery schedules, accommodating diverse learning styles and work commitments.
  • Provided coaching and mentoring to employees.
  • Facilitated virtual, in-person and blended learning sessions.

Competency Executive

Miramed Ajuba
12.2022 - 09.2024
  • Developed and delivered training programs for new staff, ensuring comprehensive understanding of operational procedures and compliance requirements.
  • Facilitated workshops on best practices in customer service, improving participant engagement and retention of key concepts.
  • Collaborated with team members to create instructional materials, incorporating industry standards and company policies into training content.
  • Evaluated trainee performance through assessments and feedback sessions, providing constructive guidance to enhance skill development.
  • Implemented a mentorship program for new hires, fostering a supportive learning environment that accelerated onboarding processes.
  • Monitored training effectiveness through participant surveys and follow-up interviews, adjusting curriculum based on learner feedback to improve outcomes.
  • Coordinated logistics for training events, including scheduling sessions and securing necessary resources to ensure smooth execution of programs.
  • Utilized learning management systems to track progress of trainees, generating reports to identify areas needing additional focus or support.
  • Coached employees on best practices, providing constructive feedback to support their professional growth.
  • Enhanced trainee engagement through interactive workshops and hands-on activities.
  • Promoted a culture of continuous learning by advocating for professional development opportunities.
  • Streamlined onboarding process, reducing new hire ramp-up time.
  • Optimized training delivery schedules, accommodating diverse learning styles and work commitments.
  • Facilitated virtual, in-person and blended learning sessions.
  • Maintaining the daily, weekly, and monthly progress of production and quality of all trainees using Excel during the ramp-up period
  • Provided feedback and one-on-one memos to staff who have low productivity and quality.
  • Participated in and attended meetings or seminars to obtain information for use in training programs.
  • Achieved and maintained a 100% quality score for all the projects worked.
  • Conducted new employee orientation, OJT/classroom RCM, and US Healthcare training and certification.


Quality Control Assistant

Omega Healthcare
08.2020 - 11.2022
  • Conducted regular inspections of production processes to ensure compliance with quality standards and specifications.
  • Assisted in the development and implementation of quality control procedures to enhance product reliability and safety.
  • Monitored and documented test results using industry-standard tools to identify trends and areas for improvement.
  • Collaborated with production teams to troubleshoot quality issues, facilitating effective communication between departments.
  • Trained new staff on quality assurance protocols, fostering a culture of accountability and attention to detail among team members.
  • Participated in internal audits to evaluate adherence to regulatory requirements, contributing to continuous improvement initiatives.
  • Supported the maintenance of quality documentation, ensuring accuracy in records related to inspections, test results, and corrective actions taken.
  • Assisted in the development of quality control procedures, ensuring consistent application across production lines.
  • Collaborated with cross-functional teams to identify root causes of quality issues, leading to process improvements.
  • Assisted in training new team members on company quality standards, contributing to a knowledgeable workforce committed to excellence.
  • Performed timely audits of production processes, ensuring adherence to established protocols and regulations.
  • Conducted regular calibration checks on measuring equipment, ensuring reliable results were obtained during inspections consistently.
  • Reduced defects in final products by implementing effective inspection processes and reporting findings to managers.
  • Assessed quality of finished products with careful inspections.
  • Generated quality control reports for returned products to identify and communicate patterns.
  • Helped team to achieve daily production without fail and after helping team, overviewed the accounts to help the auditing team. Found and resolved a claim coding issue caused by software.
  • Handled Operation, Quality & Training at same time.
  • Routine audit on the claims, checking the old follow-up, and also monitoring the client SLAs.
  • Maintaining error data for users monthly and preparing MTD/YTD reports. Routine training on the provider and client updates
  • Assisted new joiners in achieving production and quality throughout the ramp-up period.
  • Conducting daily and weekly meetings with the team for WFH and WFO users about production, quality, and client updates on a regular basis.
  • Managed a separate team in the night shift of 50 members to resolve old bucket claims and to increase revenue; also delivered more than expected.
  • Reducing attrition and unplanned leaves by preparing a Leave Planner report and having weekly one-on-one meetings.

Management Trainee

Access Healthcare
02.2015 - 10.2020
  • Developed and implemented training programs for new hires, enhancing onboarding efficiency and ensuring team members were well-versed in company policies and procedures.
  • Improved product quality by overseeing implementation of stricter quality control measures.
  • Strengthened client relationships, regularly communicating project updates and addressing concerns promptly.
  • Led cross-functional teams in execution of key projects, ensuring deliverables met quality standards and deadlines.
  • Collaborated with IT department to develop user-friendly internal tools, improving efficiency and employee satisfaction.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Developed detailed plans based on broad guidance and direction.
  • Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
  • Successfully managed budgets and allocated resources to maximize productivity and profitability.
  • Streamlined and monitored quality programs to alleviate overdue compliance activities.
  • Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Assisted in managing daily operations by coordinating schedules, monitoring workflow, and ensuring adherence to quality standards across departments.
  • Conducted regular performance reviews of team members, providing constructive feedback and identifying areas for skill development to improve overall team productivity.
  • Streamlined communication processes by utilizing project management software to track project timelines, deliverables, and resource allocation effectively.
  • Implemented process improvements that reduced operational bottlenecks, resulting in a more efficient workflow and improved service delivery timelines.
  • Gained knowledge of company policies, protocols and processes.
  • Strengthened leadership skills by overseeing projects and guiding team members towards successful outcomes.
  • Developed problem-solving abilities through hands-on experience with real-life business scenarios.
  • Showcased strong organizational skills by effectively managing multiple projects and tasks simultaneously, meeting all deadlines, and maintaining a high level of performance under pressure.
  • Assisted supervisors in setting clear goals, establishing priorities, and monitoring progress to ensure successful completion of tasks.
  • Maintained high-quality standards in all aspects of work, ensuring customer satisfaction at every touchpoint within the business journey.
  • Established open and professional relationships with team members which facilitated communication, quickly resolving issues, and conflicts.
  • Acted with integrity, honesty, and knowledge to promote culture of company.
  • Assisted with onboarding of new employees by providing training and development resources.
  • Collaborated with cross-functional teams to achieve project goals on time and within budget.
  • Enhanced team productivity by leading weekly strategy meetings to refine project approaches and streamline workflows.
  • Improved operational efficiency with implementation of new inventory management system.
  • Facilitated professional development workshops for staff, contributing to skill enhancement and career progression.

Education

Bachelor of Arts - Commerce

Gandhi Institute of Technology, Visakhapatnam
Visakhapatnam, India
04.2001 -

High School Diploma -

St. Joseph's Matriculation Higher Secondary School
Chennai, India
04.2001 -

Skills

    Training delivery

    Coaching and mentoring

    Technical training

    Learning management systems

    Employee engagement

    Training design

    Process documentation

    Training program development

    Subject matter expertise

    Feedback analysis

    Process mapping

    Teamwork

    Teamwork and collaboration

    Problem-solving

    Time management

    Communication strategies

    Problem-solving abilities

    Multitasking

    Employee relations

    Excellent communication

    Critical thinking

    Performance management

    Active listening

    Clear communication

    Team building

Accomplishments

  • Achieved 100% productivity for 6 months with accuracy and efficiency.
  • Supervised team of 50 staff members.
  • Got client appreciation for Trend Analysis.
  • Got award for Best MT
  • Got award for Best QCA & Analyst.
  • Got Best Trainer award in Miramed Ajuba in 2023
  • Got Ventra Value Award for Mile High in Jan 2025
  • Trained and Transitioned 400+ employees with 100% assessment clear rate.

Additional Information

Specialties:


  • Ophthalmology
  • Rheumatology
  • Emergency Care - Department
  • Urgent Care - Department
  • Home Health
  • Hospice
  • Hospital Billing
  • Anesthesiology
  • Radiology


Software

Practice Management

Electronic Clinical Works

Nextgen

Okta

Allscripts

McKesson

MedSuite

Imagine

Athena

Certification

Certified Six Sigma Specialist - Green Level

Timeline

Certified in Train The Trainer

01-2025

Senior AR Trainer

Ventra Health
09.2024 - Current

Certified Six Sigma Specialist - Green Level

09-2024

Competency Executive

Miramed Ajuba
12.2022 - 09.2024

Quality Control Assistant

Omega Healthcare
08.2020 - 11.2022

Management Trainee

Access Healthcare
02.2015 - 10.2020

Bachelor of Arts - Commerce

Gandhi Institute of Technology, Visakhapatnam
04.2001 -

High School Diploma -

St. Joseph's Matriculation Higher Secondary School
04.2001 -

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Prashanth UmapathySenior Learning Specialist | Quality Control Auditor | Medical Claims Biller – End to End | Denials Management Specialist