Pushpanathan Vasudevan
Chennai
Summary
Results-driven Quality Control Analyst with extensive experience at Ventrahealth, specializing in trend analysis and error detection. Proven track record in process improvement and employee training, effectively enhancing team performance. Skilled in SOP implementation, I deliver actionable feedback that drives quality outcomes and fosters collaboration within teams.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Quality Control Analyst
Ventrahealth
Chennai
05.2024 - Current
- Emailing the daily rebuttal count and helping the team to complete it within turnaround time.
- Conducting daily hurdles and sharing the minutes of the meeting.
- Find trends in error finding and emailing to team leads to fix the issue then and there.
- Performing a daily internal audit.
- Assisting production team members in doubt clarification.
- Training the new employee in auditing and making them aware of the SOP.
- Updating the clarification log regularly, which needs to be discussed with the client biweekly.
- Attending the client call and sharing the MOM.
- Rebuttal discussions with production team leads on a weekly basis.
- Release the dashboard on a weekly and monthly basis with team quality/individual team member quality data.
Quality Analyst
AGS Health Care
Chennai
01.2019 - 04.2024
- For the past 5 year in the field of medical billing as Quality Analyst.
- Emailing weekly Trends/rework Validation/Clarrification to Team leaders and Managers.
- Creating knowledge portal with client updates and regularly updating it.
- Helping production team and audit team to create macros.
- Giving one to one feedback for LQ and AQ user in both HB/PB.
- Giving team feedback for both HB/PB users.
- Updating Clarrification to Client Log on Daily Basis.
- Doing Internal Auditing and Client Auditing.
- Auditing the voice files for AR Callers and giving them feedback regularly.
- Training the new joinee's.
- Keeping weekly assessment on client updates from Knowledge portal.
Process Associate- Level 2
AGS Health Care
Chennai
01.2011 - 01.2019
- Downloading Denials on Daily Basis.
- Downloading Aging Report on Weakly Basis.
- Uploading Above Reports into the Internal software for daily work Allocation.
- Responding to Client Emails Queries.
- Updating Clarrification to Client Log on Daily Basis.
- Pre-call analyzing the claims before making call to the insurance company.
- Calling Insurance Company in US for the claim status using voice base.
- Checking for the claim status using web base.
- Taking necessary action on the claims based on the follow up made like Refilling, Billing Pt, Write Off, Charge adjustment, Appeals (Medical document required) in Medic Software.
- Updating the Fast Notes in the Software on the follow up made using Fast Note scriptwriter.
- Coordinating with the team leader and the project in charge for the preparation of modules for the action taken for the day.
- Implementation of the claims and the modules to the client log.
- Modifying the claims after the review from the external audit.
- Updating the modules in the daily log.
- Training the new joinee's.
- Assigning workorder to the team member's.
- Uploading the aging reports into the Pulse software inorder for My teamleader to assign workorder to the team member's.
- Downloading worked accts and forward them to My teamleader inorder for him to create executive summary and Invoice summary.
Analyst/AR Caller
Omega Health Care BPO.
Chennai
01.2008 - 01.2011
- Pre-call analyzing the claims before making call to the insurance company.
- Calling Insurance Company in US for the claim status using voice base.
- Checking for the claim status using web base.
- Taking necessary action on the claims based on the follow up made like Refilling, Billing Pt, Write Off, Charge adjustment, Appeals (Medical document required) in Medic Software.
- Updating the Fast Notes in the Software on the follow up made using Fast Note scriptwriter.
- Coordinating with the team leader and the project in charge for the preparation of modules for the action taken for the day.
- Implementation of the claims and the modules to the client log.
- Modifying the claims after the review from the external audit.
- Updating the modules in the daily log.
Process Associate
Nittany
01.2004 - 01.2008
- Run the reports on the date of filing and the Insurance Company name for the follow up of the claims and report it to MIS team.
- Maintain Daily Inventory
Software Programmer
ASA Software Research and Resources Pvt. Ltd.
Chennai
01.2003 - 01.2004
- Company Overview: ASA software deals with all customaries based applications. The projects handled in this organization are Hospital Management, College Management, and Film Logistics Applications.
- Coordinating with the team members for the preparation of the modules.
- Planning the hierarchy model of the project.
- Scheduling the project with the team members.
- Designing the form using Visual Basic as per the schedule.
- Creating necessary data structure in the database.
- Writing script for linking the front end with the database.
- Review the modules before implementing.
- Running the script for error checking before implementing.
- Necessary correction taken from the error log.
- Sent the script to the testing team.
- Updating the modules in the daily log.
- ASA software deals with all customaries based applications. The projects handled in this organization are Hospital Management, College Management, and Film Logistics Applications.
Hemodialysis technician
Vijaya Health centre
01.1998 - 01.2003
Education
Associate of Science - maths
Kendriya Vidyalaya
Ashok NagarSkills
- Trend analysis
- Error detection
- Process improvement
- Team collaboration
- Employee training
- Feedback delivery
- SOP implementation
Languages
English
First Language
Hindi
Intermediate (B1)
B1
Tamil
Intermediate (B1)
B1
Certification
- CCAT
- CPAT
Timeline
Quality Control Analyst
Ventrahealth
05.2024 - Current
Quality Analyst
AGS Health Care
01.2019 - 04.2024
Process Associate- Level 2
AGS Health Care
01.2011 - 01.2019
Analyst/AR Caller
Omega Health Care BPO.
01.2008 - 01.2011
Process Associate
Nittany
01.2004 - 01.2008
Software Programmer
ASA Software Research and Resources Pvt. Ltd.
01.2003 - 01.2004
Hemodialysis technician
Vijaya Health centre
01.1998 - 01.2003
Associate of Science - maths
Kendriya Vidyalaya
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