RAVI KIRAN R
Bangalore
Summary
Experienced AR Caller & Senior Quality Analyst with strong background in healthcare billing and collections. Possess sound understanding of revenue cycle management, claim adjudication, and denial management. Focused on improving cash flow by reducing days in accounts receivable. Proven ability to maintain patient confidentiality while providing high-quality customer service.
Overview
9
9
years of professional experience
Work History
Senior Quality Analyst
NYX Medical Solutions
Bengaluru
03.2019 - Current
- Maintained up-to-date knowledge about current industry trends in order to identify opportunities for improvement in existing processes.
- Performed root cause analysis of reported defects and developed corrective action plans accordingly.
- Managed a team of Quality Analysts and provided guidance on best practices for testing protocols.
- Implemented changes based on customer feedback to improve overall satisfaction with products.
- Identified process improvements that would reduce cost while maintaining high levels of product quality.
- Documented all aspects of the Quality Assurance process including test plans, test cases, results tracking.
- Conducted internal audits of production facilities to ensure compliance with safety regulations and industry standards.
Senior AR Associate
Getix Health Care
12.2016 - 08.2018
- Prepared reports for senior leadership outlining progress towards achieving diversity goals.
- Provided guidance to supervisors concerning disciplinary actions when necessary.
- Researched customer payment histories to identify trends or patterns that could lead to improved collection efforts.
- Ensured timely submission of documents associated with collection activities following established procedures.
- Identified opportunities to increase collections efficiency and accuracy through process improvements.
AR Associate
Omega Health Care
03.2015 - 04.2016
- Maintained a professional demeanor while communicating with customers in difficult situations.
- Followed all federal, state, and local laws related to collections practices.
- Ensured compliance with HIPAA regulations during all interactions with patients.
- Researched and resolved discrepancies between patient accounts and third-party payers.
- Performed monthly reviews of aging reports for assigned accounts.
- Called delinquent accounts to collect past due balances.
- Corresponded with customers via email or phone regarding billing inquiries or disputes.
Education
B.com Passed - Bachelor of Commerce
St. Aloysius International University
Bengaluru, KA07-2014
12th Passed -
St Aloysius International University
Bengaluru, KA05-2011
10th Passed -
ST Meera's High School
Bengaluru, KA03-2009
Skills
- Ability to understand functionality of the application
- Critical Thinking on data and other information of application to define a problem and develop effective solutions
- Knowledge on MS Excel with formulas, pivot tables and charts
- Reimbursement processing
- Trained in medical coding under professional trainer
- Optimal utilization of excel for better quality report
- Adequate utilization of macros with visual basis
- Effective communication with client in resolving process clarifications and issues related to Touch Chart process
- Identification of serious data quality problems in Providers list with providers having feedback value and higher critical care ratings
Other Qualifications
Basic Knowledge of computer
Personal Information
- Father's Name: Raju
- Title: Senior Quality Analyst
- Date of Birth: 06/02/1993
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Languages
Kannada, Tamil, Hindi & English
Disclaimer
I hereby declared that the above information given by me is true to best of my Knowledge.
Languages
Tamil
First Language
English
Proficient (C2)
C2
Hindi
Intermediate (B1)
B1
Kannada
Proficient (C2)
C2
Telugu
Beginner
A1
Timeline
Senior Quality Analyst
NYX Medical Solutions
03.2019 - Current
Senior AR Associate
Getix Health Care
12.2016 - 08.2018
AR Associate
Omega Health Care
03.2015 - 04.2016
B.com Passed - Bachelor of Commerce
St. Aloysius International University
12th Passed -
St Aloysius International University
10th Passed -
ST Meera's High School
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