To succeed in an environment of growth and excellence and earn a job which provides me job satisfaction and self development and helps me achieve personal as well as organizational goals.
Overview
6
6
years of professional experience
3
3
Languages
Work History
Lead Analyst
R1RCM
11.2024 - Current
Guide new hires during the ramp up phase by providing real time floor support.
Track individual and batch performance using KPIs like productivity and quality scores.
Daily team allocation & Maintaining daily/weekly performance reports.
Serve as go to person for process clarifications, SOP updates and client instructions.
Provide constructive feedback to ramp associates on call handling, documentation and compliance.
Work closely with trainers, managers and QA to align coaching plans
Senior Associate
R1RCM
08.2022 - 10.2024
Reviewing and resolving the claims that have not been paid by the insurance companies using various software and following up with them to get the status of the claims via software, website, and outbound calls.
Denial Management and assigning the claims to the concerned department for further follow- up.
Analyzing and finding out the latest trends followed by the insurance companies and creating self-service websites for the timely follow up of the claims.
Creating an Appeal incase if required and timely follow-up of the status of appeal.
SME
Pacific Bpo (Access healthcare)
08.2021 - 08.2022
Compiling production and inventory distribution on daily basis.
Managing Team Quality by doing Internal Audits and giving refresher if required.
Making new Joiners to understand the RCM concepts and process guidelines and conducting tools training and assisting them throughout OJT phase.
Helping out team in process related queries.
Sharing MTD data with team and supervisors on daily basis.
Interacting with Client on weekly basis for discussing queries and new updates to grow the process.
Quality – Analyst
Jorie Healthcare
02.2020 - 08.2021
Performing Daily Audit and providing feedback over call and mail.
Conducting PKT every month and process improvement sessions on weekly basis.