Saikat Halder
Process Specialist (US Healthcare Claims And Benefit Coding)
Hyderabad
Overview
8
8
years of professional experience
4
4
years of post-secondary education
Work History
Process Specialist
Thryve Digital Health LLP
Hyderabad
05.2023 - 10.2023
- Identified and resolved process issues to drive optimal workflow and business growth.
- Collaborated with team to define business requirements for organizational processes, achieve productivity standards, and adhere to accuracy standards.
- Developed standard operating procedures and document workflows to drive current and future processes.
Senior Process Analyst
Thryve Digital LLP
Hyderabad
01.2022 - 04.2023
- Produced documentation outlining process improvement solutions.
- Pinpointed cost-effective process improvements through simulation of potential process alterations, discovering optimal enhancements without interrupting live production efforts.
- Identified and resolved process issues to drive optimal workflow and business growth.
- Maintained authoritative knowledge on change management techniques effective in improving processes without disrupting operations.
- Conducted walk-through demonstrations of proposed process changes.
- Implemented continuous improvement metrics to streamline workflows and reduce waste.
- Quickly adapted training plans for client needs, keeping timelines, budgets and desires in mind.
- Prepared and presented supplementary learning material to support structured lessons.
- Performed continuous evaluations of content and plans to enhance delivery and improve effectiveness.
- Supervised processes to eliminate weak points or bottlenecks in business operations.
Claim Adjudicator (US Healthcare Industry)
Sun knowledge Pvt. Ltd.
Kolkata
04.2017 - 12.2021
- Carried out day-day-day duties accurately and efficiently.
- Worked flexible hours; night, weekend, and holiday shifts.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Maintained energy and enthusiasm in fast-paced environment.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Developed and maintained courteous and effective working relationships.
- Exceeded goals through effective task prioritization and great work ethic.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
- Resolved problems, improved operations and provided exceptional service.
- Maintained excellent attendance record, consistently arriving to work on time.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Developed and maintained quality assurance procedure documentation.
- Developed monthly, end-of-quarter and other statistical reports for leadership team and quality improvement programs.
Business Development Executive
Axis Bank Pvt. Ltd.
Ichapur
09.2015 - 03.2016
- Reached out to potential customers via telephone, email and in-person inquiries.
- Tracked sales calls in database for relationship management.
- Boosted revenue by bringing in and cementing relationships with new clients and optimizing servicing of existing customer accounts.
- Identified and pursued valuable business opportunities to generate new company revenue and improve bottom line profit.
- Developed business pipeline using cold and warm techniques.
- Brought in new accounts through successful networking strategies and promotional approaches.
- Opened over 20 new accounts in one month, exceeding goals 160%.
Education
B.tech (Bachelor of Technology) - Electronics And Instrumentation
Haldia Institute of Technology
Haldia 07.2008 - 08.2012
Skills
Claims review (US healthcare Industry)
Insurance claims processing (US healthcare Industry)
Claim verifications (US healthcare Industry)
Time management
Team Handling
Quality Improvement
Sampling
Benefit coding
Appeals
Training (Train the Trainer certified)
Excel v lookups and pivot table
Timeline
Process Specialist
Thryve Digital Health LLP
05.2023 - 10.2023
Senior Process Analyst
Thryve Digital LLP
01.2022 - 04.2023
Claim Adjudicator (US Healthcare Industry)
Sun knowledge Pvt. Ltd.
04.2017 - 12.2021
Business Development Executive
Axis Bank Pvt. Ltd.
09.2015 - 03.2016
B.tech (Bachelor of Technology) - Electronics And Instrumentation
Haldia Institute of Technology
07.2008 - 08.2012
Hobbies
Watching Movies, Cooking, listening to music
Hobbies
Watching Movies, Cooking, listening to music