SANJAY KUMAR PANDI

Developed workforce management skills through hands-on experience with staffing and scheduling.

• Responsible for ensuring the right staffing levels, resource planning, scheduling, and performance management to meet business objectives and service level targets. Basic

Workforce Forecasting - Monitor forecast accuracy and recommend improvements

Capacity Planning - Analyze volume trends and create staffing requirements

Scheduling & RTA Management - Prepare employee schedules and shift plans, Manage leave planning and roster optimization

Data Analysis & Reporting - Generate daily, weekly, and monthly WFM reports, Analyze KPIs such as SLA, AHT, productivity, utilization, and shrinkage. Present insights and recommendations to leadership.

Stakeholder Management - Collaborate with Operations, HR, Training, and Quality teams. Participate in business reviews and workforce strategy discussions.

People Leadership - Conduct performance reviews and coaching sessions every month, Drive process improvements and automation initiatives.

Implemented automation strategies to streamline operational workflows and reduce manual tasks.

• Automated 85% of RCM processes, reducing manual effort and optimizing workforce utilization.
• Analyzed business volumes and operational trends to identify cost optimization opportunities through resource reallocation and infrastructure optimization.
• Produced MIS reports with 99% accuracy, providing real-time data availability and actionable insights for business decision-making.
• Designed and maintained Power-BI dashboards for better visualizations on user performance, and enhancing operational visibility.
• Provided solutions for business requirements and ad-hoc requests.
• Created and delivered high-impact executive presentations to clients, effectively communicating insights, performance trends, and strategic recommendations

• Oversaw AR team of 75 employees to ensure efficient claim processing, timely collections, and resolution of outstanding accounts, enhancing RCM service quality including prior auth and referral.
• Monitor KPIs such as claim denial rates, collection rates, AR days (DAR), aged receivables, average charges per claim, and average payment per claim, and develop strategies to improve performance
• Implement and leverage RCM software(eCW-Cloud, RainTree) and automation tools to improve the speed and accuracy of billing, claims submission and Follow-up.
• Analyzed AR status and provided leadership with regular updates on challenges, denials, and improvement strategies.
• Reviewing claim aging, payer guidelines, denial trends and appeals and ensuring a smoother process.
• Track the cash flow of revenue through posting reports to ensure that payments are collected on time and cash flow is optimized
• Ensure clients have a clear understanding of their bills, payment options, and any financial assistance available. Address any patient inquiries regarding their accounts promptly.
• Performed regular audits on processes and transactions to ensure policy adherence, identify issues, and implement corrective actions.
• Analyze operational issues to identify root causes and recommend corrective and preventive actions by coordinating with the TQM team, ensuring no process failures

• Managed RCM vertical, overseeing denial management, billing, payment posting, statement, and appeal processes for over 275 providers and 110 clinics to ensure compliance and maximize revenue.
• Ensured seamless workflow between departments such as Payment Posting, Billing, Charge Entry, Patient Statements, and Denial Management to minimize delays and errors.
• Monitored KPIs such as claim denial rates, collection rates, AR days (DAR), and aged receivables, and developed strategies to improve overall performance.
• Developed and implemented SOPs with client sign-offs for each stage of the revenue cycle to improve efficiency and accuracy.
• Facilitated weekly team meetings to discuss progress, address challenges, and set actionable goals for upcoming deliverables.
• Conducted regular performance evaluations, providing constructive feedback and personalized development plans for team members.
• Prepared and presented reports to senior management, providing insights and recommendations that informed strategic decision-making.
• Maintained relationships with insurance providers, facilitating effective communication on claim statuses, rejections, and appeals to enhance resolution efficiency.

• Closely monitored team performance by conducting observations and tracking key metrics, identifying underperformance and managing it effectively.
• Monitored operations to ensure adherence to procedures and achievement of key performance indicator (KPI) targets.
• Fostered supportive, positive, and collaborative work environment to strengthen employee relationships.
• Planned employee workloads to effectively address seasonal demand fluctuations.

• Conducted audits of quality control systems to ensure compliance with industry standards.
• Collaborated with production teams to identify and resolve quality issues, improving product quality.
• Conducted performance testing to assess key features, including functionality, reliability, performance, and overall quality
• Analyzed customer feedback to pinpoint quality improvement areas, boosting customer satisfaction.