Star (Citrix)
Quality Control Analyst
Kraft BPO Solutions Pvt Ltd
Hi, I’m
Santhosh Kumar G V
QCA
Bengaluru
Summary
Results-driven Quality Control Analyst with a proven track record at Kraft BPO Solutions, excelling in quality audits and detail-oriented analysis. Demonstrated adaptability in fast-paced environments, enhancing financial reporting accuracy and reducing claim denials through effective root cause analysis. Skilled in fostering team accountability while training junior associates for consistent quality.
Work History
Kraft BPO Solutions Pvt Ltd
Quality Control Analyst
Job overview
- Performed audits of payment posting, contractual adjustments, and patient liabilities weekly to verify alignment with EOB and ERA, enhancing accuracy in financial reporting.
- Denial Management review. Audited, posted denial codes, verifying that adjustments were correctly applied, and identified patterns to reduce future claim denials.
- Unapplied cash resolution: Researched and resolved unapplied cash in suspense accounts, reallocating funds to the correct patients' accounts within standard timelines.
- Identified and resolved errors in payment posting, including misapplied payments, patient responsibility transfers, and coding inaccuracies, to enhance accuracy and compliance.
Kraft BPO Solutions Pvt Ltd
Senior Process Associate
Job overview
- Met month-end reporting objectives and deadlines.
- Identified modifications to processes and procedures that would promote better efficiency.
- Supervised team of process associates to enhance accountability, develop professional skills and improve efficiency.
- Maintained accurate documentation of processes, facilitating easy reference for internal audits and knowledge transfer.
- Performed reconciliations to drive accuracy and validity of financial information.
- Trained junior associates in various process-related tasks, ensuring consistent quality across the team.
Kraft BPO Solutions Pvt Ltd
Process Associate
Job overview
- Self-motivated, with a strong sense of personal responsibility.
- Managed time efficiently in order to complete all tasks within deadlines.
- Proven ability to learn quickly and adapt to new situations.
- Skilled at working independently and collaboratively in a team environment.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Learned and adapted quickly to new technology and software applications.
Skills
Quality control audits
Analytical attention to detail
Ability to thrive in fast-paced environments
Issue analysis
Software
SmartCare
CareLogic
Inovalon
Cleopatra
E-Care
Timeline
Senior Process Associate
Kraft BPO Solutions Pvt Ltd
Process Associate
Kraft BPO Solutions Pvt Ltd