Sathish Kumar
SENIOR ASSOCIATE & QUALITY ANALYST
Chennai
Summary
A highly organized and hard-working individual looking for a responsible position with a reputable company to fully utilize my training and skills, while making a significant contribution to the success of the company and to expand my learning's, knowledge, and skills. Hardworking Senior Associate enthusiastic about take on exciting new challenges. Dynamic communicator with disciplined approach.
Overview
7
7
years of professional experience
5
5
years of post-secondary education
Work History
Senior Associate & Quality Analyst
Atos Syntel GDC
06.2021 - Current
- Trained and supported new team members, maintaining culture of collaboration.
- Collaborated with cross-functional teams to drive successful completion of complex projects within deadlines.
- Mentored junior associates, fostering professional growth and helping them reach their full potential.
- Identify and remedy errors within production process.
- Recommend, implement and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
- Conducted Huddle sessions and provided feedbacks to users to prevent errors
- Attended client calls and prepared MOM’s
- Prepared daily, weekly and monthly reports
- Conducted SOP audits to streamline process
Junior Associate
Atos Syntel
9 2019 - 05.2021
- Responded to payer communications with appropriate action in a timely manner
- Daily investigated 16 or more records in MSP to determine which insure act as Primary for member
- Communicated with manager and team on any issues that arise from denied, rejected and pending claims
- Generated AR reports and analyzed claim history for any errors and correct as needed
- Determined reasons for whether Medicare is secondary or primary for member
- Daily investigated 500 or more records from insurance companies in Rethink Software.
Associate
AGS Health Private Ltd
02.2018 - 09.2019
- Identifying issues and trends that result in non-payment of claim due to internal or external review, elevating significant issues to supervisor
- Worked collaboratively with other team members to expedite resolution of outstanding claims
- Provide good customer service to insurance payer representatives
- Analyzed and determined reason for the outcome of denial and take appropriate actions as per Supervisor's direction
- Submitted refund requests for claims paid in error
- Carefully prepared, reviewed and submitted appeals, patient records and medical documents to insurance companies
- Good relationship with team in meeting requirements of project in timely manner.
- Increased customer satisfaction by resolving complex issues and providing exceptional service at all times
Education
Bachelor of Science - Computer Engineering
INFANT JESUS COLLEGE OF ENGINEERING
TUTICORIN 08.2008 - 01.2012
High School Diploma -
B.M.C Matriculation Higher Secondary School
Tuticorin 04.2006 - 03.2008
Skills
- Quality Analyst
- Performance monitoring
- Team Supervision
- Data Analytics
- Training and mentoring
- Customer interaction
- Complex Problem-Solving
- Process Improvement
- Customer Relationship Management (CRM)
- Team Collaboration
- Problem-Solving
Timeline
Senior Associate & Quality Analyst
Atos Syntel GDC
06.2021 - Current
Associate
AGS Health Private Ltd
02.2018 - 09.2019
Bachelor of Science - Computer Engineering
INFANT JESUS COLLEGE OF ENGINEERING
08.2008 - 01.2012
High School Diploma -
B.M.C Matriculation Higher Secondary School
04.2006 - 03.2008
Junior Associate
Atos Syntel
9 2019 - 05.2021
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