Selvin Babu M
Avadi
Summary
Versatile leader with 14+ years of rich and extensive experience in US Healthcare industry, leading large teams and managing complex processes. Proven track record of transforming penalty-paying accounts into bonus-earning ones and significantly increasing productivity through automation projects. Expertise in startegic leadership, data-driven decision-making and process optimization tools. Adept at identifying growth opportunities, ensuring seamless transitions, and maintaining high customer satisfaction scores. Strong skills in training and development, change management and cost reduction.
Overview
14
14
years of professional experience
Work History
Senior Manager – Operations
GeBBS Healthcare Pvt. Ltd.
05.2022 - Current
- Managing 11 processes with a team of 6 managers, 18 team leads and 350+ coders and reporting to SVP – Coding Operations
- Turned penalty paying account to bonus earning account; earned quality and turn over bonus for five consecutive quarters
- Worked on automated denial clustering project which impacted 50% increase in productivity, increased quality, provider education and scenario-based automative denial resolution
- Created denial-based decision trees to automate the denial resolution flow without manual intervention
- Worked on top denial trends reduction project by creating front-end coding system rules to avoid back-end denials
- Initiated leadership coaching program for supervisors to increase the effectiveness of people management
- Worked on a work allocation automation project to reduce manual time spent on spreadsheet
- Collaborating with Practice & Relationship Management Team w.r.t
- The identification of new growth opportunities, with key focus on ensuring seamless transitions
- Building in-house Domain / Process / Product expertise as well as ensuring the highest Customer Satisfaction Scores
Senior Manager – Operations
Omega Healthcare Services Pvt. Ltd.
09.2021 - 04.2022
- Managed 2 processes with 6 teams encompassing 150+ members and reporting to the DGM
- Conceptualizing the strategy & leading execution of the Operations to ensure that the business expectations & SLA’s are constantly met/exceeded
- Collaborating with Practice & Relationship Management Team w.r.t
- The identification of new growth opportunities, with key focus on ensuring seamless transitions
- Rendering services as a Learning Coach; developing, implementing, & executing performance improvement plans for all individuals to drive continuous improvement, to maintain excellence in the service delivery operations and employee retention
- Identifying areas of risks in the process and coordinating with the risk management team to implement information security; ensuring data security and that effective controls are in place
- Monitoring the overall functioning of processes, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
Deputy Delivery Manager – Operations
Access Healthcare Services Pvt. Ltd.
01.2017 - 09.2021
- Managed 10 teams encompassing 250+ members in coding denial management and reported to the Assistant Director
- Conceptualizing the strategy & leading execution of the Operations to ensure that the business expectations & SLA’s are constantly met/exceeded
- Deployment of continuous improvement framework and constantly identifying ways & means to drive efficiencies & enhanced controllership
- Developed Centers of Excellence inclusive of building expertise, standardizing processes, sharing best practices across business segments
- Collaborated with Practice & Relationship Management Team with the identification of new growth opportunities, with key focus on ensuring seamless transitions
- As a Learning Coach developed, implemented, & executed performance improvement plans for all individuals to drive continuous improvement, to maintain excellence in the service delivery operations and employee retention
- Managing team schedules (shifts, training, uploads, downloads); preparing & presenting various weekly/monthly MIS reports about process/productivity
- Identifying areas of risks in the process and coordinating with the risk management team to implement information security; ensuring data security and that effective controls are in place
- Building in-house Domain / Process / Product expertise as well as ensuring the highest Customer Satisfaction Scores
- Monitoring the overall functioning of processes, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
- Recipient of various performance awards such as Raising Star of the Year, Best of the Year, Star of the Month, Best of the Quarter and several client / management appreciations for operational excellence
- Successfully transitioned the project and expanded the team's strength from 3 to 156 members in 2016-2017 and 4 to 95 in 2018-2019
- Effectively managed SLA metrics for the process and designed a robust & dynamic reports to showcase the monthly performance of all teams in a single arena
- Participated in Rapid and Yellow belt in Six Sigma
Team Leader – Operations
Visionary RCM Pvt. Ltd.
01.2016 - 12.2016
- Reported to Client Manager
- Managed a team size of 30 members across End to End Model (Coding, Calling and Denial analyst)
- Recipient of performance awards Best of the Month twice and several client/management appreciations for operational excellence
- Successfully transitioned the project and expanded the team's strength to 30 members in 2016
Senior Coder
Dell BPS Pvt. Ltd.
12.2013 - 10.2015
- Reported to Team Leader
- Worked on the varies process such as End to End denial management and Provider education
Coder
Nikan Teletrak Pvt. Ltd.
04.2011 - 11.2013
- Reported to Team Leader
- In-depth knowledge of coding techniques and guidelines of medical coding
- Extremely knowledgeable with regard to Medical Coding guidelines and coding techniques (ICD-9 CM, ICD-10 CM and CPT-4)
Education
MBA - Executive Leadership
Woolf University
CanterburyHigh School Diploma -
Bangalore City College
BengaluruSkills
- Strategic Thinker
- Operations Management
- Profitability Optimization
- Team & Culture Leadership
- Stakeholder & Leader Engagement
- Lean Six Sigma
- Resource allocation
- Cross-functional collaboration
- Recruitment & Trainings
Timeline
Senior Manager – Operations
GeBBS Healthcare Pvt. Ltd.
05.2022 - Current
Senior Manager – Operations
Omega Healthcare Services Pvt. Ltd.
09.2021 - 04.2022
Deputy Delivery Manager – Operations
Access Healthcare Services Pvt. Ltd.
01.2017 - 09.2021
Team Leader – Operations
Visionary RCM Pvt. Ltd.
01.2016 - 12.2016
Senior Coder
Dell BPS Pvt. Ltd.
12.2013 - 10.2015
Coder
Nikan Teletrak Pvt. Ltd.
04.2011 - 11.2013
MBA - Executive Leadership
Woolf University
High School Diploma -
Bangalore City College
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