Summary
Overview
Work History
Education
Skills
Languages
Accomplishments
Affiliations
Timeline
Generic
Shaik Mahmood

Shaik Mahmood

Hyderabad

Summary

Dynamic training specialist with excellent interpersonal and communication skills. Works closely with team members to design, develop and deploy effective training. Oversees instruction of several personnel, from new hires to professionals.

Overview

8
8
years of professional experience

Work History

Training Specialist

R1 RCM
Hyderabad
01.2023 - Current
  • Developed and maintained training materials.
  • Conducted train-the-trainer sessions to ensure trainers are prepared to deliver courses effectively.
  • Created assessments to evaluate the effectiveness of training programs.
  • Facilitated classroom instruction for groups up to 30+ students and virtually 160+ Students.
  • Coordinated with subject matter experts in order to develop comprehensive training content.
  • Assisted in developing training plans for new hires and existing employees.
  • Identified areas for improvement within existing training programs and provided recommendations for change.
  • Monitored instructor performance during delivery of courses and provided feedback as needed.
  • Collaborated with internal stakeholders on the design and implementation of customized learning solutions.
  • Managed multiple projects simultaneously while adhering to tight deadlines.
  • Developed training materials, manuals, procedures and visual aids to effectively achieve organizational goals.
  • Trained employees on new software like WFM.
  • Identified and communicated to management regarding areas needing additional training.

Quality Analyst

Gebbs Helath Care Solutions
Hyderabad
02.2022 - 01.2023
  • Reviewing the work performed by AR Analysts and documenting any quality issues.
  • Reviewing call quality issues on various parameters, such as conversational skills, claims resolution, and voice quality.
  • Conducting daily QAT and fact sessions in the presence of TLs and sharing the MOM on the very same day.
  • Sharing Daily Audit Report & Closing(Rebuttals, if any) on the Very same day.
  • Attend Every Client Call, and Cascade all New updates to the Team.
  • Providing feedback and working with the training team to provide remedial training.
  • Identifying process gaps by analyzing Weekly Audit reports, and based on parameters and scenarios, helps Associates to hit numbers along with Quality.
  • Coordinating with clients and closing open issues, where if Agent comes up with the new Scenarios within Process or from Payors, participating in maintaining our Quality Management System.
  • Conducted root cause analysis to investigate the source of problems in production process.
  • Reviewed and analyzed customer feedback to identify areas of improvement in product quality.

Team Leader

Corro Health
Hyderabad
08.2019 - 12.2021
  • Handled 2 different client with the bandwidth of 60+ people.
  • Production planning and control, process monitoring, assignment and review of work list, analysis of SLA parameters.
  • Responsibilities and overview of all the accounts for Accounts Receivable.
  • Account Receivables: Inventory Analysis, Allocation of Inventory, Reviewing AR calls, reviewing appeals, conducting QAT, Maintaining DSO, and providing end-to-end resolution of claims. Provide daily updates to stakeholders.
  • Handling client calls on a daily and weekly basis.
  • Responsible to reduce 90+ AR and to controlling the DSO. Managing team and utilizing the best from team members.
  • Proper communication within the team and escalation of related issues to the management for timely resolution.
  • Generate daily, weekly, monthly, quarterly, and annual reports for the purpose of internal and external use.
  • Conduct daily team briefings, discuss current issues and targets, communicate performance-related issues and updates with the team.
  • Closely working with the Quality leads, ensuring meeting the Quality targets in month-end achievements.
  • Handle disciplinary issues, Performance Improvement Plans, and termination cases.
  • Training new users on software and process update, also helping them to complete the OJ.

Senior Process Associate

Wipro
Hyderabad
10.2018 - 08.2019
  • Analyzing and resolving claims.
  • Denial and patient balance posting in Client Application.
  • Claims Adjustments.
  • Preparing daily basis productivity reports.
  • Follow up with the Payer to resolve denials.
    Send appeals over denied claims.
  • Work on contractual adjustment and write-off projects.
  • Self-registered website creation.
  • Mentoring to new hires.
  • Conducting process training to the team.

Process Associate

Sutherland Health Care Services
Hyderabad
02.2017 - 10.2018
  • Use to review patient ledgers with outstanding charges and take next best action for follow up to collect balances.
  • Constantly watch out for payments and EOBs from major Carriers, pay-to-Address, Provider Numbers, etc.
  • Use to verify insurance eligibility and update patient accounts based on client-specific SOPs.
  • To investigate claims status, identify appeals action, and determine the next best action to resolve accounts.
  • Identify claim denial trends or provider-related issues that delay or reduce reimbursement.

Education

MBA -

Osmania University
Hyderabad
06-2014

Skills

  • Classroom & Virtual training experience
  • Training Program Development
  • Project Implementation
  • Motivational speaking
  • US Medical Billing
  • Revenue Cycle Management
  • EHR/EMR Systems (eg, Epic, Cerner)
  • Claims Processing & Denial Management
  • Training Needs Analysis
  • Team Leadership & Mentoring
  • Microsoft Office Suite (Word, Excel, PowerPoint)

Languages

Urdu
First Language
English
Advanced (C1)
C1

Accomplishments

  • Awarded as star of the month for 7 times for extraordinary performance.
  • Awarded as the best mentor and also trained the new joiners on process.
  • Awarded as R1 Star.

Affiliations

  • Working Out. ( Strength Training )
  • Plays Football on Weekends.
  • State Level Footballer.
  • Fashion.
  • Music.

Timeline

Training Specialist

R1 RCM
01.2023 - Current

Quality Analyst

Gebbs Helath Care Solutions
02.2022 - 01.2023

Team Leader

Corro Health
08.2019 - 12.2021

Senior Process Associate

Wipro
10.2018 - 08.2019

Process Associate

Sutherland Health Care Services
02.2017 - 10.2018

MBA -

Osmania University

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Shaik Mahmood