To secure a challenging position in a growth-oriented organization where I can leverage my analytical skills, process knowledge, and leadership abilities to improve operational efficiency, team performance, and align with organizational goals.
Overview
11
11
years of professional experience
3
3
Languages
Work History
TEAM LEAD
PrimEra Medical Technologies
08.2024 - Current
Training new hires and conducting knowledge workshops.
Share regular process updates and resolve team queries.
Ability to articulate ideas clearly and listen effectively.
Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Established clear performance metrics for the team which helped in tracking progress towards set targets effectively
Grade 24 SME (Subject Matter Expert)
Optum Global Solutions India
07.2021 - 12.2022
Guided team members to meet targets and addressed process-related queries.
Supported special projects while managing core deliverables.
Performed internal quality audits for Eligibility, AR, and Patient Statements in the absence of QA.
Senior Executive
R1 RCM India Pvt. Ltd.
06.2019 - 01.2021
Extensive work in all phases of RCM including Eligibility and AR follow-up.
Conducted quality audits and process updates.
Played an active role in supporting leadership during special projects.
Sr. Associate – EVBV and AR Caller
Eli Research India Pvt. Ltd.
09.2016 - 09.2018
Managed AR follow-up and eligibility verification for US clients.
Engaged with insurance companies to resolve claim issues.
AR Caller – Associate
Inventurus Knowledge Solutions (IKS)
04.2014 - 09.2016
Contacted US insurance companies on behalf of providers for AR follow-up.
Verified claim status and eligibility via calls and web portals.
Negotiated payments based on documented data and claim status.
Education
B.Com -
Little Flower Degree College
01.2013
Intermediate - undefined
Guntur Vikas Junior College
01.2010
SSC - undefined
NGRI High School
01.2007
Skills
Certified Scrum Master with solid understanding of Agile methodology
Proficient in MS Excel, MS Outlook, and internal audit procedures
Strong interpersonal and communication skills
Excellent team player with a result-oriented mindset
Interests
Listening to music
Disclaimer
I hereby declare that the information provided above is true and correct to the best of my knowledge. Place: Hyderabad Date: [Insert Date] Signature: (P. Sham Sunder)
PROFESSIONAL SUMMARY
Over 4+ years of experience in US Healthcare Revenue Cycle Management (RCM).
Extensive expertise in Medical Billing, Eligibility Verification, Accounts Receivable (AR) follow-up, and Patient Statements.
Proven ability in team handling, training, and process improvement.
Certified Scrum Master with strong understanding of Agile methodologies.
Proficient in MS Excel, MS Outlook, and internal auditing.
Strong communication skills and a collaborative, goal-driven approach.