SHAM SUNDER PAKA
Hyderabad,TG
Summary
To be a part of an ever increasing challenging position where I can use my analytical skills and expertise for the betterment of the quality of process and employee satisfaction leading to enhance-mentor my skills and strengths in conjunction with Company’s goals & objectives.
Over four plus years of experience in US Healthcare Operations (RCM). Possess an enormous knowledge of Medical Billing (RCM). Worked for Medical Provider .Good knowledge in scrum and Agile Methodology .
Overview
11
11
years of professional experience
Work History
SME (Subject Matter Expert)
PrimEra Medical Technologies
08.2024 - Current
- Assisting to supervisor in training program for new hires
- Conducted workshops to improve process knowledge and reaching the goals of users
- Sharing process updates and clarifying doubts to team
- Assisting to supervisor in reports and handling the team in the supervisor absence
- Assisting to supervisor with special projects whenever required along with completing my core job
Grade 24 SME (Subject Matter Expert)
Optum Global India
07.2021 - 12.2022
- Handling the team and helping them in achieving in there targets and clear the doubts
- Assisting to supervisor with special projects whenever required along with completing my core job
- Sharing process updates and clarifying doubts to team
- Internal quality audit for Eligibility, AR & Patient Statement in the absence of QA and Reporting
Sr. Executive
R1 India Private Limited
06.2020 - 01.2021
- Sound knowledge of an entire Revenue Cycle Management (RCM)
- Assisting to supervisor with special projects whenever required along with completing my core job
- Sharing process updates and clarifying doubts to team
- Internal quality audit for Eligibility, AR & Patient Statement in the absence of QA and Reporting
EVBV and AR Caller Sr. Associate
Eli Research India Private Limited
09.2016 - 09.2018
- Researching, obtaining and documenting claim information through call
- Responsible for calling insurance companies (in US) on behalf doctors/physicians and follow up outstanding Accounts Receivable
- Obtaining claims & eligibility information through websites
- Probing & convincing insurance company (Payers) for payment on outstanding claims based available information
AR Caller Associate
Inventurus Knowledge Solution (IKS)
04.2014 - 09.2016
- Researching, obtaining and documenting claim information through call
- Responsible for calling insurance companies (in US) on behalf doctors/physicians and follow up outstanding Accounts Receivable
- Obtaining claims & eligibility information through websites
- Probing & convincing insurance company (Payers) for payment on outstanding claims based available information
Education
B.COM -
Little Flower Degree College
01.2013
Intermediate -
Guntur Vikas Junior College
01.2010
High School -
N G R I High School
01.2007
Skills
- Scrum master
- Agile methodology
- MS-Excel
- MS-Outlook
- Communication skills
- Teamwork
- Individual work
- Positive approach
- Result oriented
Languages
English
Hindi
Telugu
Hobbies and Interests
Listening to music
Disclaimer
I hereby declare that above mentioned information is true to the best of my knowledge.
Personal Information
- Date of Birth: 11/15/91
- Gender: Male
- Nationality: Indian
Timeline
SME (Subject Matter Expert)
PrimEra Medical Technologies
08.2024 - Current
Grade 24 SME (Subject Matter Expert)
Optum Global India
07.2021 - 12.2022
Sr. Executive
R1 India Private Limited
06.2020 - 01.2021
EVBV and AR Caller Sr. Associate
Eli Research India Private Limited
09.2016 - 09.2018
AR Caller Associate
Inventurus Knowledge Solution (IKS)
04.2014 - 09.2016
Intermediate -
Guntur Vikas Junior College
High School -
N G R I High School
B.COM -
Little Flower Degree College
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