Volunteer Work/Community Involvement
Shanmugaraj Venkatesan
Coimbatore,TN
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Experienced in Healthcare (Provider & Payer process) with over 9 years of experience in Healthcare industry. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
3
3
Languages
Work History
BPO Team Lead
NTTDATA Information Processing Services
Coimbatore, Tamilnadu
01.2022 - Current
- Maintained regulatory compliance in team file outcomes.
- Mentored and guided employees to foster proper completion of assigned duties.
- Communicated with staff, leaders and peers to coordinate successful collaboration with other departments.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted with new hire processing and existing training programs.
- Determined appropriateness of payers to protect organization and minimize risk.
- Coordinated weekly meetings for internal and external groups.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Initiated timely response to emails, voicemails and written correspondence.
- Implemented new working processes to deliver multiple improvements.
Process and Comm. Training Analyst
NTTDATA Information Processing Services
Coimbatore, Tamilnadu
09.2019 - 01.2022
- Adhering to process training framework – Implementation and adherence – Role based training/TACM
- Supporting Provider, Payer, Life and BOI vertical teams in training related activities.
- Training delivery and effectiveness - Conducting Healthcare & Life vertical foundation training sessions for new joiners
- Conducting awareness sessions on QMS, ISMS & HIPAA – for new hires during foundation training.
- Process training framework – Implementation and adherence – Role based training/TACM
- Supported on process document (SOP) preparation for Banking vertical process
- Supporting Life vertical teams to streamlining foundation training schedule, revamped Life foundation training content
- Content management – vertical/service line level
- Knowledge management, Training and Organizational wide initiatives'
- Supporting and working on training process improvements
- E-learning & blended learning model - Supported Instruction designers on creating blended e-learning contents
Process and Comm. Training Sr. Representative
NTTDATA Information Processing Services
Coimbatore, Tamilnadu
11.2016 - 09.2019
- Conducted healthcare foundation trainings session for new joiners who joined for Provider and Payer vertical teams.
- Adhered to all training activities as per defined process.
- Support training partners in both Payer and Provider vertical by conduct audits every month and report audit finding on deviation and process non adherence.
- Always adhered to defined learning path and training schedules.
- Conducted awareness sessions on QMS, ISMS & HIPAA – for new hires during foundation training session.
- Frequently reviewing training content and tests Question bank for any updates and maintain material as of industry updates for Provider and payer vertical.
- Supporting Provider TP process on revamping Provider Level 2 ARM content and Physician Billing Content.
- Supporting Payer process on revamping Payer Level 2 Adjudication content
- Contributed and support team on knowledge management initiatives
- Always provided extensive support to payer and provider verticals to maintain flawless training schedule and training Ops related activities.
- Provide colleagues with regular and reliable information, including updates on own activities.
Training and Quality Executive
Firstsource Solutions
Chennai, Tamilnadu
11.2013 - 10.2016
- Updated quality control standards, methods and procedures to meet compliance requirements.
- Improved quality processes for increased efficiency and effectiveness.
- Rejected defective products and approved correct products.
- Mentored and encouraged employees to strive for excellence while fostering professional growth.
- Managed and archived quality documentation and participated in internal and external quality audits.
- Evaluated quality problems and performed root cause analysis to identify and resolve issues.
- Managed and monitored HIPAA compliance program in process
- Created and maintained training process related documents
- Followed quality standards and procedures to minimize errors and maximize customer satisfaction
HC & Customer Service Sr. Rep
Firstsource Solutions
Chennai, Tamilnadu
10.2012 - 11.2013
- Adjudicate HCFA/UB claim forms based on electronic claim instruction
through online Tool. - Match limit as per policy (DED&OOP) and reimburse exact excess amount to provider.
- Worked in account reconciliation process to maintain policy holders Out of pocket expenses in their respective buckets.
Printing Press Operator Assistant
Lakshmi Printers
Salem, Tamilnadu
02.2010 - 02.2011
- Adjusted controls to regulate flow of ink and dampening solution to plate cylinder.
- Prepared and operated offset printing press for maximum efficiency and production.
- Adjusted press during production runs to maintain specific registration and color densities
Education
Associate of Arts - Diploma in Printing Technology
Institute of Printing Technology
Chennai 07.2006 - 07.2009
Skills
Orientation and training
Interests
Traveling
Cooking
Music
Timeline
BPO Team Lead
NTTDATA Information Processing Services
01.2022 - Current
Process and Comm. Training Analyst
NTTDATA Information Processing Services
09.2019 - 01.2022
Process and Comm. Training Sr. Representative
NTTDATA Information Processing Services
11.2016 - 09.2019
Training and Quality Executive
Firstsource Solutions
11.2013 - 10.2016
HC & Customer Service Sr. Rep
Firstsource Solutions
10.2012 - 11.2013
Printing Press Operator Assistant
Lakshmi Printers
02.2010 - 02.2011
Associate of Arts - Diploma in Printing Technology
Institute of Printing Technology
07.2006 - 07.2009
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