Summary
Overview
Work History
Education
Skills
Affiliations
Languages
Timeline
Generic
Shiva R

Shiva R

Bangalore

Summary

Adept at operations management and problem-solving, I significantly enhanced customer satisfaction at MYNTRA Instakart by streamlining workflow and implementing effective claims processing at Omega healthcare. My expertise in Advance Excel and CRM, combined with a track record of resolving complex issues, underscores my ability to drive efficiency and exceed targets.

Overview

5
5
years of professional experience

Work History

AR Process Executive

Omega Healthcare
Bangalore
10.2023 - Current
  • Monitoring and managing accounts and billing following up with with outstanding claims.
  • Worked with Epic Software.
  • Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
  • Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
  • Assisted patients with questions regarding their bills and payments due.
  • Maintained an organized filing system for all documents related to medical billings and collections.
  • Ensured compliance with HIPAA regulations related to confidentiality of health care information.
  • Initiated appeals process when necessary to resolve denied claims or incorrect reimbursements from insurers.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Maintained up-to-date knowledge of coding systems such as ICD 10 and CPT codes used in medical billing processes.
  • Developed and implemented billing procedures to ensure accurate and timely payment of claims.

Senior HUB Operation Executive

MYNTRA Instakart pvt ltd (Suvidha talent)
Bangalore
01.2020 - 07.2023
  • Coordinated with cross-functional teams to ensure smooth operations.
  • Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
  • Established policies and procedures for day-to-day operations that comply with company standards and regulations.
  • Forecasted customer demand to set prices or credit terms for goods or services.
  • Prepared staff work schedules and assigned team members to specific duties.
  • Resolved escalated customer inquiries or complaints in a timely manner.
  • Exceeded customer satisfaction by finding creative solutions to problems.

Education

MBA - Finance
12-2024

Bachelor of Commerce - Accounting

Kairalee Nikethan Education Trust, Bangalore
01-2019

Kairalee Nikethan Composite PU College
01-2016

Kairalee Nilayam High School
01-2013

Skills

  • Operations management
  • Claims processing
  • Time Management
  • Problem-solving
  • Customer Relationship Management (CRM)
  • Basic Computer Skills
  • Advance Excel
  • Workflow Analysis

Affiliations

Playing Cricket

Movies

Listening music

Languages

Tamil
First Language
English
Advanced (C1)
C1
Kannada
Advanced (C1)
C1
Hindi
Intermediate (B1)
B1
Telugu
Intermediate (B1)
B1

Timeline

AR Process Executive

Omega Healthcare
10.2023 - Current

Senior HUB Operation Executive

MYNTRA Instakart pvt ltd (Suvidha talent)
01.2020 - 07.2023

MBA - Finance

Bachelor of Commerce - Accounting

Kairalee Nikethan Education Trust, Bangalore

Kairalee Nikethan Composite PU College

Kairalee Nilayam High School

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Shiva R