Shreepad Naik
Bangalore
Summary
Dedicated and results-oriented professional with six years of experience in the US healthcare domain, specializing in process improvement within the quality team. Proven track record of implementing and managing quality assurance processes to ensure compliance with industry standards and regulations. Skilled in conducting audits, developing training programs, and implementing best practices to enhance overall operational excellence.
Overview
6
6
years of professional experience
Work History
Process Specialist
Cognizant Technology Solutions, Bangalore
02.2020 - 08.2023
- All types of Quality Audit such as L1, L2 and L3.
- Providing accurate, consistent and constructive performance feedback to loader and management team.
- Developing and implementing an audit plan that identified and addressed potential risks, ensuring accuracy of financial statements.
- Providing detailed error analysis with graph's presentations and monthly reports to keep department, Managers /Associates up to date on progress.
- Creating manual trainings and providing process procedure support /feedback /coaching for a group of 10 to 15 plus employees.
- Auditing the cases to ensure timeliness, accuracy and compliance for regional and regulatory requirements, which resulted in monthly score greater than SLA.
- Conducting PKT to entire team with relevant scenarios and new updates.
- Ability to lead, motivate, and manage a team effectively, ensuring everyone is aligned with organizational goals and deadlines.
Senior Process Executive
Hinduja Global Solutions Private Limited.
02.2017 - 11.2019
- Accomplished Senior Process Executive with a focus on medical claims overpayment finding in the US healthcare domain.
- Specializing in medical claims overpayment finding based on CPT codes.
- Possessing a robust background in meticulously reviewing and analyzing healthcare claims data to identify and recover overpayments.
- Adept at developing and implementing strategies for identifying, investigating, and resolving overpayment issues, resulting in significant cost savings.
- Committed to maintaining a high level of accuracy and compliance while contributing to the continuous improvement of operational processes within the medical claims domain.
- Proven ability to analyze complex claims scenarios, conduct in-depth investigations, and implement corrective measures, resulting in substantial cost savings for the organization.
Education
Bachelor of Commerce -
Shivaji College, Baad
Karwar05.2015
Skills
- Quality Assurance
- Auditing and Monitoring
- HIPAA Compliance
- Claims Processing
- Quality Metrics
- Root Cause and Analysis
- Customer Service Excellence
- Training and Development
- Reporting and Documentation
- Team Collaboration
Hobbies
Reading, Travelling, Singing
Languages
English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)
Kannada
Bilingual or Proficient (C2)
Timeline
Process Specialist
Cognizant Technology Solutions, Bangalore
02.2020 - 08.2023
Senior Process Executive
Hinduja Global Solutions Private Limited.
02.2017 - 11.2019
Bachelor of Commerce -
Shivaji College, Baad