Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sowmya CG

Process And Comm Training Senior Analyst
Coimbatore,TN

Summary

I am self motivated professional with 14 years of experience in US Healthcare industry. Currently working as Process & Comm Training Senior Analyst with NTT DATA Services Inc. for 5 years. Having knowledge on Payer claim adjudication, Claim Entry, Provider Maintenance.

Overview

5
5
Languages
2
2
Certifications
14
14
years of professional experience

Work History

Process and Communication Training Analyst

NTT DATA Services Inc.
Coimbatore, Tamil Nadu
02.2016 - 09.2019

Process and Communication Training Senior Analyst

NTT DATA Services
Coimbatore, Tamil Nadu
09.2019 - Current

NTT DATA Information Processing Services Private Limited Responsibilities

  • Create and conduct US Healthcare basics and revenue cycle management training programs for new hires joining the US Healthcare teams.
  • Payer - Claims Adjudication, Member Enrolment, provider maintenance processes.
  • Provider - Demo entry, Charge entry, Payments posting, Denial management processes.
  • Being an Subject Matter Expert, act as a training consultant for the US Healthcare teams on the training requirements.
  • Conduct audience analysis and create scope document for every process in respective service line.
  • Conduct training process awareness sessions as part of Training Champion meetings and Training Champion Orientation sessions.
  • Support Trainers and Training Champions in reviewing/building content, manuals, question banks and job aids for all processes/training programs as per the standards.
  • Collaborate with quality team and management across site to identify operational deficiencies and develop Lean, solution oriented, measurable training.

eLearning Support:

  • Identify processes for blended learning model implementation and work in liaison with Instructional Designers to create course blueprint for the teams/processes identified.
  • Collaborate with Instructional Designers to create storyboard for the design and create training modules for e-learning Implement the blended learning roadmap model as per project plan and monitor the adherence to process and other requirements post implementation.

Knowledge Management:

  • Support organization wide training & KM initiatives and cascade & promote them in respective vertical/teams.
  • Contributed and conducted knowledge management initiatives like,
  • KPL (Knowledge Premier League)
  • Master Minds
  • K-Streets
  • Knowledge Superstars
  • Quarterly Recognition Program for Training Champions
  • Participate in knowledge sharing physical forum - K-Gain
  • Introduced the TC metrics model to monitor to training process adherence within the operations teams.
  • Conducted the TACM (Task Analysis and Competency Mapping) exercise for payer teams which helped the organizations in identifying the different roles within the team.

Audit:

  • Conduct audits on training process adherence in respective service line.
  • Part of the ISO, QMS & ISMS audit Adhere to QMS, ISMS & HIPAA requirements from a training standpoint.

Key accomplishment:

  • Highly proficient at building and maintaining fruitful, beneficial relationships horizontally and vertically across organization.
  • Delivered dynamic training sessions (process training, refresher training, on demand trainings etc.) across the enterprise to a diverse learning audience.
  • Successfully managed multiple, high priority projects with competing deadlines.
  • Standardized and organized training modules, digital folder structure (SharePoint) and naming conventions across Global Shared Services Training.
  • Identified and assessed training needs to determine gaps for further improvement on training materials and curriculum to better increase process knowledge and capabilities.

Senior Claim Processing Executive

Hinduja Global Solutions Bangalore
Bengaluru, Karnataka
05.2006 - 04.2015
  • Responsibilities.
  • Assist on production planning.
  • Conducting refresher training for respective team members.
  • Participating in the conference calls when required by counterpart for an online training.
  • Maintain the Quality above the K.P.M levels.
  • Educating the team by conducting KMT(Knowledge Management Team) updates on subject matter on weekly basis.
  • Meeting the assigned targets & Quality standards.
  • Quality Representative of the team.
  • Regular mentoring, motivating and unraveling the process ambiguities to make-work easy and bring about a marked improvement in productivity.
  • Coordinate and work with the operations in identifying the root cause for better performance.
  • Creation of power tools/macros to simplify the regular processing.
  • Capacity Planning & Forecasting.
  • Monitoring Production & Quality reports.
  • Coordinating with the Claim Processors in fixing the issues reported by the clients.
  • Handling complex and high $ claims which as the payment above $10K.
  • Data Collection of the errors committed by the examiners and present with the management.
  • Participate in conference calls on subject related issues Identifying examiners with weak skill set and function as mentors Trainer Training the new hire batches on the USHC foundation training Preparing the audit report and discussing the same with Learning and developing department.
  • Planning and executing the training class on daily basis.
  • Preparing the training material for training.
  • Review of audit report, attendance and trainee's feedback in the monthly meetings.
  • Preparing the PPT presentations for training purpose and for the monthly meetings.

Achievements:

  • Recipient of 7 Top Gun Award (This category of awards based on the highest production with 100% quality in all the parameters & avoiding absenteeism) during 2008 -2009.
  • Recipient of Quality Award (Monthly & Quarterly) from the Client for maintaining 100% quality.
  • Workaholic and Busy BEE award.
  • Business Travel o MANILA, PHILLIPINES, HGS as a trainer in the year 2014.
  • Role of process trainer in Manila.
  • Calling team in Manila had challenges in addressing the provider query on claim payment without the knowledge of how the claim was paid.
  • To address the challenge, based on the team requirement worked on the training material and provided the training on the claim processing to the calling team member.
  • Trained the team leads, SME's and associates with process training.
  • Assisted the associates in handling the claim scenarios over a call.

Education

Bachelor of Science - Computer ScienceLanguage

Sahyadri Science college

Skills

Drive training and development plans for organization

Excellent communication and presentation skill

Ability to solve problems and identify opportunities

Ability to work on and prioritize multiple projects

Strong data analysis skills

Advanced knowledge of MS Word, PowerPoint and Excel

Knowledge of SharePoint, Trained in Adobe Captivate tool

Completed the yellow belt Six-Sigma training

Certification

AHM 250 (PAHM)

Timeline

AHM 250 (PAHM)

02-2021

Process and Communication Training Senior Analyst

NTT DATA Services
09.2019 - Current

Process and Communication Training Analyst

NTT DATA Services Inc.
02.2016 - 09.2019

Senior Claim Processing Executive

Hinduja Global Solutions Bangalore
05.2006 - 04.2015

Bachelor of Science - Computer ScienceLanguage

Sahyadri Science college

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Sowmya CGProcess And Comm Training Senior Analyst