I-Emphysis, CPR, Nextgen, eCW, Advanced MD, Kareo
Sudhir Kumar
Medical Billing
WZ-3/A, Palam Village, New Delhi
Summary
Versatile Senior Manager specializing in people management and skilled at planning, implementing and overseeing key improvements to drive business growth and efficiency. History of cultivating an open culture with free exchange of information. Pursuing new professional challenges with a growth-oriented company.
Adept at managing teams of 68 employees with 7 direct reports to accomplish challenging objectives. Imparts clear vision to guide cohesive, high-performing teams.
Overview
13
13
years of professional experience
2
2
years of post-secondary education
Work History
Senior Manager
Helionext
Gurgaon
04.2022 - Current
- Taking care of the Transiting for the new Clients.
- Conducted performance evaluations, compensations and hiring to maintain appropriate staffing requirements.
- Produced staffing matrix to provide adequate coverage of department.
- Preparing & Presenting Weekly/Monthly Dashboards for the clients.
- Analyze the performance and progress of all the clients and implement the required changes for the improvement.
- Maintaining client SLA and TAT.
- Meeting client and organization objectives by prioritization, planning and execution of work at team level.
- Devising and Setting up of Rewards and Recognition program for various process functions.
- Assessing performance and prepare monthly incentive data for team members.
- Preparing Monthly Billing for all the clients.
- Conducting yearly performance appraisals of the team members.
- Helping development team to develop the Dashboards on PowerBI for different clients.
Manager of Operations
Helionext
Gurgaon
04.2021 - 03.2022
- Preparing & Presenting Weekly/Monthly Dashboards for the clients.
- Analyze the performance and progress of all the clients and implement the required changes for the improvement.
- Maintaining client SLA and TAT.
- Taking care of Client Credentialing for Availity, Medicare & Medicaid.
- Meeting client and organization objectives by prioritization, planning and execution of work at team level.
- Devising and Setting up of Rewards and Recognition program for various process functions.
- Assessing performance and prepare monthly incentive data for team members.
- Preparing Monthly Billing for all the clients.
- Conducting yearly performance appraisals of the team members.
- Performing final level screening of candidate for recruitment.
- Helping development team to develop the Dashboards on PowerBI for different clients.
Assistant Manager
Avantha Technologies Limited (Formally Known as Helionext)
Gurgaon
04.2018 - 03.2021
- Leading and Managing regular activities for the processes.
- Daily, Weekly & Monthly interaction with client.
- Maintaining client SLA and TAT.
- Daily work reporting to client and internal performance reporting of team to managers.
- Meeting client and organization objectives by prioritization, planning and execution of work at team level.
- Analyze causes of variation in the process workflow and take and implement appropriate improvement actions.
- Provide subject matter expertise on processes to team by continuously reviewing and redefining processes to increase quality levels.
- Escalate client and agent related problems to appropriate management level.
- People Management by motivation, constant feedback, sharing updates and individual counseling.
- Devising and Setting up of Rewards and Recognition program for various process functions.
- Observing and Monitoring individual working methodology to find and share best practices.
- Assessing performance and prepare monthly incentive data for team members.
- Conducting yearly performance appraisals of the team members.
- Performing final level screening of candidate for recruitment.
Team Leader
Avantha Technologies Limited (Formally Known as Helionext)
Gurgaon
04.2014 - 03.2018
- Ensuring that staff is motivated, monitored and measured in line with company targets and performance standards.
- Responsible for making sure that any gaps in performance or quality are quickly identified and addressed.
- Producing accurate reports on team performance for managers.
- Handling the team of 35 FTEs for Eligibility re-verification, Adjustment Write Off, Pump Invoicing and AR Follow up.
- Work Allocation to the team members.
- Client interaction on a daily and weekly basis via emails.
- Initiating/Implementing process improvement plans.
- Hiring the right resources for the process.
- Sending MIS to the higher management including dashboards, team performance, audit reports, volume summaries, incentives and reward & recognition nominations on monthly basis.
- Responsible for managing the attrition levels within the specified limits.
- Leading and developing team by conducting regular performance, evaluation and measurement of team members including attending to growth and development needs of the team member.
- Taking monthly One-O-One session with the team members to know the issues and provide the feedback on their areas of improvement.
- Quality Audit of the work done by the team member on the daily basis.
Process Developer
Avantha Technologies Limited (Formally Known as Helionext)
Gurgaon
04.2013 - 03.2014
- Responsible for working as an active team member which includes achieving individual target with efficiency and accuracy
- Responsible for creation & maintenance of all MIS & MTD for Eligibility Re-Verification along with the quality checking of the work done by the team.
Process Associate
Salient Business Solutions (Formally known as Helionext)
Gurgaon
01.2010 - 03.2013
- Responsible for creation & maintenance of all MIS & MTD for Eligibility Re-Verification along with the quality checking of the work done by the team
- Verifying the Eligibility information for the patient’s insurances via Call and Web.
- Responsible for creation & maintenance of AHT & Quality analysis reports.
- Escalating the complaints to the higher management if they were not rectified on time.
- Taking the complaints for Crompton Greaves products.
Education
Master of Arts - English
Swami Vivekanand Subharti University
Meerut,India 08.2018 - 10.2020
Skills
Accounts Receivable/Eligibility Verification/Authorization
About me
Senior Manager seeking roles in Accounts Receivable, Eligibility Verification, Authorization, Payment Posting, MIS Reporting, Dashboarding, Data
analysis, Credentialing & Transitioning.
Software
Accomplishments
- Promoted as Senior Manager within the one year after Manager.
- Promoted as Team Leader within the one year after Process developer.
- Received “Star of the month” in R&R for 18 months at Salient while working as Process associate & Process Developer.
- Daily, Weekly and Monthly MIS responsibility given within the 6 months of Joining.
Timeline
Senior Manager
Helionext
04.2022 - Current
Manager of Operations
Helionext
04.2021 - 03.2022
Master of Arts - English
Swami Vivekanand Subharti University
08.2018 - 10.2020
Assistant Manager
Avantha Technologies Limited (Formally Known as Helionext)
04.2018 - 03.2021
Team Leader
Avantha Technologies Limited (Formally Known as Helionext)
04.2014 - 03.2018
Process Developer
Avantha Technologies Limited (Formally Known as Helionext)
04.2013 - 03.2014
Process Associate
Salient Business Solutions (Formally known as Helionext)
01.2010 - 03.2013
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