SURESH P
Chennai- 600056
Summary
To obtain a challenging level assignment and responsibility,with growth oriented organization that will enable me to use my strong organization skills, knowledge, educational background and conscientiousness towards work
Overview
6
6
years of professional experience
Work History
Quality Control Analyst
Omega Healthcare Services Pvt Ltd
Chennai
12.2022 - Current
- Audits: Doing a regular audit based on the production volume with respect to sampling percentage to meet the daily target.
- Audit Feedback : Provide the proper feedback as per the priority as follows : Verbal, E.Mail, Acknowledgement tool.
- Report Generation : Preparing the daily/weekly quality reports such as ABCD report, Team SLA presentation, TLM & TNI report, Sampling planner , Client audits,etc..
- Client E.Mail: Responding the client emails and escalation emails on time manner and update in Escalation tracker.
- Regulatory Updates: Stay informed about changes in healthcare regulations and billing practices to ensure the organization remains compliant.
- Training and Support: Provide training and support to billing staff on quality standards, Client escalations and compliance issues.
Senior Executive AR
Omega Healthcare Services Pvt Ltd
Chennai
05.2021 - 11.2022
- Data Analysis: Analyze accounts receivable data to identify trends, patterns, and issues affecting cash flow and collection performance.
- Denial Analysis: Investigate and analyze claim denials and rejections, identifying root causes and implementing corrective actions to reduce future denials.
- Process Improvement: Identify inefficiencies in the AR process and recommend improvements to enhance collections, reduce delays, and streamline operations.
- Training: Provide training and support to AR staff on best practices, billing procedures, and system usage to enhance their effectiveness and accuracy.
Senior Executive AR
Global healthcare billing partners Private Limited
Chennai
02.2018 - 03.2021
- Denial Management: Review and address claim denials or rejections by gathering necessary documentation, correcting errors, and resubmitting claims as needed. Getting connect with payers via calls to get the claims resolved.
- Claim Follow-Up: Contact insurance companies to follow up on unpaid or denied claims, ensuring timely resolution of outstanding balances.
- Process Improvement: Identify opportunities to improve the accounts receivable process, enhance efficiency, and reduce the number of outstanding claims.
- Compliance: Ensure that all collection activities comply with relevant regulations, such as HIPAA, and adhere to the organization’s policies and procedures.
Education
BE. Mechanical Engineering - Engineering
Bharath Niketan Engineering College
THENI06-2016
High School Diploma -
Nadar Saraswathi Boys Higher Secondary School
04-2012
Skills
- Problem-Solving Skills
- Compliance Regulations
- Technical Proficiency
- Quality Assurance Techniques
- Denial management
- Revenue cycle management
- Microsoft Office
- EMail Client:
Outlook Express, Live-mail, Web-mail,Ms-
OutlookO365 - Typing skill: 30 WPM
Accomplishments
- Successfully contribute in the development of "ECS Project"
- Successfully contribute in the "Project Automation process" to reduce the manpower and cost.
- Successfully contribute in the "RuBAT implementation" in terms of capturing error's prior to manual audit.
- Successfully contribute in the development of "ARISE tool" to ensure that all the billing staff working properly with respect to the denials and SOP.
Languages
Tamil
First Language
English
Advanced (C1)
C1
Hindi
Intermediate (B1)
B1
Telugu
Advanced (C1)
C1
Personal Details
Current Address
Flat F1 Block A
10/229 Iyyapan kovil street,
Arunachala apartments, Periyakolathuvanchery
Chennai-600122
Phone : 8667487606
Date of Birth: 13-12-1994
Timeline
Quality Control Analyst
Omega Healthcare Services Pvt Ltd
12.2022 - Current
Senior Executive AR
Omega Healthcare Services Pvt Ltd
05.2021 - 11.2022
Senior Executive AR
Global healthcare billing partners Private Limited
02.2018 - 03.2021
BE. Mechanical Engineering - Engineering
Bharath Niketan Engineering College
High School Diploma -
Nadar Saraswathi Boys Higher Secondary School
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