Surinder Pal Singh
Delhi
Summary
Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
SR. Claims Representive
Optum
04.2020 - Current
- Acting as a Subject Matter Expert for the past two years, I have been providing comprehensive support to both management and colleagues, assisting in the development of daily playbooks as well as preparing weekly and monthly presentations.
- Delivering training on Revenue Cycle Management (RCM), terminology glossaries, denial management, and updates specific to processes for new cohorts, while assisting them in successfully completing their On-the-Job Training (OGT).
- Developing training programs and resources for employees to facilitate the evaluation of their effectiveness, while also assessing their training requirements.
- Allocating inventory to team members and executing manual printing tasks for our onshore partners. Additionally, responsible for updating the SOP on a daily basis and convening meetings with team members promptly upon the arrival of new updates.
- Conducting daily audits of team members and publish their quality reports, in addition to facilitating weekly sessions utilizing Pareto charts to gain a clearer understanding of the action plan and underlying challenges.
- Maintaining vigilant oversight on over 360 aging cases and addressing them on a daily basis to ensure a tidy inventory.
- Improved overall productivity with effective communication between team members and other departments.
- Assisted colleagues with challenging cases, sharing expertise to reach successful outcomes for all parties involved.
- Managed a high volume of claims, ensuring prompt attention to each case.
- Maintains the configuration management data base, recommend agendas for working group meetings and conferences
- Continuously improved personal knowledge of industry trends and developments through ongoing training initiatives, enhancing job performance capabilities.
- Working on client escalations in a provided TAT.
- Developed strong relationships with clients, fostering trust and loyalty to the company.
SME
WENOUR ENTERPRISES
07.2018 - 03.2020
- Improves and develop the process and working methods
- Ability to take accountability for project deliverables
- Strong analytical skill and Participates in all level of meeting to provide SME validation and recommendations for correction or improvement
- Maintains the configuration management data base, recommend agendas for working group meetings and conferences
- Managing work flow, Doing Internal Audit for the team
- Working on client escalations in a provided TAT.
- Developed engaging curriculum for diverse learners, adapting materials to meet individual needs.
- Promoted critical thinking by designing challenging assignments that required students to analyze and synthesize information.
- Improved communication skills among students through regular group projects and presentations.
- Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features.
- Collaborated with management to identify and prioritize new development concepts.
AR EXECUTIVE
MDEVERYWHERE
07.2015 - 08.2016
- Monitoring the Claims Payments & Retrieving Follow-up in case of Denials
- Eligibility Verification for the patient's insurances
- Working end to end claim denials, preparing appeals
- Providing the best of process excellence knowledge to the team managers.
AR EXECUTIVE
E4E
- 4 2015
- Analyzing and processing the claim invoices to the Insurance Companies
- Monitoring the Claims Payments & Retrieving Follow-up in case of Denials.
Education
10TH -
GHPS NANAK PIAO CBSE DELHI
12TH - undefined
GHPS NANAK PIAO CBSE DELHI
Bachelors of Commerce -
CHAUDHARY CHARAN SINGH UNIVERSITY, FORMERLY MEERUT UNIVERSITY
Skills
Medical Billing: Physician
Expertise in subject matter
Training and mentoring
Audit reporting
Effective Communication
Strong analytical skills
Professionalism
Problem-solving abilities
Analytical Thinking
Attention to Detail
Process Analysis
Project Planning
Personal Information
- Father's Name: Late Bhuphinder Singh
- Date of Birth: 11/03/95
- Nationality: Indian
- Marital Status: Single
Domain Knowledge
- Claim Analysis
- Claim Processing
- Working on electronically rejected claims that come out of the automated billing system and on denials to increase the clean claim rate
- Proficiency in Charge Entry, Revenue Cycle Management as a whole
- Deft in handling the entire gamut of tasks in Claim Processing, Claim Submission
- Improve and develop the process, working methods and tools
- Possess excellent interpersonal, communication and analytical skills with demonstrated abilities
Software Knowledge
- Kareo
- Medical Manager
- M Plus (+)
- E-clinical Works
- Epic
- Care Cloud 2
- Athena IDX
Languages
English
Hindi
Punjabi
Disclaimer
I hereby declare that all the information stated above is true to the best of my knowledge and belief till date.
Timeline
SR. Claims Representive
Optum
04.2020 - Current
SME
WENOUR ENTERPRISES
07.2018 - 03.2020
AR EXECUTIVE
MDEVERYWHERE
07.2015 - 08.2016
AR EXECUTIVE
E4E
- 4 2015
10TH -
GHPS NANAK PIAO CBSE DELHI
12TH - undefined
GHPS NANAK PIAO CBSE DELHI
Bachelors of Commerce -
CHAUDHARY CHARAN SINGH UNIVERSITY, FORMERLY MEERUT UNIVERSITY
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