Swathi Karuppaiya
Summary
Results-driven Quality Control Analyst with a proven track record at Omega Healthcare, specializing in error rate reduction and quality management systems. Adept at team training and support also implemented strategies that significantly improved claim approval rates while fostering effective communication and collaboration across departments.
Overview
4
4
years of professional experience
Work History
Quality Control Analyst
Omega Healthcare
10.2023 - Current
- Conduct regular audits of medical billing data using GFS to identify billing errors and reduce denial rates.
- Conducted root cause analysis for recurring issues, developing long-term solutions to prevent recurrence.
- Provided training to new hires on quality control procedures, fostering a culture of excellence within the team.
- Contributed to process improvement that resulted n higher claim approval rates
- Worked collaboratively with QA and AR team to resolve billing issues efficiently.
Senior Specialist
Business Integrity Services
08.2022 - 10.2023
- Communicated with patients to create manageable payment plans and negotiate payment arrangements
- Identified areas in need of critical improvement and implemented strategies to achieve targets.
- Managed complex projects from inception to completion, ensuring timely delivery and client satisfaction.
- Utilized billing software and other relevant resources to track claim statuses
Associate
AGS Healthcare
04.2021 - 08.2022
- Contacted insurances to collect outstanding pays and resolving billing discrepancies.
- Worked on end-to-end process and maintained detailed records of claim statuses reports and tracking.
- Handled high volumes of incoming work requests professionally while maintaining excellent organization.
Education
B.COM - Information Systems Management
JBAS College For Women
Chennai, India04-2021
Skills
- Corrective actions
- Quality management systems
- Team Management
- Effective-Communication
- Adaptability
- Problem-solving
- Error rate reduction
- Team training and support
- Claims analysis & reconciliation
Languages
English
Advanced (C1)
Tamil
Bilingual or Proficient (C2)
Timeline
Quality Control Analyst
Omega Healthcare
10.2023 - Current
Senior Specialist
Business Integrity Services
08.2022 - 10.2023
Associate
AGS Healthcare
04.2021 - 08.2022
B.COM - Information Systems Management
JBAS College For Women
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