Uma Manikanta Sairam K
Hyderabad
Summary
- Resourceful professional in management operations known for high productivity and efficient task completion. Possess specialized skills in strategic planning, team leadership, and operational improvement. Excel in communication, problem-solving, and adaptability, ensuring seamless execution of business strategies and enhancement of team performance.
- Responsive and resourceful professional knowledgeable about maintaining schedules, coordinating inventory and promoting financial sustainability. Good sales planning, service management and motivational skills. Skillfully recognize areas of weakness and implement corrective actions to maintain operations alignment with strategic goals.
- Results-driven Operations Manager with a strong background in strategic planning, team management, and project execution. Skilled in driving operational efficiency while maintaining high-quality standards. Proven ability to lead teams towards meeting organizational goals and known for problem-solving skills that contribute to improved business processes. Balanced expertise in managing resources effectively, making data-driven decisions, and fostering collaborative work environments.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Associate Operations Manager
Tech Mahindra PVT LTD
Hyderabad
07.2023 - Current
- As an Associate Operations Manager, my major responsibility is on overall delivery and working with the Automation team, as well as development teams for cost-effectiveness projects.
- I am a certified SCRUM Master from Scrum Alliance and sometimes act as both product owner and SCRUM Master.
- I have worked on complete RCM projects, such as AR, charges, payment posting, pre-authorization, EVBV, and ROI teams as well.
- A couple of automation ideas were implemented; by doing this, FTE reduction happened, and costs to the business were saved.
- Making sure to follow a unique strategy throughout the process for better results.
- Handled a very large team of over 165 users and worked on multiple EMR and CRM systems. Example-EPIC AWS, All scripts, Nextgen, Salesforce, referral management.
Assistant Manager
Gebbs Healthcare PVT LTD
Hyderabad
06.2022 - 07.2023
- Leading the team based on best management practices for service delivery, and being responsible for the process implementation, capacity forecast, for operations delivery.
- Handling a team of technical resources for day-to-day activities, which includes escalations, business queries. Retrieving and analyzing information to identify root causes of performance gaps, and other agreed-upon quality deliverable areas.
- Focusing on reducing manual work and sincerely working with the MIS team to automate daily reports and productions for DTD and MTD through the Macro. Mentoring an employee to achieve assigned productivity and quality targets, and to work effectively with a cross-functional team. Handling the entire aspect of doubt clarification, instruction updates, mentoring, attrition control, and employee satisfaction.
- Responsible for maintaining the daily reports, incident logs, and shift planners for the team.
- Handling multiple projects with different specialties, with a headcount of 120+, is an added advantage that enhances the ability to deliver things on time.
- Handled the hospital billing team, reviewed over 90 inventory items, fixed process gaps, worked with team leads on daily work allocation, analyzed denial trends, and attended client calls, etc.
Team Manager
IKS PVT LTD
Hyderabad
02.2021 - 03.2022
- Delegated work to staff, setting priorities and goals.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved conflicts between team members in a timely manner to maintain harmony within the team.
- Conducted regular meetings with staff to discuss progress on projects, provide updates on changes in policy or procedure, and address any issues that need to be addressed.
- Coached team for success by using corrective action processes.
- Conducted regular performance evaluations, providing constructive feedback and personal development plans.
- Monitored payment trends and provided timely feedback to the accounting team.
- Prepared weekly AR aging report for management review along with necessary follow up action plans on overdue accounts.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Resolved customer inquiries in a timely manner by researching discrepancies and responding with accurate information.
Process Coach
Omega Healthcare PVT LTD
Bangalore
06.2017 - 02.2021
- Created presentations detailing process improvements that have been made throughout the organization.
- Mentored new team members in the use of established processes and procedures.
- Assessed training needs through surveys, interviews with employees or focus groups.
- Facilitated cross-functional workshops to identify opportunities for improving operational effectiveness.
- Reviewed and evaluated claims to determine if they meet the insurance criteria for reimbursement.
- Prepared and submitted appeal letters and necessary documentation to overturn unjustified denials.
- Communicated effectively with patients to explain reasons for denials and potential steps for resolution.
- Utilized medical billing software to track and manage denied claims efficiently.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Identified any discrepancies in patient information, provider information, or coding accuracy as part of the denial process.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Educated healthcare provider staff on best practices for coding and billing to minimize claim denials.
Senior AR Caller
Perfexion Information Technologies Pvt Ltd
Hyderabad
06.2013 - 06.2017
- Researched customer payment histories to identify trends or patterns that could lead to improved collection efforts.
- Wrote appeal letters to insurance companies for denial of claims.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Asked probing questions and offered solutions to resolve customer issues.
- Examined claims, records and procedures to grant approval of coverage.
- Verified patient eligibility for coverage prior to submitting claims for payment.
- Resolved billing discrepancies through research and analysis.
- Prepared reports to track aging of receivables and other metrics.
- Maintained accurate records of all transactions related to patient accounts including account adjustments, credit balance refunds.
- Ensured compliance with HIPAA regulations regarding the protection of confidential information.
- Reached out to responsible companies and individuals to collect on outstanding debts on claims.
Education
Btech-ECE - Electrical, Electronics And Communications Engineering
SANA Engineering College
Kodad06-2013
Skills
- Product Owner
- US Healthcare
- Revenue Cycle Management
- Medical billing
- Release of information
- Accounts receivable
- Auth Department
- EVBV
- Release of information
- Medical records project
- Data Scientist
- Certified Scrum Master
- CSPO Pursuing
Affiliations
Associate Manager having an experience of 11+ years in healthcare industry in ROI, Physician billing, Auth Department, Credentialing, EVBV Clinical documentation, Hospital Billing and worked as Product Owner combining strong interpersonal skills with business wisdom to positively contribute to organizations bottom line. Proven ability to lead seamless implementations and deliver technical solutions to improve practice revenue and workplace productivity. Possessing extensive knowledge of Managed Care, Medicare, and Medicaid industries with an understanding of importance under recent healthcare reform.
Develop comprehensive transition plans, including project schedules and resource allocation plans. Coordinate with different teams and departments to ensure the successful execution of transition plans. Identify potential risks and implement mitigation strategies. Monitor progress and make necessary adjustments to the transition plan as needed.
Certification
- Certified SCRUM Master
Timeline
Associate Operations Manager
Tech Mahindra PVT LTD
07.2023 - Current
Assistant Manager
Gebbs Healthcare PVT LTD
06.2022 - 07.2023
Team Manager
IKS PVT LTD
02.2021 - 03.2022
Process Coach
Omega Healthcare PVT LTD
06.2017 - 02.2021
Senior AR Caller
Perfexion Information Technologies Pvt Ltd
06.2013 - 06.2017
Btech-ECE - Electrical, Electronics And Communications Engineering
SANA Engineering College