Venkatesh K
Bangalore
Summary
Pursuing a challenging role in a professional setting to leverage skill and experience for company success
Overview
7
7
years of professional experience
Work History
Sagility India Pvt Ltd
Bangalore
01.2019 - Current
- Met Month-End Reporting Objectives and Deadlines.
- Identified modifications to processes and procedures that would promote better efficiency.
- Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.
- Supervised a team of process associates to enhance accountability, develop professional skills, and improve efficiency.
- Good understanding of the health insurance business.
- Hands-on experience, trained and certified by the training team.
- Performed research and facilitated the processing of claims payments.
- Adjudication of Various Medical and Non-Medical Provider Claims and Update on CMS.
- Good knowledge in CPT codes, HCPCS codes, ICD-9, and ICD-10.
- 2-Time 'Top Gun' (Best Performer) Awarded for the Highest Production with 100% Quality.
- Good training facilitator for new hires and certified trainer from the Global Business Learning team.
- About 4 batches have trained with a headcount of 20.
- Additional responsibility taken from management. Develop and monitor performance metrics (SLAs, quality, productivity, TAT).
- Act as a subject matter expert (SME) for clients and internal stakeholders on claims adjudication policies, procedures, and systems.
Education
Vivekananda Degree College - Accounting and Business Management
Vivekananda Degree College
08.2019
Skills
- Operational oversight
- Positive attitude
- Healthcare system knowledge
- Data analytics
- Training facilitation
Accomplishments
- 2-time 'Top Gun' (best performer) awarded for the highest production with 100% quality
- Good training facilitator for new hires and certified trainer from the Global Business Learning team
- About four batches have trained with a headcount of 20
- Additional responsibility taken from managements
Disclaimer
I hereby declare that the above mentioned information is true and best of my knowledge.
Timeline
Sagility India Pvt Ltd
01.2019 - Current
Vivekananda Degree College - Accounting and Business Management
Vivekananda Degree College