Vikash Kumar
Working in US Healthcare as a Team Leader
Ghaziabad
Summary
I would like to achieve my career goals with such an organization where I could enhance my skills that could provide me a scorching pace to my career with ample opportunities. I have worked on Multiple Software's Like - Aprima, EIQ, Epic, Star, SSI, Cerner and Facet etc.
Overview
13
13
years of professional experience
2
2
Languages
Work History
Team Leader
GetixHealth
03.2025 - Current
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
- Provided ongoing support to direct reports, addressing concerns or questions promptly so they could remain focused on their tasks.
- Maintained an inclusive and diverse team culture, promoting respect and understanding among all members.
- Streamlined workflows for increased efficiency, reducing turnaround times for critical tasks.
- Coordinated resources effectively to meet project deadlines and achieve desired results.
- Established clear communication channels to facilitate timely exchange of information between team members and stakeholders.
- Promoted culture of continuous improvement by encouraging feedback from all organizational levels and implementing actionable changes.
- Assisted in recruitment to build team of top performers.
- Facilitated decision-making processes within group through open dialogue and consensus-building techniques.
Team Leader
Pacific Access Healthcare India Pvt. Ltd.
12.2022 - 01.2025
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
- Mentored junior staff members, helping them develop their leadership potential and advance in their careers.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Evaluated team member performance against established objectives during regular reviews, offering praise for achievements or identifying areas requiring further development.
Subject Matter Expert
Coronis IT Systems India Pvt. Ltd
07.2022 - 12.2022
- Mentored junior team members, contributing to their professional growth and development.
- Enhanced team performance by providing expert guidance on critical projects and strategic initiatives.
- Timely follow-up (by calling or mailing) with the insurance on denied claims for the patients.
- Worked on credentialing, authorizations, claim adjudication, EDI rejections, payment posting, appeals, and sending letters to the patients to get the COB (worked on the end-to-end process) updated, or if the other information is required by the insurance to make the payment on the claims. Aging-wise claims (allocation/inventory) distribution to the team and follow-up with them to finish those claims timely.
- Multitasking abilities, planning, and implementations on new projects.
- Help support the team to meet their KRAs (Quality and Production), compile the production, conduct an internal audit of the team’s production, and provide them with feedback on their work.
- Clear the team's doubts by taking daily hurdles at the beginning of the shift, and help them achieve the daily team target.
Senior Account Receivable
EMDs India Pvt. Ltd. (Formerly MD Everywhere India Pvt. Ltd.)
06.2019 - 07.2022
- Timely follow-up (by calling or mailing) with the insurance on denied claims for the patients.
- Review the accounts and analyze the denials and rejections by reviewing the patient's accounts.
- Sending appeals to the insurance company and following up on the received dispute letters from the insurance.
- Worked on credentialing, authorizations, claim adjudication, EDI rejections, payment posting, appeals, and sending letters to the patients to get the COB. (Worked on the end-to-end process) updated, or if other information is required for the insurance to make the payment on the claims.
Senior Account Receivable
Genus Healthcare Solutions India Pvt. Ltd.
11.2017 - 05.2019
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Timely follow-up (by calling or mailing) with the insurance on denied claims for the patients.
- Review the accounts and analyze the denials and rejections by reviewing the patient's accounts.
- Sending appeals to the insurance and follow-ups on the received dispute letters from the insurance.
- Worked on credentialing, authorizations, claim adjudication, EDI rejections, payment posting, appeals, and sending letters to the patients to get the COB (worked on the end-to-end process) updated, or if other information is required from the insurance to make the payment on the claims.
Account Receivable
MD Everywhere India Pvt. Ltd
04.2016 - 10.2017
- Self-motivated, with a strong sense of personal responsibility.
- Excellent communication skills, both verbal and written.
- Proven ability to learn quickly and adapt to new situations.
- Skilled at working independently and collaboratively in a team environment.
- Timely follow-up (by calling or mailing) with the insurance on denied claims for the patients.
- Review the accounts, and analyze the denials and rejections by reviewing the patient's accounts.
- Sending appeals to the insurance company and following up on the received dispute letters from the insurance.
- Worked on credentialing, authorizations, claim adjudication, EDI rejections, payment posting, appeals, and sending letters to the patients to get the COB (worked on the end-to-end process) updated, or if other information is required from the insurance to make the payment on the claims.
Escalations Complaints Specialist
Zeta Soft Technologies Private Limited
04.2012 - 10.2015
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Followed all company policies and procedures to deliver quality work.
- Led quality assurance efforts, maintaining high standards for all products and services.
Education
BBA - Business Administration And Management
Swami Vivekanand Subharti Universityq
Meerut, India 04.2001 -
Skills
- Proficient in managing tight deadlines
Problem-solving
Quality improvement
Teamwork and collaboration
Documentation and reporting
People management
Client service
Interests
Listening to Slow Music
Reading Books
Personal Information
Nationality: Indian
Timeline
Team Leader
GetixHealth
03.2025 - Current
Team Leader
Pacific Access Healthcare India Pvt. Ltd.
12.2022 - 01.2025
Subject Matter Expert
Coronis IT Systems India Pvt. Ltd
07.2022 - 12.2022
Senior Account Receivable
EMDs India Pvt. Ltd. (Formerly MD Everywhere India Pvt. Ltd.)
06.2019 - 07.2022
Senior Account Receivable
Genus Healthcare Solutions India Pvt. Ltd.
11.2017 - 05.2019
Account Receivable
MD Everywhere India Pvt. Ltd
04.2016 - 10.2017
Escalations Complaints Specialist
Zeta Soft Technologies Private Limited
04.2012 - 10.2015
BBA - Business Administration And Management
Swami Vivekanand Subharti Universityq
04.2001 -
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