Supervisor - Quality Assurance

India

5 years experience

Birthday:

Nationality:
Indian

37721218

University education

Timeframe
Degree / faculty / university
Study areas

2009-062011-08

completed

Master of Science (MSc)
Biotechnology (post-graduate)

, India

  • Document_Study_011.pdf

2005-062008-05

completed

Bachelor of Science
Biology

, India
  • Major: Chemistry, Zoology and Botany

Biological Sciences, Genetics, Chemistry, Zoology and Botany

  • Document_Study_021.pdf

Professional experience

Timeframe
Occupation / company
Tasks

2017-03Till now

Quality Supervisor

, India
References are available upon request

Appointed as an Auditor, auditing Client's work, particular emphasis on revenue generation. Client interactions / calls, team meetings, team handling experience of 20+ QAs, leave management, taking care of SLA & KRA, briefing updates, updating daily QAT & DPT, Working on DPO and DPU. Extracting, preparing reports from client's software, allocating them, Preparing Dashboard weekly, monthly, analysis of quality percentage & error type, error percentage & preparing Error Pareto, Bottom Quartile Management. Biller wise root cause analysis, feedback & coaching.

  • Document_Experience_011.pdf

2015-072017-01

Billing Specialist (Revenue Cycle Management- Account Receivable)

, India

My responsibilities included follow-up on pending account receivable, working on all types of denial insurance claims, calling across USA to the insurance companies. Learnt front office, mid office, and back office workflow which includes, preparation of patient's demographic information, content editing, preparing content for client and co-coordinating with them, checking benefits & eligibility, encounter, progress notes, ready to bill process converting front, mid & back office process into a standard CMS 1500 claim form.

  • Document_Experience_021.pdf

2015-012015-07

Senior Analyst (Revenue Cycle Management- Account Receivable)

, India

Worked on all types of denials and was working toward resolution for provider getting paid. Worked for more than 500 in-network providers (MD Anesthesiologists) aligned to Valley which is in-network with thousands of insurance companies. Contacting insurance companies across USA, making them to process or reprocess claims & payment.

  • Document_Experience_031.pdf

2013-102014-12

Senior-Customer Service Executive

, India

Coram home infusion services. Job profile, contacting insurance companies across the USA regarding claims of patients and getting the current status, follow-up on denial claims for getting them resolved, for payment and updating status into client software.

  • Document_Experience_041.pdf

Language ability

Language
Level
Exam / certificate
English
Mother tongue

Hindi
Good negotiation skills (C2)

Other skills

Key professional skills
Driver licenses
Interests, hobbies, personal

Inventory planning, allocation management among auditors, operations and oversight experience with 05 years’ in progressive roles. Excellent verbal and interpersonal skills, refined relationship building skills, working collaboratively with clients.
Revenue generation. Client interactions / calls, team meetings, team handling experience of 20+ QAs, leave management, taking care of SLA & KRA, briefing updates, updating daily QAT & DPT, Working on DPO and DPU. Extracting, preparing reports from client's software, allocating them, Preparing Dashboard weekly, monthly, analysis of quality percentage & error type, error percentage & preparing Error Pareto, Bottom Quartile Management. Biller wise root cause analysis, feedback & coaching. Excellent in MS-Office, MS-Excel (Vlookup, Pivot, Graphs, Error Pareto) Dashboards, Bottom Quartile Management, Reports preparation (daily, weekly, monthly etc.) Management, Presentation, Excellent communication (verbal & written), interpersonal skill, communication skills in a pleasant assertive manner, good at problem-solving, critical analysis skills; Database Management Skill etc.

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