Bharath D

US Healthcare professional with 4 years of experience specializing in Provider Enrollment, Member Enrollment, Billing Operations, and Operations SME functions. Experienced in enrollment processing, eligibility validation, enrollment maintenance, production queue management, workload allocation, quality monitoring, and SLA adherence. Skilled in handling complex cases, providing process guidance to team members, coordinating with internal teams, and preparing daily operational reports for clients.

Operations SME – Enrollment Billing at Firstsource Solutions Pvt Ltd (2026-01 – Present)

• Demonstrate strong knowledge of member enrollment and disenrollment processes and provide process guidance to team members.
• Auditing the claims and process for new joiners
• Handle complex enrollment cases and provide appropriate guidance to team members for resolution.
• Provide guidance on business rules, standard operating procedures, and process requirements to team members.
• Investigate errors and coordinate with other teams
• Train new employees on enrollment procedures
• Act as the connection between operations and IT Team
• Monitor daily team attendance and maintain workforce tracking records.
• Allocate daily workloads among team members, track completion, consolidate operational deliverables, and provide end-of-day status reports to the client.

Senior CSA- Enrollment Billing at Firstsource Solutions Pvt Ltd (2022-09 – 2025-12)

• Processed individual member enrollments in the system by validating eligibility criteria and following established policies and procedures.
• Supported high-volume member enrollment activities during the annual Open Enrollment (OE) period.
• Processed enrollment maintenance requests including demographic updates, plan changes, financial updates, New born additions and dependent additions/terminations, Auto withdrawal Setup (AWD).
• Validated successful enrollment completion and ensured appropriate triggering of member ID cards.
• Supported provider and member enrollment processes by validating required information and ensuring data accuracy.
• Coordinated with providers, members, and internal teams to resolve eligibility, claims, and enrollment related queries.

Bachelor of Computer Applications (BCA) – University of Madras (2025)

Diploma in Computer Engineering (DCE) – IRT Polytechnic College (2022)