Business Owner - Self-Employed
(2018)
Committed and motivated Business Owner with almost a year's of experience in coffee beans and identifying affordable sources of material and labor. Knowledgeable about the fundamental coffee related principles, customer service, project management and leadership.
Assistant Manager QA - AdvantEdge Pvt Ltd
(2013-10 - 2017-05)
Handling Quality team of 18 members with 13+ years of experience in Healthcare industry.
- Generating reports for clients for various requirements
- Creating Matrics for Production/Quality/TAT for performance appraisals
- Preparation of Daily, Weekly & Monthly reports including Invoice
- Preparing daily workloads for staff & coordinating the daily allocation of work
- Monitoring & reporting on Client SLA & performance targets. Focusing on targets & achievements
- Having weekly and monthly account review meeting with management on each project
- Monitoring team and helping them to achieve daily targets ensure to complete with given TAT
- Monitoring Internal Audit team and having weekly review meetings with audit team and production team
- Providing prompt and accurate feedback on individual performance after individual analysis
- Recognizing team and team members accomplishments and exceptional performance
- Effective utilization of resources
- Involved in the recruitment of new staff (Fresher/Experienced)
- Regular online meetings with client to discuss on the process improvements/issues/ or any other concerns
- Monthly refresher training sessions for the team about the process
- Transition of Pilot projects, Training and Mentoring new resources and Juniors
Quality Control Executive (QA) (Sr) & Team Leader - CBAY Systems
(2009-08 - 2013-02)
Worked for 3 years 6 months handling CA & NH clients.
- Eligibility Verification, Patient registration/Demo entry, Charge entry, Payment posting, Claims Transmission/Submission, Rejections, Release of Information (ROI)
- Completion of given task with in TAT
- Working on Exception for Both Charges and Payments
- Internal and External Audit
- Closing and updating the files. Preparation of Validation report and fixing the errors
- Insurance Claim submission
- Working on Clearinghouse Rejections
- Preparation of Daily and Weekly reports for Charges and payments
- Preparation of Quality reports on Weekly and Monthly basis
- Preparation of Patient Statements on weekly basis
- Preparing daily workloads for staff & coordinating the daily allocation of work
- Providing proper guidance and motivating team to achieve high standards and targets
- Mentoring and training up junior and new staff
- Monitoring & reporting on Client SLA & performance targets. Focusing on targets & achievements
- Providing prompt and accurate feedback on individual performance after individual analysis
- Client Coordination - Weekly call with the client to resolve the issues
- Weekly training sessions for the team about the process
- Working on billing record process (Release of Information) as per HIPAA guidelines - Faxing Billing records (Health information) to Attorney offices as per their requests
- Working on Correspondence which includes Death certificates, Proof of payments, Charity adjustments & Bankruptcy
Quality controller - Focus Telecall (P) Ltd
(2007-08 - 2009-02)
Worked for 1 year 6 months handling Massachusetts clients.
- Intensive skill in charge posting audit
- Gained knowledge regarding rules & regulations of insurances through charge posting & cash posting for almost all Federal and private insurance. Also worked for the Audit Team to ensure the Quality
Claim Processing Executive (Sr), Group Leader & Quality Control Executive (QA) (Sr) & Team leader - Boavista Business Solutions
(2003-06 - 2006-08)
Worked for 3 years 2 months handling Florida Clients. Experience in various Departments as Claim Processing Executive (Sr), Group Leader as well as Quality Control Executive (QA) (Sr) & Team leader (Qc).
- Posting the charges and payments for all major carriers
- Worked under the Quality Control Team to ensure the Quality
