Ravi Kumar Mn

To establish myself in the BPO industry as an honest, hardworking and productive. I am a self-motivated and willing to take up a challenging position in a reputed organization. To be associated with a progressive organization that gives scope to apply my knowledge, skills and to tune with the latest trends and be a part of the team that dynamically work towards the growth of the organization and thereby gain satisfaction in all aspects in the process.

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

BCOM - Commerce - Bangalore University (2000)

12th - BHS College (1997)

10th - Vijaya School (1995)