Assistant Manager Operations for PP, EVBV, Charge Poster, PA & AR at Eclat Health Solution (2025-07 – 2026-02)
- Supervise daily operations across logistics and customer service departments, ensuring smooth workflow transitions and timely issue resolution
- Support the Operations Manager in executing strategic initiatives, resulting in a 20% improvement in delivery efficiency
- Monitor key performance indicators (KPIs) and prepare weekly performance dashboards for senior leadership
- Coordinate cross-functional teams to drive process improvement and operational excellence
- Design and deliver targeted training programs for team members requiring upskilling in specific scenarios
- Maintain client trackers by updating production metrics and quality percentages
- Handle client communications, including calls and emails, ensuring timely delivery of client requirements
- Complete PWC processes within stipulated timelines and manage internal review calls
- Lead and manage Team Leads and Quality Analysts, tracking their daily activities and performance
- Oversee the full Revenue Cycle Management (RCM) vertical including EVBV, Authorization, AR, Coding, Payment Posting, and Charge Posting
- Ensure AR production and quality align with client SOPs and expectations
- Manage billable Full-Time Equivalents (FTEs) with appropriate buffer planning
- Generate and analyze reports on Ageing, AR, Shrinkage & Attrition, Payments, Denials, Coding, Charge & Payment Posting, and Authorizations
- Participate in internal, Weekly Business Review (WBR), and Monthly Business Review (MBR) calls
Team Lead AR Follow up and Promoted as Assistant Manager (US Healthcare) at Pacific BPO PVT LTD "Access Health Care" (2022-11 – 2025-06)
- As Team Leader Backup for Assistant Manager
- Manage and delegate work fairly and effectively within the team
- Mentor for OJT peoples and coaching for New Joiners / Team Mates
- Maintain update tracker
- Inventory Allocation
- Maintain Escalation Tracker
- To Manage team quality and training to them as per client directives
- Shrinkage control
- Attrition control
- Handling client emails and lead in client calls behalf of my Manager and Assistant Manager
Joined SR AR and promoted as Team Coach at Ascent Business Solutions (2018-06 – 2022-11)
Process: AR Follow UP (US Healthcare)
- Ensure complete Review Claims & Forward to Correct Insurance Company
- Follow Up all Claims on Denials Rejection & No response Claims
- Follow Up Denied Claims & re-opening them to received maximum reimbursement to insurance company
- Call to the Insurance Representative for the Claim Status as per the medical billing guidelines
- Worked in CMS 1500 and UB04 claim form
- To resolve the claim with Quality
- Worked with end to end process
- To making Appeals and sent it to Insurance Company and doing Appeals follow up
- To worked with coding response and check coding response is correct through application
- Team Handling, Team Production and Quality Responsibilities as a Team Coach
- Handling Client Emails
AR Trainee at Gebbs Healthcare Solution (2016-01 – 2018-05)
Process: AR Follow UP (US Healthcare)
- Ensure complete Review Claims & Forward to Correct Insurance Company
- Follow Up all Claims on Denials Rejection & No response Claims
- Follow Up Denied Claims & re-opening them to received maximum reimbursement to insurance company
- Call to the Insurance Representative for the Claim Status as per the medical billing guidelines
- Worked in CMS 1500 and UB04 claim form
- To resolve the claim with Quality
- Worked with end to end process
- To making Appeals and sent it to Insurance Company and doing Appeals follow up
- To worked with coding response and check coding response is correct through application
