Kongara Kiran Kumar

 Kiran Kumar K Mobile:- Email:- PROFESSIONAL SYNOPSIS A competent professional with over 8 years of experience in the Customer service & Billing and collection. Domain knowledge in the field of US Health Care Billing and collection Possess proactive attitude, capability to think in & out of the box. Excellent interpersonal, communication and organizational skills with proven abilities in team management and customer relationship management. CAREER PROGRESSION Organization: Genpact India August 2011 To July 2015 Role: Process Developer Project Experience Summary US Health care Process Walgreens a second largest pharmacy store in United States it has 11000 drug stores, where Customer walks in with a valid prescription to collect drug. pharmacist verifies and gives the medication based on the dosage and submits the claim, even though claim is approved If the given quantity of medication is incorrect as per the directions claim gets rejected and to validate we call pharmacy store to confirm the drug dosage and directions. Role as Information Process Enabler Play key role in terms of the assigned work with 100% Quality. Responsible for my team SLA and TAT. Work hand in hand with the teams handling federal, commercial Plans and decreasing the Accounts Receivables. Keeping track of deposit tracker, billing tracker and figure out the missing deposits. Responsible to complete and maintain the reports for the team like Daily Production, Monthly utilization. Responsible to analyze the errors received and do the Root cause analysis. Calling plans and stores frequently to cross check the claims details and drug directions. Responsible for validating the transactions processed and ensure 100% quality. Responsible for updating the SOP's, maintaining the Scenario tracker, update tracker. Handling Escalations with the clients through mail. Attending daily meeting with managers & team lead regarding day to day work load, productivity, internal error & external error discussion, updating the team with new updates & procedures from onshore. Achievement on current profile: Always achieved the 100% quality, maintained the TAT and SLA. Received R&R award 3 times for best performance. Best team and as a lead for maintaining continuously 100% accuracy. Organization: Orange Informatics Pvt Ltd Since: 10th Aug 2015 – May 22nd 2017 Role: Senior Process Analysist Project Experience Summary: Audit clients associated with the organization (UHG) with regarding Claim Adjudication and The online processing for US Health care Working background process for the claim Adjudication into Non IT Process Like coding the benefits into the Application for Automatic Claim Adjudication. Organization: Synchrony Financial Since June June 29th 2017 – Dec 10th 2020 Role Senior Associate Project Experience Summary: Inbound call center for US private label and retail cards, where customer calls in for account information which are closed and charged off accts in regards to payoff the bal or settle the acct. there are three type of accts Active, closed, delinquent and Charged off Achievement on current profile: Achieved best performer award twice achieved strong contributor every month TECHNICAL COMPETENCIES Programming Languages : MS - Office, Operating Systems : Windows98,XP EDUCATIONAL CREDENTIALS Qualification University Year of passing Percentage Bachelor of commerce B.com Osmania University-% Intermediate Railway Junior College , Hyderabad-% SSC Seven Hills High School, Mancherial-% Date of Birth : 09-May-1985 Marital Status : Married Languages : English, Hindi, Telugu DECLARATION I hereby declare that the information furnished above is true to the best of my knowledge. (Kiran Kumar K)