Shambhavi Gudadari

Shambhavi B. Gudadari No13/5,6thA cross Venkatapura new ext., koramangala Blr - 560034. (Mob:-) • Email: - » Profile Looking forward for a challenging and exciting environment to work as an effective team member where I contribute towards the growth of the organization and add value to myself. Intend to build a career with leading corporate of hi-tech environment with committed & dedicated people, which will help me to explore myself fully and realize my potential. Willing to work as a key player in challenging & creative environment. » Education CV Raman University, Bangalore, KA BCA » Skills Applications Allscripts, MMIS, ERP – Enterprise Resource Platform, Service Now. Languages English, Kannada, Hindi, Tamil, Marathi » Work Experience Logix Health Solution Pvt.Ltd, Bangalore, Karnataka Group Leader,- Worked for a direct biller, Emergency dept. Handled team size of 15 Formed Correspondence team, Appeals team, Rejection team & AR team Adhered to the KRA – Productivity, Quality, Shift adherence, Shrinkage. Tangoe India Softek Services, Bangalore, Karnataka Delivery Analyst, 2018-Current » Activities Participate in client calls and understand their requirements both from process perspective and for targets. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to client specifications. Prepare and maintain status reports. Experienced in handing End to end client activities, vendor and client calls, Validation of Invoices, Payments processing, Reporting Activities Validation Invoices, Batching, Reconciliation, Past Due Notice and Disconnect Notices, Handling Client call and Workbooks.  Monitors client invoices to ensure all expected invoices are received and loaded into Tangoes expense management system. Works with our Content Management team to track, obtain and validate missing invoices.  Allocate clients charges to cost centers and applies appropriate General Ledger codes based on client standard operating procedures. Produces accrual reports and AP/GL batches. Communicate in a professional and businesslike manner and maintain the highest quality customer service standards and attitude an advocate for the client. Motivating the team to improve their standards and perform better. Identify a method to exceed the set standards for the team and implement the same in consultation with Operations Manager/Team Lead Provide face to face feedback and also send email with the Productivity/quality feedback on a daily/weekly basis Work with the QCA to continuously improve the performance and the Quality of the team. Provide inputs to the training team on common mistakes to enhance training curriculum Generation of necessary client reports on a daily/weekly/monthly basis » Skills & Competencies Worked with startup company and was successful in building a strong team. Was Successful in bringing down higher ageing bucket from 70% to 28%. Has an ability to streamline the process with innovative ideas. Good in Client management. Was successful in bringing up end to end process from the client, such as Patient scheduling, EV, Prior-Authorization, Coding, CE, PP & AR Have been first point of contact for Coding, Charge entry, payments, prior-Auth & AR (Denial Management, Follow up, rejection, Appeals) Well versed in all areas of medical billing such as - Revenue cycle management, Private/commercial insurance, Worker's Comp/MVA claims, Medicare/Medicaid claims, Claim submission/Follow-up, Appeals/Denials, EOB's, Payment Posting Reduce average AR days to less than 45 days, The claims aged 120 days or older to less than 8% of all AR, Increase the collection ratio from the current level, Reduce write-offs from bad debt, Reduce claim denials, Work on global issues and thus reduce future denials as well, Improve your cash flow, Help you get paid promptly and in full for each claim, Prepare detailed appeal letters on denials