Suraj Bhatt

Suraj Bhatt

$15/hr
Quality Specialist handling auditing claims. Data Miner
Reply rate:
-
Availability:
Part-time (20 hrs/wk)
Age:
41 years old
Location:
Hyderabad, Telangana, India
Experience:
9 years
Suraj Bhatt Permanent Add:- 16-134/1, New Mirjalguda, Malkajgiri, Hyderabad – 47. Contact: -, - Email:-Summary 6+ years of success graph in delivering optimal results and business value in high-growth environments. A highly motivated and ambitious individual able to give timely and accurate advice, guidance, support and training to team members and individuals. Possessing excellent management skills and having the ability to work with the minimum of supervision whilst leading a team of twelve or more. Having a proven ability to lead by example, consistently hit targets, improves best practices and organizes time efficiently. Areas of Expertise Digital Marketing Ability to motivate people Strategic planning Inventory management Equal OpportunitiesSupervising Time Management Operational improvements Achievements Successfully transited two new algorithms in COB work type with 100% Quality. Received best performer award in different areas, over 3 times in my tenure in UHG External Accuracy improved from 96.00% to 98.00%. Experience United HealthCare – HYD QUALITY SPECIALIST / SME June 2014 - Present Ensuring that staffs are motivated monitored and measured in line with company targets and performance standards. Responsible for making sure that any gaps in performance or quality are quickly identified and addressed. Producing reports on team performance for leadership. Duties: Trained and mentored new hire training. COB Claims Auditing. Platform - UNET Reduced huge volume of Aged Inventory, which resulted in meeting TAT’s and worked in lower threshold. Preparing daily workloads for staff & coordinating the daily allocation of work. Motivating the team to achieve high standards targets. Handling new client enquiries and acting as the face of the business. Dealing with and resolving problems and issues which arise. Mentoring and training up junior and new staff. Monitoring & reporting on standards & performance targets. Arranging & chairing weekly team meetings, focusing on targets & achievements. Implementing new initiatives. Praise team members and creates a positive working environment. KEY SKILLS AND COMPETENCIES Proven ability to manage through others. Strong decision making and problem solving skills. Able to motivate and lead others in a team environment. Excellent communication skills, both written and verbal. Able to prioritize tasks and workloads in order of importance. Track record of delivering results with deadlines. Sutherland Global Services (Apollo Health Street): Senior Revenue Cycle Analyst - Healthcare – AR Process Sept’10 - Dec’14 Duties: Identifying the issues and resolving them, being either provider issues, provider credentialing issues, or any kind of front-end rejections which restrict the payers in paying the claims. Call the payers for claim resolution in favor of providers. Insurance follow-up on hospital claims (hospital claims for services rendered in a multispecialty hospital) Handling denial management with the ability to send the claims for reprocessing/review on the call if denied incorrectly by the payers. Worked on GA Medicaid, NC Medicaid and PA Medicaid. Responsible for meeting the individual productivity & accuracy target. Responsible for sharing updates with the team on regular basis. Attending inbound calls of medical insurance companies and patients toward queries and giving correct and timely feedback. Maintaining record of correspondence with insurance companies through mails and faxes of important documents like corrected bills, medical records, remittance, repricing sheets, denial letters, and checks. Proactively identifying and escalating issues and improving existing follow-up processes. Co-ordinate with client service teams and onsite reps to identify and resolve project specific issues and procedures. Generate reports for tracking aging and high dollar claims, forecasting cash collection, and client reporting. Research and develop documentation related to Commercial insurance (medical/worker’s compensation/no fault) AR follow up, which is used to train new process associates. Mentored new joiners and trained them in the process. Significant Achievements Received appreciation from client. Received quality awards for two consecutive quarters. Sitel India Customer service professional – T-MobileJan’ 10 – Sept ‘10 Duties: Responsible for meeting production and quality targets as an Individual contributor as per SLA. Handle most critical and wide list of activities like Network issues, payments and broadband issues. Handle customer queries with great efficiency and accuracy. Genpact Feb’08 – July ‘09 Process Associate – Support Global Purchasing and Supply Chain functions of General Motors Duties: Handle most critical and wide list of activities like Expediting, Supplier relation, identifying the right supplier in the right situation to provide us our requirements in the right time. Follow up with suppliers on PO Confirmation. Requisition to PO Conversion Editing the PO as per the forecast (Demand Management). Following up for Price Quotes and shipping date for production parts for GMNA and Holden process. Reporting the daily updates on the status of the parts to the Management and Requestor. Work extensively on EDS Host link and Global purchasing system mainframe applications. Significant Achievements Coordinate with suppliers on a day to day basis on status of open orders and expedite delivery. Ensure on time delivery of material required. Have achieved an on time TAT (Turnaround Time) of 98.7%. Received spot awards for participation in Extra Curricular activities. Technical Skills Operating systems- Windows 98, 2000, XP, Vista. Software skills- MS-Office (Word, Excel & PowerPoint) Education Graduation(B.Com) from AIITC, Hyderabad, Intermediate from Board of Intermediate, Gowtham Junior College, Hyderabad. SSC from Board of secondary school Education, Balaji high school, Hyderabad Personal Information Date of Birth: 13th Dec 1984 Marital Status: Married Father Name: Baikunth Bhatt Language Know: English, Hindi, Telugu and Odiya Date : Place: HyderabadSuraj Bhatt
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