Suraj Narayan

Suraj Bhatt Phone: - Email:- Career Objective Aspiring to be part of a well-established firm scale new career heights, oriented to the firm’s expectations by working with team spirit, enthusiasm, be innovative, enrich myself professionally and individually and contribute substantially for the company’s growth. Educational Profile Graduation (B.Com-Computers) from AIITC, Hyderabad. Intermediate from Board of Intermediate, Gowtham Junior College, Hyderabad. SSC from Board of secondary school Education, Balaji high school, Hyderabad. Individual Strengths Ability to work under pressure and meet organizational goals Excellent Time management & Interpersonal skills Ability to be a good team player and display adequate leadership qualities Ability to critically evaluate and take effective decisions Ability to grab new things fast and execute them better Technical Skills Operating systems- Windows 98, 2000, XP, Vista. Software skills- MS-Office (Word, Excel & PowerPoint) Work Experience Optum Global Solutions (United Health Group): June' 2014 to October' 2018 UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. Working as Quality Specialist in United Data Mining process under Payment Integrity Team. My responsibility includes: Duplicate and COB Claims Auditing. Platform (UNET) To review, identify and validate claim overpayments, using available tools and resources. Types of Overpayment reviews will include, but are not limited to duplicate payment, contract compliance, and coordination of benefits (COB) overpayments. Getting trained on new algorithms and training the team as per requirement. Working on Team’s MIS Dashboards which includes Daily Report, Quality Reports, Performance Dashboards, Attendance Tracking, and Utilization Dashboard. Working on Team Quality Audits. Reviewing the High dollar claims of the team and provide them with the necessary support to complete them on time. Part of Inventory Management Team. Assigning re-audits to the team when inventory is not there and generating the Re-audit production report on weekly basis. Handling the desk level clarifications and working on team clarification tracker. Taking error review sessions to the team based on previous month errors. Providing feedback to the team members who received errors and help them in understanding the errors and conducting refresher training if required. Mentoring new hires depending on business requirements. Pre-validation for new hires and help them to understand the process in and out with quality standards. Generating Quality & Production report for assigned mentees. Active participation in team activities. ACHIEVEMENTS: Maintaining High Quality Standards and exceeding production Targets. Active part in the Value Lab team for GB projects. Awarded with “Quality Awards” for consecutive quarters in 2015, 2016 and 2017. Quantum certified for maintaining exceptional quality. Received appreciations from Onshore for maintaining high quality and for calibrations. Effectively transitioned two algorithms. Rated “Outstanding Performer” for the year 2016. Sutherland Global Services (Apollo Health Street): September’ 2010 to December’2013 Worked as Senior Revenue Cycle Analyst in RCMS process on medical claims (Hospital claims) and analysis of Accounts Receivables. My responsibility includes: 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 joinees and trained them in the process. Achievements Received several appreciations from client for the work. Received quality awards for two consecutive years. SITEL India: - January’ 2010 to September’2010 Worked as Customer service professional on T-Mobile (UK process). My responsibility includes: Handle most critical and wide list of activities like Network issues, payments and broadband issues. Handle customer queries with great efficiency and accuracy. Genpact: - Febuary’2008 to July’2009 Worked as Process Associate & Support Global Purchasing and Supply Chain functions of General Motors my responsibilities include: Handle most critical and wide list of activities like Expediting, Cost & timing and Supplier relations. 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. Key Projects and Accomplishments 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%. Achievements Received spot awards for participation in Extra Curricular activities. Received STAR awards for exceptional productivity and quality. Trainings Call taking Excellence Business writing skills Communicate for Results. Personal Profile Name : Suraj Bhatt Father’s Name : Baikunth Bhatt Date of Birth : 13/12/1984 Nationality : Indian Marital Status : Married Languages Known : English, Telugu and Hindi. Hobbies : Music, playing cricket & travelling. Suraj Bhatt