Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency.
Overview
3
3
years of professional experience
11
11
Certificate
Work History
Operations Specialist - Lean six sigma
Transunion
Chennai
03.2023 - 03.2025
Restructured processes for improved performance through Lean Six Sigma techniques.
Achieved top performance recognition award across five global locations within six months.
Crafted and implemented procedures to support business goals.
Delivered insights through business analysis, advising on effective approaches.
Achieved success in orchestrating numerous presentations and plans onshore.
Led entertaining events that fostered team engagement.
Facilitated development team discussions and shift updates.
Participated in CSAT initiative to lead by example and promote agent engagement in planned deliverables. Achieved 2nd place with 258 top-tier ratings during a focused 15-day performance period.
Monitored and evaluated process data maintaining focus on quality control.
Fostered collaboration between management and agent teams to address challenges effectively.
Executed swift actions for addressing customer requirements.
Conducted periodic sessions to ensure agents thoroughly understand the processes.
Gained strong leadership skills by managing projects from start to finish.
Senior Associate - AR
Apexon health (a) Omega Health Care
chennai
08.2022 - 03.2023
Handled outbound calls in resolving the Physician bills and Hospital Bills. Worked in complete US shifts. Various Performance awards in the quarters. Experienced in handling Internal clients. Trained a team of 7 freshers. Handled 5+ projects and created SOP's within the Span of 6 months.
Volunteered to help with special projects of varying degrees of complexity.
Drafted common document templates to reduce time spent creating documents from scratch.
Increased profitability and productivity by minimizing downtime and streamlining quality control procedures.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Collected payments and applied to patient accounts.
Precisely evaluated and verified benefits and eligibility.
Communicated with Insurance company for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Delivered timely and accurate charge submissions.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Client Partner
Access Health Care
chennai
11.2021 - 07.2022
Became a pro in Athena Software. Handled outbound calls in resolving the Physician bills. Worked in complete US shifts. Handled outbound calls in resolving the Physician bills. Worked in complete US shifts. Various Performance awards in the quarters. Experienced in handling Internal clients.
Performed billing and coding procedures for ambulance, emergency room, impatient, and outpatient services.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Confidently and adeptly handled claim denials and/or appeals.
Posted and adjusted payments from insurance companies.
Precisely evaluated and verified benefits and eligibility.
Precisely completed appropriate claims paperwork, documentation and system entry.
Diligently filed and followed up on third party claims.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Reviewed and resolved claim issues captured in TES/CLAIMS edits and clearing house.
Delivered timely and accurate charge submissions.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted payments and collections on regular basis.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Verified insurance of patients to determine eligibility.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Education
B.CA -
University of Madras
Skills
Highly Flexible - Been roasted to work with 5 different shifts Including US to Indian shift
Team player - Leads the team briefings and shares the Quality checks
Leader - Lead the Process improvement team and successfully presented during Onshore manager visit
Created SOP for our process along with one of the other Team Lead
Good Listener - Takes feedback from lead and Manager on a consistent manner to keep myself on Track
Loud Speaker - Addresses the mis-communications then and there to have a healthy work environment
Excelled in the Art of finding a work life balance Conducted Fun Friday activities for the agents
Certification
Google Program Management Professional certification.
Project Management Essentials by Howard university
Lean six- sigma greenbelt Jan 2024 through Feb 2025
Cert Prep: Scrum Master” by Kelley O'Connell 2025
Sawit AI Learnathon by GUVI and HCL
Using Generative AI Ethically at Work
Digital Marketing - 29.12.2019 , Chennai.
In-plant Training - 20.12.2019, Chennai.
Ethical Hacking - 20.12.2019 , Chennai.
National Seminar on Intelligent Digital Transformation - 23.01.2020 , Chennai.
Excel essentials training (Micro Soft 365)
Accomplishments
WINNER - Slide Esplanade - An intercollegiate event - Presented Chat bots - Year 2020.
TECHFEST IT SPARKS - Seminar on Artificial Intelligence. Year 2020.
PARTICIPANT - National Seminar on Data Science. Year 2010.