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Everyone should enjoy their work and workplace like friend and family
Hello!
My name is Vinay Kumar, I have 9+ experience working with US healthcare domain with various reputed Indian companies. I am Analytic Innovative and Creative Professional with a Master's Degree from Delhi University. I was born and brought up in Uttar Pradesh district Mau-Nathbhanjan and did my schooling at Children Public School Hanuman Nagar Mau.
Education
Delhi University
Higher Education
Annamalai University is a public state university located in Annamalai Nagar, Chidambaram, Tamil Nadu, India. It is spread across 950 acres in Chidambaram and offers courses of higher education in Arts, Science, Engineering, Medical, Management, Humanities, Agriculture, and Physical Education
DE MBA from Delhi University in 2014.
DE BCA from Annamalai University in 2011.
Secondary Education
12th Passed from U.P. Board in 2007.
10th Passed from U.P. Board in 2005.
Personal Dossier
Name : Vinay Kumar
Date of Birth : 10th July 1991
Father's Name : Mr. R Kumar
Marital Status : Married
Hobbies : Learn & Explore new things
Address : Mahagun Tower, Gaur City, Greater Noida 201318
Work Experience
04/Jan/2016 to Present
I am enjoying work with Pacific as Quality Assurance - AR denial management
14/Jan/2015 to 3/Jan/2016
Rsystems is CMMI Level 5, PCMM Level 5, ISO 9001:2008 ISO 27001:2005 Company
I worked here approx one year as a Senior AR Associate. I had an excellent experience working with this company. I enjoyed my work a lot and learned may things
26/Jun/2014 to 13/Jan/2015
E4e Healthcare Business Solution Pvt. Ltd. now becomes Nthrive Healthcare.
I came to know about Medical billing when I joined E4e healthcare. I learned terminology about Medical billing and denial handling as Associate
18/Dec/2012 to 30/May/2014
HCL Technology Ltd.
I started my carrier at HCL Business services as CSR (Customer Service Representative). I would thank my HCL Team where I learned a lot as a beginner.
Key Skills
Process Management
Team Work and Collaboration
Problem Solving
Time Management
Client Handling
Cascading Feedbacks
Report building and Presentation
Quality Assurance
Expertise in the tools used in organization
MS Excel
2. MS Power Point
3. Google Sheets
4. Google Forms
5. Canva
6. Google Sites
7. Power Bi
8. Other PMS (RCM)
AREAS OF EXPERTISE
Quality Assurance
Monitoring the performance of team members to ensure efficiency in process of individual & group.
Preparing daily, weekly, and monthly team quality reports.
Sharing weekly and monthly progress reports with operation management.
Maintaining CTQ (Critical to Quality) / CTP (Critical to Process) targets and involved in planning for the process.
Actively involved in addressing various issues and concerns of the client like productivity, quality, etc.
Preparing & presenting various MIS reports pertaining to process/productivity.
Identifying training requirements of advisors and providing regular refresher sessions to ensure accuracy is maintained.
Monitoring the overall functioning of processes, identifying improvement areas, and implementing adequate measures to maximize the client satisfaction level
Client Servicing
Ensuring continuous interaction with the client to make sure that area of concern can be worked upon for improved service levels.
Identifying improvement areas & implementing measures to maximize client satisfaction levels.
Demonstrating and enforcing adherence to the clients and company policies and procedures.
Setting out quality standards for various operational areas, ensuring a high-quality client experience while adhering to the
SLA’s and work processes.
Key Deliverables
Taking care of insurance AR denial and payment.
Taking care of patient disputes at the insurance part.
Daily reporting of work queue status of AR Collections, Billing & Payments team.
Preparing Weekly reports for client calls.
Keeping track of open insurance issues.
Preparing monthly reports for clients.
Interaction with clients through emails & conference calls to resolve the queries & to keep them updated with the work-related issues & updates.
Providing feedback/response for any client feedback/query.
Keeping track of team Production & Quality trend.
To have a motivational session with the team from time to time.
Distribution of work among team members.
Helping the team members over the call & Query Handling.
Maintaining TAT for weekly & Monthly Quality reports.
Handling Calibration sessions between Q.A. & Ops team.
Maintaining production & audit data to provide trends & findings.
Providing audit priority details to Ops team on monthly basis based on previous production & audit trends.
Interaction with clients to resolve the queries & to keep them updated with the work-related updates.
Certificate of appreciation received multiple times in Pacific BPO Pvt. Ltd. These are a few special movements when I was most rewarded surprisingly at a very important time. I know of few organizations that care so much about their employees' welfare and growth. It is a pleasure to be associated with Them.
Google Sites
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