 Client Relationship: Identify areas of concern for missed payments through an appeal management system and ensure client satisfaction and query resolution SME: Participate in discussions with client as SME in Accounts Receivable and Insurance domains and assist the team in updating knowledge about the latest practices and trends

 Client Relationship: Frequent interactions with client through calls/emails to understand their needs, pain points, etc. Root Cause Analysis: Identify, audit and resolve the issues with health insurance claims (or denials) and processing using various techniques – Fishbone, ABCD Analysis, etc. Process Ownership: Groom and Train the team of associates on how to handle various claims and denial scenarios Training: Coach the associates on Soft Skills – voice & accent, call handling, etc.  Quality Control Expertise: Conduct internal reviews to understand the measure of quality assurance and external/business reviews to measure the satisfaction of clients. Developed expertise in assessing errors and perform quality checks/audit through tools like Pivot Charts, CAPA, TNI Techniques, Efficacy reporting, etc.

 Query Handling: Analyzed all kinds of queries/issues and determine resolution by deeply understanding the root cause and the situation in which healthcare insurance claims are approved Functional Expertise in Claims and Denials: Duplicate Denial, Claim not on file, Medically not necessary, PT not identified or not eligible for DOS, Coding Denials, Provider Credential Issues, TFL denials, etc.

 Certification Training Programs: Lead and Trained many batches of IT professionals in CCNA & MCITP certifications Corporate Training: Trained and upskilled IT corporates on Hardware, Networking & Microsoft Server Training: Windows 2008 R2 & 2012 upgrade