Hemanth Kumar Email & Phone Number

Hyderabad, Telangana, India

• Have experience in Onboarding New and Existing Clients into SutherlandRev application.• Played a vital role in gathering the requirements for implementing the claim status automation module into SutherlandRev. • Analyse business problems and provide solutions to the operation teams.• Interviewed Stakeholders and SME’s to get a better understanding of Client business processes and gather business requirements.• Excellent team player to work in conjunction with Testers, Developers and other team members in validation and testing of project scenarios.• Creating Business Requirements Documents (BRD) and System Requirement Specifications (SRS).• Provide training needs to end user’s teams and welcome feedback and improvements.• Clarify queries related to functionalities and other information related to the product.• Maintain the Product Backlog and prioritize the user stories as per the customer’s need.• Providing support to SD team after Onboarding Hospital Clients.• Identifying the areas of Automation and implementing the process with the help of SD teams. • Actively Participated in internal presentations and discussions.• Delivered Functional and User Acceptance Testing.• Take ownership of projects from beginning to end.• Played a key role in onboarding various AR and Self-Pay Clients into the system without any difficulties.

Hyderabad, Telangana, India

• Responsible for managing the two projects of 40+ FTE’s working on different payer groups.• Responsible for Team Quality and Production.• Managing day to day operations of the process and leads a team of 25 members.• Conduct project review presentations on monthly basis based on the Productivity and Quality reports.• Attends weekly operational call with Client to proactively understand Business needs and provide solution on the issues.• Generate and update different reports for the Client and Management reviews.• Responsible for creating updates and training new hires on different client systems and process flows.• Collating inventory based on the scope and assigning the work daily to the team.• Identify opportunities for continuous process improvement and innovative solutions and communicate these to the team.• Conducts periodic Performance Appraisals to facilitate performance management.• Provides coaching and feedback to team members to enable them to improve their performance.• Responsible for creating and maintaining SOP’s with the process updates.• Facilitates smooth knowledge transfer within the team via well documented and updated training materials.• Communicates procedural changes and important information to team members via weekly/ monthly meetings, emails, etc.• Share an excellent relationship with the team and be very approachable, also share a good relationship with other operations like Business Analysis, Quality, IT team and Onsite staff.• Have the experience of working on different Legacy Systems.• Maintain SLA target on a monthly basis to achieve desired KPI’s.

Hyderabad, Telangana, India

• Strategizing for Account Receivable from the insurance’s reduction for the client.• Identifying trends in payments by the various insurances like commercial, auto insurance, no fault, reprising as well as government payers and making efforts to improve them by better methods of follow-up.• Work closely with the Onsite support team and keeping them abreast about developments in billing, common errors in charge capturing, coding and mailing of the US Healthcare claims, which result in delayed payments.• Assist in Inducting of new members and integrating them into the project team.• Training individuals/team on new procedures, new systems or corrective training as and when necessary.

Hyderabad, Telangana, India

• Worked on Hospitals High/Low dollar AR and make sure bills are processed and reimbursed by insurance company within the timely manner.• Worked on all Commercial Payer claims denied and rejected claims and reverse the denials. • Verifying the payer contracts on the payments received.

Master Of Business Study In International Business, International Business/Trade/Commerce, C+

Master Of Business Administration - Mba, Human Resources Management And Services