• Leading & mentoring Process Improvement projects leveraging Lean Six Sigma methodologies to deliver targeted business value and improvements. Collaborate with deployment leaders in identification and leading the process improvement projects. Identify customer needs and key drivers to achieve customer satisfaction goals. • Mapping business requirements and coordinating in developing and implementing processes in line with pre-set guidelines • Facilitate the teams to meet and improve on budget, cost, volume and efficiency targets (KPI's) in line with the business objectives. • Work closely with a Senior Leadership team to drive solutions from a business capability, operations, and process standpoint. Works closely with clients, stakeholders and cross functional teams plan and lead projects • Identify trend and issues, perform root-cause analysis, develop recommendations • Calibration through MSA technique. • Training the required audience on Six Sigma/Lean/ QC tools. • Maintaining quality for existing process and set up of new processes.• Client interaction to understand process needs and requirements for current or upcoming process and identifying redesigning requirements. • Involvement in executing company’s internal audit program and planning.

• Curated and led monthly training workshops, for over 30 executives, on process improvement using Pareto charts and report analysis, improving mistake patterns, and processing quality by 15% MoM • Developed team productivity matrix, using IQV analysis (Index of qualitative variation) and conducted team re-training sessions for key areas of improvement, improved workflow efficiency by 20%• Carried out independent root cause analysis of various process workflows for providing insights to improve claim processing age, reduced overall TAT by 120 days to 90 days.• Utilized attention to detail to identify errors, inconsistencies, and inaccuracies in medical billing process, achieved improved billing accuracy and reduced claim rejections by 30%• Developed processes to ensure strict medical billing compliances as per HIPAA and Medicare regulations and guidelines.• Deep understanding of medical billing and coding processes, regulations, and guidelines. Well-versed in medical terminology, CPT codes, ICD codes, and other relevant codes and regulations.• Hands-on experience with medical billing software – Vericle, Epic, Md4 and Medical Centrix

Handling and resolving significant escalations from key accounts and assigning daily tasks to team members.Supervising, educating, and auditing new hires.

Managed all major process modifications and provided separate attention to critical clients.Handled escalations from key accounts while delegating and monitoring daily tasks with team members.Worked on CMS 1500 claims form for Medical Claims like Paid, Denial or Rejected.

Meeting the goals by providing 100% quality and by adhering to the scheduled TAT.Investigated and analyzed complicated accounts and taking appropriate actions, adjustments, write-offs, and ensuring timely collections.