Vignesh Kumar Email & Phone Number

Hyderabad, Telangana, India

Managed Travel RN Compliance to make sure they started on time with the facilities/clients, coordinated with the client’s account manager to maintain the communication between the company and clients. Led a compliance team of five to ensure timely onboarding of candidates and effectively resolved any issues between the client and the company. Worked on acquiring and maintaining State & Federal licenses for the company to operate in certain states according to the requirement. Prepared and submitted quarterly and annual reports to state and federal authorities to maintain compliance and ensure the continuous validity of licenses. Worked and presented on the Annual TJC renewal audit to maintain the company’s license with the Joint Commission board. Worked on full-cycle recruiting for healthcare positions, including Registered Nurses, Allied Health professionals, and Administrative Staff. Led a team of 3 recruiters to source candidates and submitted profiles to clients via the VMS portal and followed up with client Account managers to get the candidates offered.

Worked and resolved all the errors in all accounts from clients' requirements directly and reported directly to the client. Handled an entire Insurance company’s claim from end to end with a team of 3. Worked on finding the error trends for all the insurance companies and analyzing them to get the claims reprocessed to get the payments posted to clients' accounts. Examine submitted insurance claims for accuracy and completeness. Verify that all required documentation is included. Determine if the claim aligns with the terms and conditions of the insurance policy. Check for coverage details, deductibles, and policy limits. Follow up with the insurance companies to get the claims reprocessed and follow up with the SLA to get the payments posted.

Worked on calling the insurance companies to check on the claim status and the claim denials. Review and process appeals for denied claims. Reassess claims based on additional evidence or corrections provided by the claimant. Analyzing Claim denials before calling and Input and update claim information in the company’s claims management system. Ensure claims were processed accurately, preventing incorrect denials and ensuring proper payments were Received.

Collaborated with the sales team to acquire materials and respective goods from the clients, Worked with the Department of Customs to get the goods processed and the documents created accurately and quality-checked all documents. Worked on creating and updating the invoices for all the goods processed by our company. Followed up on the status of the shipment to ensure the transported goods were en route to the correct destination.

Collaborated with various companies to acquire contract information and worked on submitting a bid to acquire the contract for our firm. Worked on getting the necessary documents and certification to submit the bid. Analyzing the current contract status to ensure the right quotation was submitted to the bid. Managed workers for an AMC contract with ICF Shell and reported all the necessary details to respective managers. Worked on payments that were posted to the Company’s account.

Bachelor Of Business Administration

D.E.C.E

Master Of Business Administration

Bachelor'S Degree, Business Administration And Management, General