Vinod Kumar M Email & Phone Number

Chennai, Tn, In

Chennai, Tamil Nadu, India

As a Team Leader at MIRAMED AJUBA, I led a team of 25+ professionals, driving improvements in operational efficiency and revenue cycle management across various client accounts. I was responsible for optimizing workflow processes and ensuring compliance with Service Level Agreements (SLAs), while enhancing team performance and fostering a collaborative work environment.Key Responsibilities:•Managed team productivity and quality assurance to meet and exceed client expectations, ensuring SLA compliance across all deliverables.•Coached and mentored team members, improving performance through tailored training sessions and regular feedback, resulting in a 15% increase in overall team productivity.•Conducted in-depth data analysis using Excel to track team metrics, identify bottlenecks, and implement strategies for continuous improvement in claims processing and revenue recovery.•Collaborated with cross-functional teams (including finance, medical policy, and business analysis) to validate and optimize workflows, improving overall efficiency and reducing operational costs.•Developed and delivered training programs to onboard new employees and ensure adherence to organizational policies, improving onboarding time by 20%.Key Achievements:•Led initiatives that reduced claims rejection rates and improved payment accuracy by 10%, contributing to improved client satisfaction.•Delivered performance management strategies that helped reduce employee turnover by 20% and created a more engaged, high-performing team.•Played a critical role in streamlining the revenue cycle, leading to a measurable improvement in financial outcomes for clients.

Chennai Area, India

As a Quality Analyst at AGS Health, I was responsible for ensuring the highest standards of quality assurance and compliance across multiple healthcare billing and claims projects. I worked closely with internal teams and external stakeholders to improve operational efficiency and reduce errors in the claims management process.Key Responsibilities:•Conducted audits on billing and collection operations to identify inefficiencies, streamline processes, and align with industry standards.•Delivered actionable data-driven insights through detailed reporting of quality performance, helping leadership make informed decisions to drive continuous improvement.•Developed and maintained strong relationships with cross-departmental teams (e.g., IT, finance, client services) to ensure smooth collaboration and alignment on process improvement initiatives.•Trained and mentored new hires, ensuring thorough understanding of organizational procedures, compliance regulations, and best practices in revenue cycle management.•Managed internal and external audits, working closely with clients to ensure accurate billing practices and maintain a high level of compliance.Key Achievements:•Reduced claim rejection rates by 10% through process improvements and standardizing best practices.•Identified and addressed trends in billing inefficiencies, resulting in a 15% improvement in revenue recovery.•Played a key role in reducing billing errors, contributing to enhanced client satisfaction and a stronger relationship with key stakeholders

Chennai Area, India

As a Senior Executive at Omega Health Care, I focused on improving the claims management and payment resolution processes. My role involved handling denial management, appeals, and billing edits, ensuring that claims were accurately processed and payments were promptly received.Key Responsibilities:•Managed denial management for various payer types, including Medicare, Medicaid, and commercial insurance, ensuring timely appeals and payment resolutions.•Analyzed claims trends to identify recurring issues, implementing process improvements to streamline workflows and reduce the time spent on each claim.•Worked with cross-functional teams to resolve high-value claims and ensure accurate and timely payment processing.•Collaborated with insurance providers to address billing edits, ensuring correct and up-to-date claims submissions for maximum reimbursement.•Developed process improvements that enhanced the revenue cycle, resulting in better cash flow management and decreased accounts receivable aging.Key Achievements:•Reduced denial rates by 20% through proactive issue identification and corrective action planning.•Streamlined payment resolution processes, reducing outstanding accounts by 25% and improving cash flow.•Enhanced client relationships by improving communication and collaboration between internal teams and insurance providers.