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Candidate

Male, 40 years, born on 10 October 1984

Not looking for a job

Brest, willing to relocate (Azerbaijan, Belarus, Georgia, Other regions, Kazakhstan, Kyrgyzstan, Russia, Uzbekistan, Ukraine), prepared for business trips

Quality Auditor

620 $ in hand

Specializations:
  • Quality engineer

Employment: full time

Work schedule: full day

Work experience 14 years

February 2021currently
4 years 7 months
Insync Technologies, IHCS healthcare

www.insynchcs.com/

Quality Analyst
Appointed as an Auditor, auditing 49 mental health doctors client's work for charges, Account Receivables & denied claims, Working on billing software (Electronic Health Record): Client interactions / calls, team meetings, team handling, taking care of Service Level Agreement & Key Result Areas, Daily Production & Quality Tracker, working on Billing & Practice specific guidelines. Working on Defect Per Opportunity and Defect Per Unit. Strictly obeying HIPAA act 1996 and Compliance.
February 2017February 2021
4 years 1 month
GeBBS Healthcare Solutions
Quality Analyst
Appointed as an Auditor, auditing Client's work, particular emphasis on revenue generation. Client interactions / calls, team meetings, team handling experience of 20+ QAs, leave management, taking care of SLA & KRA, briefing updates, updating daily QAT & DPT, Working on DPO and DPU. Extracting, preparing reports from client's software, allocating them, Preparing Dashboard weekly, monthly, analysis of quality percentage & error type, error percentage & preparing Error Pareto, Bottom Quartile Management. Biller wise root cause analysis, feedback & coaching.
July 2015January 2017
1 year 7 months
eClinicalworks Pvt. Ltd.
Billing Specialist
My responsibilities included follow-up on pending account receivable, working on all types of denial insurance claims, calling across USA to the insurance companies. Learnt front office, mid office, and back office workflow which includes, preparation of patient's demographic information, content editing, preparing content for client and co-coordinating with them, checking benefits & eligibility, encounter, progress notes, ready to bill process converting front, mid & back office process into a standard CMS 1500 claim form.
January 2015July 2015
7 months
Inventurus Knowledge Solutions
Senior Analyst
Worked on all types of denials and was working toward resolution for provider getting paid. Worked for more than 500 in-network providers (MD Anesthesiologists) aligned to Valley which is in-network with thousands of insurance companies. Contacting insurance companies across USA, making them to process or reprocess claims & payment.
October 2013December 2014
1 year 3 months
Serco Global Services
Senior-Customer Service Executive
Coram home infusion services. Job profile, contacting insurance companies across the USA regarding claims of patients and getting the current status, follow-up on denial claims for getting them resolved, for payment and updating status into client software.
August 2011August 2013
2 years 1 month
Manesh Farm works
Farm Labourer
Responsibilities: Plantation, cultivation, harvesting various crops, such as vegetables, fruits & horticultural specialties and field crops. Used hand tools shovel, hoes, pruning, shears, knives, and ladders. Performed duties such as filling the soil, applying fertilizer and pesticides, transplanting, weeding, thinning, pruning, picking, cutting, cleaning, sorting, packing, processing and handling harvested products. Performed and executed the setting up, operations maintenance & repair of sprinklers, fences and farm buildings.

Skills

Skill proficiency levels
Analytical skills
Customer Service
Time management
Teamleading
MS Office
Negotiation skills
Presentation skills
Teambuilding
CRM
Business English
Team management
Teamplayer
MS Outlook
MS PowerPoint
Internet
MS Internet Explorer

About me

Audit, team handling experience, leave management, Bottom Quartile Management, analysis of quality percentage & error type, Root Cause Analysis, Revenue Cycle Management, Accounts Receivable, Insurance Claims, Front Office, Back Office, Applying Fertiliser, Operations and Maintenance, Analytical Skills, Hard-Working, Interpersonal Skills, Inventory planning, Problem Solving, Reports preparation, SLA, allocation management, oversight experience, relationship building skills, Microsoft Excel, Microsoft Office, Microsoft Windows

Higher education (master)

2011
The University of Mumbai
Science, Master of Science

Languages

EnglishNative


Professional development, courses

2011
Master of Science
University of Mumbai, India, Animal Physiology and Biotechnology

Tests, examinations

2011
NA
NA, NA

Citizenship, travel time to work

Citizenship: Belarus

Permission to work: Belarus

Desired travel time to work: Doesn't matter