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Medical Billing Manager

Location:
Hyderabad, Telangana, India
Posted:
October 01, 2019

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Resume:

B. Chaitanya,

H.No:**, Aditya Gardens,

Near Jntu, Kukatpally,

Pragathi Nagar,

Hyderabad-500090. Mobile: +919*********

E-mail : adahqf@r.postjobfree.com

CAREER OBJECTIVE:

Seeking a quality environment to work where my knowledge can be shared and enriched, resulting in growth of the organization as well as personal enhancement.

PERSONAL SUMMARY:

A highly motivated and ambitious individual able to give timely and accurate advice, guidance, support and training to team members and individuals. Possessing excellent management skills and having the ability to work with the minimum of supervision whilst leading a team of twelve or more. Having a proven ability to lead by example, consistently hit targets, improves best practices and organizes time efficient.

Core Qualifications:

Great organizational skills with the ability to multi-task

Able to effectively assess operational inefficiencies

Exceptionally talented at devising appropriate goals

Good knowledge of measurable tasks

Competent at social oral and written communication

Excellent goal tracking and report writing

WORK EXPERIENCE:

Rapido Bike Taxi- Roppen Transportation Services Pvt.Ltd.

Assistant Manager for Supplies Operation- E-commerce. June’19- Aug'19.

Managing team size of 60 associates and 1 TL.

Leads development of and communicates Productivity Improvement Plan for each performance indicator or area identified for improvement

Conducts daily status meetings with management team to review prior day’s performance and to develop action plan for current day

Participates on distribution center management team; develops action plans for conducting internal analyses and gap identification.

Conducts observations to identify areas for change; conducts analyses to develop action plans to address operational and employee gaps

Reviews the strategic goals of the inbound or outbound area and sets performance goals

Reviews current or future trends that indicate possible gaps in inbound or outbound functions and makes recommendations based on findings

Strategize projects to increase city performance and constantly innovate the process flow of operations and known’s the local language and geographical area.

Ability to evaluate and manage the resources and processes required for the successful completion of projects.

WNS Global Services Pvt.Ltd. Vizag

Assistant Manager for US Healthcare Dec’17- June’19.

Managing team size of 60 associates and two team leaders.

Managing & monitoring the performance of teams, maintaining Shift Statistics to ensure efficiency in process operations and meeting of individual & group targets.

Determining training needs of employees; conducting suitable training programs to enhance their operational efficiency leading to increase productivity

To make necessary changes in staffing based on number of volumes pending, scheduled downtime and other anticipated events.

Direct Client interaction through email and weekly call.

Identifying capacity limitations & bottlenecks and process problems and bringing about improvements in the same.

Conducting One-to-One session & Team Feedback sessions to improve performance of individuals along with Team.

To provide coaching and feedback to associates to bridge the gap between projected & achieved Performance levels to meet business partner requirements.

Delegating authorities to skilled staff for building confidence along with leadership qualities thus sharing a hand in building the next leaders.

Preparing and updating monthly incentive and night shift allowance, weekly roster for associates.

Tecra Systems Pvt. Ltd.

TEAM LEADER for US Healthcare Feb’16 – Nov’17.

Ensuring that staff motivated, monitored and measured in line with company targets and performance standards. Responsible for making sure that any gaps in performance or quality are quickly identified and addressed. Producing accurate reports on team performance to senior managers.

Duties:

Preparing daily workloads for staff & coordinating the daily allocation of work.

Motivating the team to achieve high standards and targets.

Handling new client enquiries and acting as the face of the business.

Dealing with and resolving problems and issues which arise.

Mentoring and training up junior and new staff.

Monitoring & reporting on standards & performance targets.

Arranging & chairing weekly team meetings, focusing on targets & achievements.

Implementing new initiatives.

Involved in the recruitment of new staff.

Praise team members and creates a positive working environment.

Ensuring all administrative and IT records are entered and updated correctly.

Providing prompt and accurate information on individual performance.

Tracking daily reports and attendance for team.

United Health Group March’14 to Jan’16

Claims Associate – US Healthcare

Processing claims pre- adjudication and Adjudication.

Manual processing claims.

Investigating and adjusting claims & Authorize appropriate payment or refer claims to investigators for further review.

Analyze claims to determining to approval or denial.

Verifying the Provider specialty, CPT, Diagnosis codes, member demo-graphic details, bill charges.

Verifying the family health policy records individually.

Protecting the Health Information (PHI) accordingly HIPAA Act.

Universal Financials Nov’12 to Nov’13

Customer Support Executive for US Individual taxation.

Collect info from customers the to check the taxation details like Wage income, Annual Expenses, explaining about the taxation process & confirm the tax documents.

Collecting personal information & demo-graphic details over the call.

Maintaining good relationship with customers.

PROFESSIONAL SUMMARY:

Expertise in US individual taxation and corporate tax terms like W-2, 1099 & US Health Care PHI, HIPAA Act & RCM Cycle.

CMS 1500/ HCFA 1500 & UB-04 forms, Medical Billing, Medical Records Management & Patient Confidentiality.

Medicare and Medicaid

ICD-9, CPT, HCPCS Coding.

Expertise in working with the consultant’s like US Citizen, Green Card, EAD, H1 and OPT.

Well versed with US map (Cities and States of USA).

Excellent computer proficiency with ease in using MS Word, MS Excel.

ACADEMIC DETAILS:

Completed B. Pharmacy [2008-20012] from G.B.N Institute of Pharmacy, Edulabad, Ghatkesar, Hyderabad.

Completed Intermediate M.P.C [2006-2008] from Govt. Jr. College, Kukatpally, Hyd.

Completed SSC [2005-2006] from Sai English High School, KPHB Colony, Hyd.

PERSONAL PROFILE:

Name : B. Chaitanya Naga Ramoji

Fathers Name : B. Venkoji

Date of Birth : May 22nd 1990

Sex : Male

Nationality : Indian

Marital Status : Married

Languages Known : English, Telugu and Hindi.

DECLARATION:

I hereby declare that the above-mentioned details are true to best of my knowledge.

Date: B. Chaitanya

Place: Hyderabad. (Signature)

RESUME



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