Summary
Work History
Education
Skills
Accomplishments
Languages
Visa
Timeline
Generic

Vaishali Subramanian

Dubai

Summary

Diligent and self-driven Operations Analyst with 4+ years of experience in US Healthcare domain with demonstrated history of working experience in healthcare industry services. Proven ability to design and deliver analytical projects to customers within timeframe. Specializing in providing clear explanation of complex processes to non-technical audiences

Work History

Operations Analyst

Athenahealth
  • Identifying the scenario in which the claims were billed and cluster them together
  • Follow up with the providers and payers in order to update the SI Team with the latest trends
  • Monitoring the claim progressions by reducing the impact of denials till it pays out
  • Enforcing management's goals to spot denial trends by documenting them to find an immediate solution
  • Analyze business requirements and feedback from end-users, creating technical action-based solutions
  • Utilize SQL Query to run the data and collect information about the impacted claim volume, calling up a payer to find solution and address those impacted volumes in designed manner
  • Experience with handling BDE (Billing Deadline Exceeded) claims.

Process Associate

AGS Health
  • Proficiency in Professional and as well as Hospital claims in Follow-up, Denial management and No response queue
  • Experience with handling all healthcare agencies along with Federal insurances, Workers Compensation & Commercial payers
  • Handling payment posting scenario, remit management
  • Electronic Medical Records, enrollment and basic of medical coding
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
  • Met deadlines by proactively managing individual tasks and implementing process
  • Handling protected health information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPPA)
  • Knowledge in Embillz and payer site.

Education

B.E. Electronics and Communication Engineering -

Velammal Institute of Technology - Ponneri

Skills

  • Trend Modeling
  • Process Updates
  • Project Management
  • Customer Service
  • Business Process Mapping
  • Quality Assurance
  • Customer Relationship Management (CRM)
  • Insurance verification
  • Medical billing knowledge
  • Claims processing
  • Insurance Verifying
  • HIPAA Compliance

Accomplishments

  • Completed RCM and HIPPA Courses.
  • Achieved 100% result in quality by introducing clustering type workflow for Nevada claims tasks.
  • Won Extra miler award for providing business and client requirement.
  • Star Performer for overall Highest Production, Quality and Attendance - AGS Healthcare for quarter July-Sept 2019.
  • Hundred knockouts for maintaining hundred percent attendance along with good production and quality - AGS Healthcare for quarter July-Sept 2019.
  • Participated in Indian National Level Spell Bee.

Languages

English
Advanced (C1)
Tamil
Bilingual or Proficient (C2)

Visa

  • Sponser Visa

Timeline

Operations Analyst

Athenahealth

Process Associate

AGS Health

B.E. Electronics and Communication Engineering -

Velammal Institute of Technology - Ponneri

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Vaishali Subramanian