Manager AR Operations : Resume CV

[mthomas]

Manish T Thomas
E-Mail : manish_thomas80 AT yahoo.co.in/manish.thomas AT rediffmail.com

Operations Management with a growth oriented organization.

Professional Abridgement :
- A dynamic professional with over 7 years of experience in Project Planning & Management, Administration, Operations Management and Man Management (US Healthcare Medical Billing).
- A project planner with expertise in planning, executing and spearheading various projects within time and costs constraints.
- A strategist with expertise in planning and executing construction & maintenance projects with a flair for adopting modern construction methodologies in compliance with quality standards.
- Proven track record of managing processes/SOPs and streamlining workflow & creating team work environment to enhance productivity innovatively.
- Acting as an escalation gate to resolve critical issues of the team members. Skills in conducting various training sessions for enhancing the performance and quality of service.
- Ensuring that the process surpasses achievement of delivery & service quality norms for all valuable clients.
- Excellent relationship management, analytical and negotiation skills with deftness in swiftly ramping up projects in co-ordination with clients & consultants.

Areas of Excellence include :
- Project Management - Strategic Planning - Operations Management
- Surveys / Estimation - Reviews - Quality Assurance
- Resource Management - Manpower Planning - Relationship Management - General Administration - Client Servicing

Proficiency Forte :
- Monitoring and executing projects with respect to budgeted cost, demand forecasts, time over-runs to ensure timely execution of projects.
- Process mapping and implementation as per schedule.
- Training of shadow resource in India from US office.
- Responsible for a team comprising Medical Billing Execs performing functions of medical billing. Responsibilities include monitoring, motivating, evaluating and settings up of production norm.
- Responsible to ensure that functions of Charge Entry, Claims Processing, Cash Posting are done in accordance to the requirements of Insurance Payer’s & Clients.
- Calling Insurance Companies for Claim Status on a behalf of Physicians or Group of Physicians.
- Calling Patient for their dues that they have to pay to Physicians.
- Gives Training on Patient calling & Insurance Calling.
- Conducting cost benefit analysis of the projects including feasibility studies, assessment of the requirements, adaptation, interface.
- Setting up & maintaining CTQ (Critical To Quality) / CTP (Critical To Process) targets for process & team.
- Taking various initiatives for maintaining SLA (Service Level Agreement).
- Coordinating integration with support functions viz. Quality, Training, Technology, Compliance & HR.
- Providing Cross Training to Process Associates to handle High Volume Situations and reduce Idle Time.
- Ensuring CTQ closure : Productivity-Capacity Based Turn Around Time (TAT) through Time studies & Capacity Planning and Accuracy Base-Lining.
- Conducting continuous audits on MIS to ensure compliance and sound functioning of the process.
- Identifying improvement areas & implementing measures to maximize customer satisfaction levels.
- Managing all activities to ensure completion of project within the time & cost parameters and effective resource utilisation to maximise the output.
- Directing, leading and motivating workforce; imparting continuous on job training for accomplishing greater operational effectiveness/ efficiency.
- Working on succession planning of the workforce, shift management activities, appraising the member’s performance & providing feedback.
- Was working with Gebbs Healthcare, Mumbai as Manager AR Operation (Resigned on June 2010).

Organizational Experience :
Since May’04-June 2010 with Gebbs Healthcare, Mumbai as Manager AR Operations
- Coordinating and organizing meetings with the Project/Operations Manager and Functional Management to discuss project impediments, needed resources or issues/delays in completing the task.
- Developing terms & conditions related to target & quality parameters.
- Analyzing the process and developing job aids to ensure smooth flow or the work process.
- Interacting with the clients for resolving the issues.
- Providing individual feedback to the Process Associates based on the scores on areas of improvement.
- Ensuring deliverables are prepared to satisfy the project requirements, cost and schedule.
- Member of team working towards the development of a ISO Documentation for the BPO Division.
- Conducting various refresher trainings to the existing team on various new process developments.
- Training the fresher about the medical terminologies and insurance plans & the set up.
- Managing a team size of 65 plus Agents.
- Exposure to Demographic entry, charge entry and payment posting.
- I headed the training department in 2007 for more than a year and had trained around 35 batches for AR.
- Trained JIT (Just in time) candidates for immediate requirement for projects.
- Understand specific Client requirements for each Operation after understanding the process requirement and arranged training program which was aligned with the process requirement.
- Build rapport with Client.
- Designed 25 days of training program for AR which covered almost all scenarios which they can come across while the pitch to US health insurance companies.
- Introduced Mock call sessions for more effectiveness and week on week evaluation on the effectiveness and improvement on trainees and training programs.
- RCM (Revenue Cycle Management) training program with all documents were prepared by myself, which is still followed in GeBBS for process training.
- Gave directions to the activities required to develop/deliver/support training across all target audiences.
- Participate in the design and development of associate materials and curriculum in conjunction with identified needs, performance deficiencies and industry changes.
- Ensured that the Training faculty is skilled to manage the training curriculum.
– Successfully transitioned 2 Pilot Projects into Live Projects being offsite & has done transition of 15 & 40 FTE’s work being onsite (more than a month in US for Transition each time).
– Visited some of the current clients to learn & resolve concerns of client.
– Visited US for process transition & improvement & helped the client with value additions without any additional cost to company.

Mar’03-Apr’04 with Dharma Systems Pvt. Ltd :Bangalore as Sr. Associate
- Analysing the insurance claims and following up with the Insurance Company; with the patient for bills due.
- Assuring quality of Trainees and resubmissions of claims.
- Handling EOB Calls (Denial Management).
- Posting patients accounts to collection website.
- Demographic entry, charge entry and payment posting in billing software.

Academia :
B.Sc. in Chemistry from B.A.M College, M.G University, Kerala.
PG Diploma in Computer Application

Personal Dossier :
Date of Birth : 25th September 1980

[Guest]

Dear Team,
Please find enclosed resume for your reference , if any kind of job requirement suits the same , please consider .
Regards,
Anchal Madan
(Chandigarh) ,

Madan.anchal25 AT rediffmail.com

CAREER GOAL : Seeking assignments in area of Administration / Operations in an organization with a progressive work environment and right opportunities for growth.

SYNOPSIS :
- 2.8 years of experience in Operations with SBI Life Insurance.
- I believe in establishing milestones, streamlining workflow and creating a teamwork environment to enhance productivity innovatively.

Graduate Trainee (Dec 07- Dec 08)
Operations Associate (Jan 09-Aug 10)

Profile :
To verify Application Forms and Documents
Underwriting of policies working as the chief underwriter.
Handling a team of 4 Graduate Trainees.
Express underwriting for issuance of policies upto 2 lacs.
Making MIS reports and generating reports.
Managing the work flow through the department.
Banking cheques, Control on TAT.
Promoted to Associate from Graduate Trainee within a span of one year.
Certification from NIIT with distinction 82%
MS Office :
Languages : C, C++
Pursuing MBA HR from GJUS&T (June 2008-June 2011)
MCA from GJUS&T (2004-2007) 67%
Matric from Board of School Education Haryana.(1999)

Name : ANCHAL MADAN
Date of Birth : 1ST Feb 1985