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Rajesh Resume Bpo Jan 2011


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> MCA Graduate, also completed P.G.Dip Counseling Psychotherapy.
> 9 Yr Exp in Health care BPO Industry - Medical Billing.
>> 4 Yr as a Payor Relationship Exe.
>> 5 Yr as an Billing Accounts Manager.
>> Trainer for Voice & Non-Voice Process.
> Sound Knowledge in VB6.0, SQLServer, VB.Net, C#.Net.
> 4 Yrs exp. in IT as "Subject Matter Expert" & "Project Designer".
> Medical Billing Training Consultant in Lemur 4 yrs
> I am Freelancer Soft-Skills Trainer.
> Career, Edu & Personal Counseling

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Rajesh Resume Bpo Jan 2011

  1. 1. RAJESH.K A seasoned professional with Ten years of experience in BPO specialized in Health Care Industry especially in Medical Billing. Seeking an assignment in Technical / Non-Technical BPO Sector with the scope of Voice / Non-Voice. Team Management, Project Management and Client Relationship Management with an organization of repute Core Competencies • Analyzing of Providers claims (EDI and Paper) for the credibility. • Responsible for Account Receivables. • QA on Patient Demographics, Charge Entry and Cash Posting. • Timeline deliverables to Client reports like daily, weekly & Monthly financials. • Maintain the Processing accuracy, Payment Accuracy, Financial Accuracy and delivering in line with the client expectations. • Training, Research & Development. Team Management  Monitoring a team of associates, thereby ensuring optimum performance.  Identifying and implementing strategies for building team effectiveness by promoting a spirit of cooperation between team members.  Planning targets, monitoring numbers and achievement of overall targets on a daily, weekly & monthly basis in adherence to the pre-set standards.  Creating and sustaining an environment that fosters development opportunities and motivating the employees for enhancing the existing performance levels. Project Management  Coordinating activities for migration of project from development to production.  Visiting onshore units to facilitate migration of project to offshore centers.  Reviewing progress of migration with head of departments, keeping track of all constraints, risks, dependencies, and flag issues and provide action plan to mitigate the same.  Provide timely, high quality response to all client queries. EMPLOYMENT PROFILE Job Objective: Training Duration: 3 Yrs.  Lemur Designation: Consultant for Medical Billing Training Period: Jan 2007 – till date  Training Medical Billing  Freelancer Soft Skills Trainer for Schools, College and Corporate(s).  Career, Educational & Personal Counseling & Guidance for Students, Employees & Public.  Research & Development under Training Materialization. 1/12/2011 Page 1 of 3
  2. 2. Job Objective: Healthcare (Technical / Non-Technical) BPO Duration: 9 Yrs.  SVL INFOTECH PVT LTD Designation: Accounts Manager Period: June 2005 to till date  Governed various activities entailing team management, planning, delivery management, CRM, etc.  Responsible for end to end service deliverables to business.  Conduct monthly performance reviews and annual appraisal.  Liaise with other departments to remove all hurdles to service delivery. Liaise with clients for smooth transitioning of the process.  Conduct weekly project performance reviews with clients. Generate staffing and capacity planning reports together with logistics.  Establish procedures for maintaining high standards of productivity, quality and delivery.  Responsible for transition of project from onshore to offshore sites.  Coordinating with onshore team on project progress, process developments and resolution of ideas.  Design and Maintain the Process for the organization.  Meet all the deliverables as per the SLAs of the respective process.  Interact with client on a regular basis to ensure smooth operations.  Maximum utilization of the available resources with effective manner and also to control cost  Motivate the team to ensure productivity and quality in the highest performance level. Achievements:  Successfully did a project assignment in the year of 2006 to 2007 at Maryland (USA) and did a Project Transition for the same from USA to India.  Successful Implementation of Software Deployment and Client Data Transition from their Old Billing Software to the New Billing software and also successful implementation of EMR and Training to the hospital staff in the year of 2008 at Durant (Oklahoma, USA)  NITTANY OUTSOURCING SERVICES Designation: Payer Relationship Executive Duration: May 2001 to June 2005.  Acted as a Team Leader for Client Reports (Achieve preparation of Company Internal and external Reports including Bank reconciliation statement Vs Accounts postings).  Acted as a Payer Relationship Executive – Claims Analyzing and Calling.  The objective of my role was to take care of all Reports which required by the client and Prepared all the Month-End Reports, and submitted to the client and prepared the Deposit Logs Bank Reconciliation statements Vs Accounts Posting in system and also Analyzing the accounts communicating the Insurance companies and to increase the collections. Achievements: Selected for the Excellence Award during the month of September’04 and December’04 for the best performance in AR Follow-up. 1/12/2011 Page 2 of 3
  3. 3. Educational Qualification P.G Dip (Counseling & Psychotherapy) : Tamil Nadu Open University, March 2010. M.C.A : Open University of Madras, March 2007 B.Sc. (Physics) : D. G. Vishnav College, Arumbakkam, Chennai, March 2000 Technical Qualification • GNIIT • Completed COM Programming successfully from NIIT. • Certified in Quality Management Program conducted by NIIT. • Participated in Project Management Program conducted by PMI. PERSONAL DETAILS Name : Rajesh. K Permanent Address : #3, 34th Street, Vino Baji Street, G.K.M Colony, Chennai - 600 082. Phone # : 9962257320 Date of Birth / Age : 30/11/1979 – 31 Years Sex / Marital Status : Male / Married Blood Group : O +Ve Date: Place: Chennai (RAJESH. K) 1/12/2011 Page 3 of 3