Kamal Gohar has over 15 years of experience in revenue cycle management and healthcare billing. He currently works as a Team Leader at Pacific BPO, managing a team of 25 agents. Previously, he held supervisory roles at UnitedHealth Group and Globerian Pvt. India Ltd. Gohar seeks to use his experience and skills to help an organization achieve its goals and provide mentorship to team members.
Synergita is a cloud based performance management software which not only automates to resolve all employee performance review pain points but also enables employee engagement, employee training and development. Synergita helps create an extraordinary culture where employees unleash their potential, set new standards of excellence and create wonders. HR teams elevate their organization’s performance by eliminating the stress, time pressures and employee dissatisfaction. We call it “people MAGIC”.
Tying employee performance to compensation in a high involvement organizationbillmarkis
“Tying Employee Performance to Compensation in a High Involvement Organization”
I wrote a Google Knol and have lectured at California Power Exchange, at the “Training, Productivity and Development Regional Forum", at the International Maize and Wheat Improvement Center and to Cal Poly H.R. students.
Bridge Knowle Workshop - Developing Effective KPIs (Companion Workbook)Kenny Ong
Learn How to Setup, Implement & Monitor Effective Benchmarks for Departmental and Corporate Growth Using Result-Driven KPI Initiatives
KPI Measurements for Employee & Performance
Know how to effectively use KPI to manage people and
their performance. This will mean you can effectively set
goals, measure their performances, provide feedback as
well as giving all a clear picture of what is important.
KPI Measurements for Departments & Company
Learn how you can use KPI to improve various functions
in your organization including for departments, business
units including new or existing business ventures
Synergita is a cloud based performance management software which not only automates to resolve all employee performance review pain points but also enables employee engagement, employee training and development. Synergita helps create an extraordinary culture where employees unleash their potential, set new standards of excellence and create wonders. HR teams elevate their organization’s performance by eliminating the stress, time pressures and employee dissatisfaction. We call it “people MAGIC”.
Tying employee performance to compensation in a high involvement organizationbillmarkis
“Tying Employee Performance to Compensation in a High Involvement Organization”
I wrote a Google Knol and have lectured at California Power Exchange, at the “Training, Productivity and Development Regional Forum", at the International Maize and Wheat Improvement Center and to Cal Poly H.R. students.
Bridge Knowle Workshop - Developing Effective KPIs (Companion Workbook)Kenny Ong
Learn How to Setup, Implement & Monitor Effective Benchmarks for Departmental and Corporate Growth Using Result-Driven KPI Initiatives
KPI Measurements for Employee & Performance
Know how to effectively use KPI to manage people and
their performance. This will mean you can effectively set
goals, measure their performances, provide feedback as
well as giving all a clear picture of what is important.
KPI Measurements for Departments & Company
Learn how you can use KPI to improve various functions
in your organization including for departments, business
units including new or existing business ventures
Developing Employee & Organizational Performance June 2010Patrick Hartling
This is a presentation I delivered to the AMA Professional Day seminar in June 2010. Critical themes include Performance Assessment and Effective Coaching Strategies.
This Slideshare presentation is a partial preview of the full business document. To view and download the full document, please go here:
http://flevy.com/browse/business-document/total-quality-process-tqp-349
Many quality improvement programs fail because they were not managed as a total process. Total Quality Process (TQP) teaches you how to approach quality or any change initiative as a company-wide effort. You will learn how to make a commitment, plan and begin to implement systems for managing quality that integrates all the people, processes/systems and continuous improvement initiatives together.
Based on Philip Crosby's methodology, what this presentation guide will focus is not a new quality control system, but a company-wide approach to total quality. A process for total quality must comprise Quality Management and Quality Improvement. The Total Quality Process (TQP) introduced in this presentation is based on Five Quality Principles and establishes Four Key Activities for Quality Management. TQP is designed to involve every employee in your company in quality improvement efforts.
NO. OF SLIDES = 83
LEARNING OBJECTIVES
1. Explain the Principles of Quality
2. Describe the TQP framework ("House of Quality")
3. Define the Four Key Activities for managing quality
4. Explain the need for a culture change, starting at the top
5. Demonstrate a personal commitment to total quality
6. Explain the TQP implementation infrastructure
7. Describe how to put the systems for TQP into motion
8. Identify ways to sustain TQP activities
9. Understand a manager's role in quality improvement
Developing Employee & Organizational Performance June 2010Patrick Hartling
This is a presentation I delivered to the AMA Professional Day seminar in June 2010. Critical themes include Performance Assessment and Effective Coaching Strategies.
This Slideshare presentation is a partial preview of the full business document. To view and download the full document, please go here:
http://flevy.com/browse/business-document/total-quality-process-tqp-349
Many quality improvement programs fail because they were not managed as a total process. Total Quality Process (TQP) teaches you how to approach quality or any change initiative as a company-wide effort. You will learn how to make a commitment, plan and begin to implement systems for managing quality that integrates all the people, processes/systems and continuous improvement initiatives together.
Based on Philip Crosby's methodology, what this presentation guide will focus is not a new quality control system, but a company-wide approach to total quality. A process for total quality must comprise Quality Management and Quality Improvement. The Total Quality Process (TQP) introduced in this presentation is based on Five Quality Principles and establishes Four Key Activities for Quality Management. TQP is designed to involve every employee in your company in quality improvement efforts.
NO. OF SLIDES = 83
LEARNING OBJECTIVES
1. Explain the Principles of Quality
2. Describe the TQP framework ("House of Quality")
3. Define the Four Key Activities for managing quality
4. Explain the need for a culture change, starting at the top
5. Demonstrate a personal commitment to total quality
6. Explain the TQP implementation infrastructure
7. Describe how to put the systems for TQP into motion
8. Identify ways to sustain TQP activities
9. Understand a manager's role in quality improvement
La informacion mas completa de Mexico, Oaxaca y la Costa chica. Se usó fuerza pública vs maestros: Osorio Chong. Oaxaca: solución pasa por renuncia de gobernador Cué.
MBA HR with nearly 10 years of experience in managing HR functions including Recruitment, Talent Acquisition, Performance Management, Training & Development, Employee Engagement & Welfare, HR Policies & Systems and Organisation Development.
1. CURRICULAM VITAE
KAMAL GOHAR
Primary Add: H.No. 9683/10
DBG Road, Pahar Ganj
New Delhi - 110 055
Secondary Add: H. No.3710A/5
Jawahar Colony, Faridabad,
Ph: 9910311156, 9810141955
E-mail: krajput81@gmail.com
Objective
Seeking a challenging position in an organization, that will provide adequate opportunities and environment to help
explore my knowledge, experience and clear strengths to mutual benefits.
Career Highlights
Organization : Pacific BPO Pvt. Ltd.
Designation : Team Leader (Revenue Cycle Management)
Period : Dec.2015 to Till Date
Joined Pacific as a Team Leader in December 2015 and have been actively involved in different projects, tasks &
initiatives. Currently handling a team size of 25 Agents.
Job Responsibility
Manage a Team Size of 25 FTEs for Revenue Cycle Management (Provider Billing)
Organize resources for effective execution of operation plans.
Use resources to optimum level for achieving targets and productivity.
Co-ordinate with Clients and take appropriate decisions regarding operations.
Maintaining leave planner according to the need of the process.
Satisfying client and company needs by implementing desired projects.
Take proper initiatives to strengthen the team to achieve higher targets and enhance the productivity.
Maintaining Quality standard of the work.
Appraise the performance of the team members at the regular intervals
Provide assistance to all the team members for their daily work.
Regular interaction with client via phone and e-mails.
Discussing problem list cases for every provider group with client
Generating secondary insurance claims on HCFA
Quality check of daily production (sample size) for AR & Billing team.
Identify and correct the billing errors on patient accounts.
Identify trends for areas of improvement, efficiency in claims handling.
Follow HIPAA compliance while working on patient accounts.
Monitoring the work & identify training needs for team members
Production & Quality report for MIS.
Invoice & download details for billing team.
Transaction details for billing team
Weekly meeting with quality dept.
Meeting with management, discussing the areas where team is lacking & advising the most appropriate step
which can be taken to improve the teams skills, production & quality
Effectively involved in employee engagement exercises to bring down the attrition to minimal level,
providing quality and disciplined work place
Tracking and maintaining records for a variety of data includes Productivity, updates, new learning &
errors
2. Chairing Team meetings, focusing on issues like schedule efficiencies, team and individual performances
Conduct regular One-on-One, Focus Groups with the floor to resolve all people issues
Organization : UNITEDHEALTH GROUP
Designation : Management Trainee (Supervisor)
Period : June 2007 to Dec. 2014
Joined UHG as a Sr. Claim Associate (US Health Insurance) in June 2007 and then eventually got promoted to
Subject Matter Expert and then to Management Trainee and have been actively involved in different projects, tasks
& initiatives. Handled a team size of 30 FTEs.
Job Responsibility
Manage complete cycle of Customer Insurance Policies and work with different departments (Sales,
Implementation, Installation, Claim Testing, Claim Payment and Rework) for smooth completion of
Benefits Implementation.
Responsible for managing operations & leading teams for excelling business targets & service delivery
metrics.
Lead Quality Review with all the Departments such as Client & Senior Management
Work with Training Dept. to lead compressive action plan to improve Quality
Identify and Lead process improvement initiative that drives business values
Draw action plan as per the Error Analysis and Implement the same
Effective use of different quality tools to find various ways for Process Improvement
Plan and coordinate resources for new accounts
Review performance of different processes regularly with the team and with Ops leaders
Review System set up, Product and Error Analysis to find out the opportunity of Automation Project
Conceiving/Implementing short/long term plans for achievement or process objective.
Involved in organizing various employee engagement activities in coordination with HR, Training,
Operations and Quality Team.
Interacting constantly with the client with regard to various aspects such as staffing & scheduling
requirements, Inventory management performance reporting etc
Preparing & compiling various weekly/monthly reports pertaining to process quality and productivity.
Managing workload allocation, capacity utilization, report analysis & TAT analysis.
Queue Monitoring and work allocation based on the client SLA.
Handle the team of Process and adjudicate claims (hospital and medical) which are dropped by Automatic
Claims Adjudicate system for manual intervention
Effectively involved in employee engagement exercises to bring down the attrition to minimal level,
providing quality and disciplined work place
Tracking and maintaining records for a variety of data includes Productivity, updates, new learning &
errors
Chairing Team meetings, focusing on issues like schedule efficiencies, team and individual performances
Conduct regular One-on-One, Focus Groups with the floor to resolve all people issues
Projects Handled
Trained 7 Training Batches with 250+ Agents for India and along with that Trained 2 batches over the
WebEx for Philippines Site.
Worked for TOPS Automation Project to reduce 15minutes per case which has altogether done the savings
of $1.5 million
Worked with Automation Team and created a macro to streamline the Remark Code Process and made the
savings of $37k.
Worked with Onshore Partners and streamline the Process Related Materials (P&P, Updates & Process
Flow)
Worked on Catch up List Project (to complete the policy updates which are left at the time of renewal of
existing policies and New Policies) and successfully completed
Worked on BAR Approval Project (some non standard benefits for which customer has to sign an
3. agreement for Manual Intervention) and successfully completed
Worked on Policy Update Log Project (Log wherein all the changes done on a particular policy should be
updated) and successfully completed
Initiatives
I'm a core team member for several organizational Initiatives.
Ucare Team (Corporate Social Responsibility)
An Initiative by Organization to support under privileged human beings wherein we conduct several events
to help them groom in their lives. Some of the big successful events are Friendship Classes, Wish Tree
Campaign, United Giving Campaign, Blood Donation camps etc.
UFL Team (United Fun League)
An employee engagement forum, wherein we conduct several activities for Employee Engagement Some
of the big successful events are Fashion Show, Photo Exhibition, UFL Got Talent, Dance competition etc.
USC Team (United Sports Committee)
A forum to conduct various Sports events. Some of the big successful events are United Premiere League
Cricket Tournament, Table Tennis Tournament, Pool Table Tournament, Directors Cup Cricket Tournament
etc.
Live Well (Our People First)
Live well is a platform where we help all the employees to live healthy lives. Some of the big events are
Health Checkups, Airtel Delhi Half Marathon, Blood Donation Camps, H1N1 vaccination camp etc.
Key Achievements
I was awarded with Above & Beyond Award 4 times for my exceptional work towards Organizational
Initiatives
Awarded as best Trainer (Talent Champion Award) for training 3 successful Training Batches.
Saved $1.5 Million from Automation Project and appreciated by Vice President.
I was awarded as a STAR OF THE MONTH for many months.
My Team was awarded "Best Team of Quarter" for Quarter - 1, 2008.
My Team was awarded "Best Team of Quarter" for Quarter - 3, 2009.
I was a part of "Best Team of the Year" for the Year 2008.
Trained on Six Sigma White Belt.
Trained on Six Sigma Yellow Belt.
Trained on LeAn Concept.
Organization : GLOBERIAN PVT. INDIA LTD
Designation : Mentor (Asst. TL-Revenue Cycle Management)
Period : Nov. 2005 to June 2007
Joined Globerian as an Associate (Medical Billing) in Nov. 2005 and then eventually got promoted to Mentor and
have been actively involved in different projects, tasks & initiatives. Handled a Team size of 20 individuals.
Job Responsibility
Assist Team manager to draw action plan, implement and review.
Organize resources for effective execution of operation plans.
Use resources to optimum level for achieving targets and productivity.
Co-ordinate with Clients and take an appropriate decisions regarding operations.
Maintaining leave planner according to the need of the process.
Satisfying client and company needs by implementing desired projects.
Take proper initiatives to strengthen the team to achieve higher targets and enhance the productivity.
Maintaining Quality standard of the work.
Appraise the performance of the team members at the regular intervals
Provide assistance to all the team members for their daily work.
4. Regular interaction with client via phone and e-mails.
Discussing problem list cases for every provider group with client
Generating secondary insurance claims on HCFA
Quality check of daily production (sample size) for AR & Billing team.
Identify and correct the billing errors on patient accounts.
Identify trends for areas of improvement, efficiency in claims handling.
Follow HIPAA compliance while working on patient accounts.
Monitoring the work & identify training needs for team members
Production & Quality report for MIS.
Invoice & download details for billing team.
Transaction details for billing team
Weekly meeting with quality dept.
Meeting with management, discussing the areas where team is lacking & advising the most appropriate step
which can be taken to improve the teams skills, production & quality
Key Achievements
I had joined Globerian as a Billing Executive and promoted as a Mentor (Asst. Team Lead) just after
completing 9months as a Billing Executive in the Production.
For providing exceptional contribution towards the Customer Satisfaction, Quality, Production and Turn
around Time and selected to work for three different process.
Rewarded as a STAR PERFORMER for consecutive 5months (June'06 to Oct.'06).
Educational Qualifications
B.com (p) from Delhi University
Diploma in computer applications from RCC computer center
Personal Profile
Father's Name : Mr. Ashok Kumar
Date of Birth : 01 Jan.1981
Marital Status : Married
Language Known : English, Hindi.
Declaration
I hereby certify that the above information is true to the best my knowledge.
Place: New Delhi
Date: Kamal Gohar