Sucharita .

Experience

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  WNS

  Nov 2008 - Mar 2011

  Sr. CSA ( Process- Biomet, Designation - Reimbursement-Coordinator )

   Business to Business soft collections Collecting on submitted claims to the insurance carriers. Working on claim denials and to get the claims reprocessed and reimbursed by writing appeals to the carrier.Gained expertise in dealing with B2B US based 1st Party Collection Process while working with US Healthcare (insurance) domain as Reimbursement-Coordinator where my core job used be handling Medical Claims, Denial Management, Writing Appeals against denials, Overturning Denials, etc. My KRAs also consisted of the Training facilitation for the new hires, conducting refresher trainings and helping my peers to meet TAT. Show less

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  UnitedHealth Group

  Apr 2011 - May 2015

  Sr. investigator OPTUM

   Analysis on the history of claim processing for our customers and members for correct reimbursement on claims. The platform used for analysis is TOPS. Make decision using TOPS to get the claims adjudication correctly with correct remark code, being the first platform of sending instruction as how the claim needs to be processed.Responsible for maintaining the quality work of a team of junior analysts, providing resourceful claims adjudication services to the clients, and also training new hires. Other Responsibilities:• Carrying out regular audit work and training/mentoring the new hires.• Communicating the findings to stakeholders through regular reports, excels and presentations.• Providing solutions to reduce the work errors in the normal operation processes.• Coaching the junior analysts about how to achieve / increase productivity together with the quality. Show less

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  Fortis Hospitals

  May 2015 - Dec 2022

  Head Patient Experience @ Fortis Healthcare

  Skill Highlights • Customer focus • Process mapping and improvement • Standards & Procedures • Team building, staff coaching, mentoring and motivation • Strategic planning & tactical execution • Vendor Management • Multiple project management • Envision - ability to bring an idea to reality from conception to completion Professional Experience MAY 2015 - Till date Patient Experience Faridabad, Fortis Healthcare Limited Currently reporting to the Facilty Director Fortis Healthcare Limited as Head Patient Experience (Manager) from May 2015 till date. Prepared performance MIS monthly and annual basis. Empathetically handled vulnerable patients / VIP patients. In addition to this, was also responsible for tracking & managing Online Patients Complaint Portal Assist and coordinate with the facility management team to resolve patient grievance and close loop with the patient. Key Expertise Customer Focus: Process Mapping and Improvement: Process improvement through technology intervention Standards and Procedures Team building, staff coaching, mentoring and motivation Vendor Management Show less

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  Fortis Healthcare

  May 2015 - now

  • Unit Trainer

    Nov 2022 - now

  • Head Patient Experience

    May 2015 - Dec 2022