About
Results-driven Senior Quality Analyst in the healthcare industry with 10+ years of experience across healthcare Accounts Receivable (AR), claims processing, denial management, BPO process quality and customer support. Proven strength in SLA/TAT monitoring, root cause analysis, quality feedback and calibration, MIS and dashboard reporting, and stakeholder communication.
Experience3
Senior Quality Analyst & SME
May 2022 — PresentCGM Aria Health · Noida
Perform daily audits of tickets, claims, account information and supporting records across billing, claims and collections activities to ensure accuracy and compliance. Act as Subject Matter Expert (SME) for the process, resolving complex queries and supporting associates. Conduct monthly BQM and calibration sessions to drive performance improvement and identify root causes of errors.
- Delivered quality dashboards and audit reports on time, strengthening stakeholder confidence.
- Improved team performance and SLA adherence through regular feedback and coaching sessions.
Senior AR Associate
Jan 2020 — May 2022EMDS (CGM Aria Health) · Noida
Managed accounts receivable for outstanding claims and payment follow-up. Verified patient eligibility and claim status with insurance carriers, and performed regular follow-up on outstanding claims. Adjusted patient accounts and reviewed insurance payments for accuracy.
Social Media Analyst
Feb 2015 — Dec 2019GE Capital (GE Money – SBI Cards) · Gurgaon
Responded to customer queries across social media platforms and monitored compliance with company policies. Collaborated with team members to meet client goals and supported administrative activities.
Projects1
Quality Assurance & Process Improvement – Healthcare Operations
Led quality assurance and process improvement initiatives for healthcare AR, billing, claims and collections operations.
Education3
B.Tech
2010 — 2014IEC College of Engineering & Technology
Computer Science and Engineering
Intermediate (ISC)
2010 — 2010CISCE
High School (ICSE)
2008 — 2008CISCE