Open to opportunities

Bikram Kushwaha

@bikramkushwaha

Message

Meticulous OPS Executive with extensive experience in healthcare claims.

India

Message

What I'm looking for

I am seeking a role that offers opportunities for growth and skill enhancement in the healthcare sector.

I am a dedicated OPS Executive with over 12 years of experience in the healthcare domain and telecommunications. My journey began at Aegis BPO, where I honed my skills in customer service and team management. I later transitioned to WIPRO, where I excelled as a Senior Executive, focusing on complex claims adjustments and automation processes. My commitment to quality and performance has consistently earned me recognition as a top performer.

Currently, I am employed at NTT DATA Information Processing Services, where I manage the BCBCS AZ mail burndown process. My role involves maintaining strict confidentiality of patient information in compliance with HIPAA regulations while continuously updating my knowledge through workshops and conferences. I take pride in my ability to assist team members with challenging cases and manage multiple priorities effectively, ensuring that I meet deadlines without compromising on quality.

Experience

Work history, roles, and key accomplishments

Current

OPS Executive

Current

NTT DATA Information Processing Services Private Ltd.

Sep 2022 - Present (2 years 9 months)

Currently working as an OPS Executive in the BCBCS AZ mail burndown process, maintaining continuous good performance. Previously, worked as an Appeals Auditor for the UMR Appeals process, consistently achieving good production and outstanding quality performance.

Mail Burndown Appeals HIPAA Regulations

Senior Executive

WIPRO Limited

Nov 2012 - Jan 2019 (6 years 2 months)

Worked as a Senior Executive in a Non-Voice/Back-office process, reprocessing closed, denied, or rejected claims with partial or full adjustments. Assisted new joiners with on-the-job training and collaborated with the Automation team to develop new tools and applications.

Medicare Medicaid Back Office Operations Process Improvement

SME (Subject Matter Expert)

Aegis BPO

Jun 2009 - Oct 2012 (3 years 4 months)

Started as an Inbound associate and was promoted to RHD (Retailer Helpdesk) handling chat and voice blended processes. Served as a Subject Matter Expert (SME), coaching team members and managing the team in the absence of the Team Leader.

Inbound Subject Matter Expert MS Excel Data Reporting

Education

Degrees, certifications, and relevant coursework

RKDF College (MP)

Graduation, General Studies

Completed a Graduation degree from RKDF College (MP), affiliated with RKDF University in 2021. This program provided a foundational education.

D.A.V Public School, Chitra, Deoghar (JH)

Higher Secondary, General Studies

Completed Higher Secondary education at D.A.V Public School, Chitra, Deoghar (JH) under the C.B.S.E Board, Allahabad in 2009. This phase of education focused on advanced subjects.

D.A.V Public School, Chitra, Deoghar (JH)

Matriculate, General Studies

Completed Matriculate education at D.A.V Public School, Chitra, Deoghar (JH) under the C.B.S.E Board, Delhi in 2004. This foundational education covered core academic subjects.