indhu suresh
@indhusuresh
Healthcare operations professional with 6.5+ years in enrollment, eligibility, claims support, PHI compliance, and KPI-driven analytics.
What I'm looking for
I’m a healthcare operations professional with 6.5+ years handling enrollment, eligibility, claims support, and CMS workflows while ensuring PHI compliance and operational efficiency. I bring a strong analytical mindset, turning operational data into structured reporting that supports decision-making.
As a Senior Client Partner at Access Healthcare, I managed enrollment & disenrollment workflows with 100% CMS & PHI compliance and processed 200–300+ PHI-sensitive documents weekly. I generated weekly and monthly reports tracking SLA, productivity, and accuracy using Excel, while also supporting professional healthcare claims processing and documentation. I analyze operational data to spot performance trends and improve workflow efficiency.
In my Team Leader role at Sagility (HGS), I led a 12-member team to ensure SLA, productivity, and quality compliance. I built KPI dashboards and performance reports to monitor productivity and identify improvement areas, and I improved SLA adherence by 8–12% through coaching, training, and monthly performance evaluations.
Earlier, as a Senior Process Consultant at HGS, I created SPD/SBC insurance documents with 98%+ accuracy, maintained and tracked TAT, quality, and compliance metrics, and prepared weekly reports for audits. I also develop dashboards—like healthcare and HR analytics in Tableau and Power BI—using skills such as Power Query and DAX, and I’ve earned internal trainer certification in RNAA—Interpersonal & Leadership Skills.
Experience
Work history, roles, and key accomplishments
Senior Client Partner
Access Healthcare
Aug 2023 - Jan 2025 (1 year 5 months)
Managed enrollment and disenrollment workflows ensuring 100% CMS and PHI compliance. Processed PHI-sensitive documents, supported claims processing documentation, and reported SLA/productivity/accuracy metrics to improve workflow efficiency.
Team Leader
Sagility (HGS)
Apr 2022 - Mar 2023 (11 months)
Led a 12-member team to ensure SLA, productivity, and quality compliance. Built KPI dashboards and performance reports, improved SLA adherence, and conducted coaching, training, and monthly performance evaluations.
Senior Process Consultant
HGS
Mar 2018 - Mar 2022 (4 years)
Created SPD/SBC insurance documents with 98%+ accuracy while maintaining TAT, quality, and compliance metrics. Prepared weekly audit reports and ensured timely documentation to meet compliance requirements.
Education
Degrees, certifications, and relevant coursework
Anna Adarsh College for Women
Bachelor of Computer Applications (BCA), Computer Applications
Earned a Bachelor of Computer Applications (BCA) degree from Anna Adarsh College for Women.
Availability
Location
Authorized to work in
Job categories
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