Kavitha Banothu
Wilmington
Summary
Senior Delivery Manager with over 11 years of experience in Healthcare Claims and Revenue Cycle Management. Proven ability to enhance productivity through strategic planning and process optimization. Strong leadership and communication skills facilitate successful project execution and adherence to deadlines. Dedicated to driving organizational success through effective team management and problem-solving.
Overview
14
14
years of professional experience
Work History
Senior Delivery Manager – US Health Care Operations
Wipro Pvt Ltd (Client - Cigna)
Mumbai
04.2024 - 12.2024
- Oversaw Claims and Appeals Team of 500+, including 4 managers and 15 assistant managers.
- Coordinated cross-functional teams to improve collaboration and communication processes.
- Developed strategic plans to enhance service delivery and operational efficiency.
Manager – RCM Operations
PWC – PricewaterhouseCoopers Pvt Ltd
Bengaluru
05.2023 - 03.2024
- Oversaw RCM AR calling team of 80+, including four assistant managers, eight team leads, and 16 SMEs.
- Implemented system ensuring accurate billing information entry into billing system.
- Supervised revenue cycle department functions, including account management and insurance provider communications.
- Managed staff performance through regular feedback, reviews, and one-on-one meetings.
- Reviewed financial hardship applications to assess eligibility for assistance.
- Directed hiring and training processes for new staff members.
- Resolved patient complaints regarding billing and collections efficiently.
- Structured department workflow and staffing for optimal operational efficiency.
Senior Manager – Health Care Operations
Medi Assist TPA Pvt Ltd
Bengaluru
03.2022 - 10.2022
- Oversaw 150+ claims processing and quality team members, including 5 Managers and 5 Assistant managers.
- Streamlined health service processes to enhance operational efficiency.
- Optimized workflow, resulting in improved claims processing speed and accuracy.
- Facilitated training sessions to promote continuous improvement among team members.
- Coordinated interdepartmental efforts to ensure seamless operations.
- Monitored performance metrics to drive progress and achieve targets.
Team Manager – Title Insurance Operations
FAI Pvt Ltd (Frist American India)
Bengaluru
12.2021 - 02.2022
- Managed a team of 65+ employees (3 TL’s, 3 SME’s & 60 Associates & Sr. Associates).
- Managed daily operations of the team including scheduling shifts, assigning tasks, tracking attendance and approving time off requests.
Team Leader – Cigna US Health Care Operations
Accenture
Chennai
11.2019 - 11.2021
- Managed 70+ claims processing team members (7 SMEs, 7 QAs, and 70 processors).
- Analyzed processes for improvement opportunities and recommended solutions.
- Implemented best practices to streamline operations and reduce inefficiencies.
Team Leader – Aenta US Health Care Operations
Hinduja Global Solutions (HGS International)
Bengaluru
06.2017 - 11.2019
- Managed team of 36 members, including 2 subject matter experts and 2 quality assurance personnel.
- Oversaw health care processes for TPA claims and financials for Aetna client.
- Ensured adherence to service level agreements and process flows during transitions.
- Directed BPO operations with emphasis on team performance forecasting and FTE management.
TL / SME – US Healthcare (RCM, Payment Posting, Charge Entry, Denial Management, Claims Adjudication, Provider & Payer Rework, Data Entry)
United Health Group (UHG)
Hyderabad
06.2011 - 10.2016
- Managed team of 18 associates and senior associates for optimal performance.
- Demonstrated comprehensive knowledge of US healthcare, claims adjudication, and revenue cycle management.
- Conducted daily and weekly team meetings to communicate updates and enhance collaboration.
- Oversaw timely documentation of claims data, ensuring accuracy in processing.
- Performed research and analysis on health claims using HCFA 1500 and UB04 forms.
- Allocated claims inventory per HIPAA guidelines to maintain compliance and efficiency.
- Led grievance sessions to gather feedback and drive team improvement initiatives.
- Executed quality audits on processed claims to ensure payment accuracy and provider integrity.
Education
Bachelor of Pharmacy -
Osmania University (G.Pulla Reddy College Of Pharmacy)
HyderabadSkills
- Problem-solving strategies
- Claims processing
- Revenue cycle management
- Influencing and negotiation
- Relationship building
- Adaptability to change
- Quick learner
- Mentoring and motivation
- Equal opportunity advocacy
- Cultural sensitivity awareness
- Leading by example
- Willingness to travel
- Professional development management
- Personal hygiene standards
- Colleague support
- Absence management
- Support management strategies
- Cost efficiency improvement
- Client engagement strategies
- Problem resolution techniques
- Staff appraisal processes
- Data capture and project oversight
- Staff discipline management
- Work duty allocation
- Delegation skills
- Performance monitoring
Accomplishments
- Best Employee /Service Hero for the year 2013 (United Health Group)
- Received Multiple times Leadership Excellence Award and Best Team Lead Award (Accenture Cigna Health Care and HGS Aetna International)
- Star Award (Top Performer – Monthly) – Received this award for 14 times for my best performance within my teams.
- Sustaining Edge Award (Best Performer – Quarterly) – 3 times received this award within my span of 280 employees.
- Trained on Six Sigma (White Belt) and LEAN methodologies in the year 2013.
- M&R Collaborative Project (Rework Reduction) – Worked as a core team member for this project resulted in Savings of $0.56 Million savings for the year 2014.
- M&R Reporting Automation – Eliminated manual reporting on inventory and productions report both onshore and global teams resulted in $18,428 savings.
- 10 Bright Ideas submitted for process improvement and got implemented by black belt team.
Timeline
Senior Delivery Manager – US Health Care Operations
Wipro Pvt Ltd (Client - Cigna)
04.2024 - 12.2024
Manager – RCM Operations
PWC – PricewaterhouseCoopers Pvt Ltd
05.2023 - 03.2024
Senior Manager – Health Care Operations
Medi Assist TPA Pvt Ltd
03.2022 - 10.2022
Team Manager – Title Insurance Operations
FAI Pvt Ltd (Frist American India)
12.2021 - 02.2022
Team Leader – Cigna US Health Care Operations
Accenture
11.2019 - 11.2021
Team Leader – Aenta US Health Care Operations
Hinduja Global Solutions (HGS International)
06.2017 - 11.2019
TL / SME – US Healthcare (RCM, Payment Posting, Charge Entry, Denial Management, Claims Adjudication, Provider & Payer Rework, Data Entry)
United Health Group (UHG)
06.2011 - 10.2016
Bachelor of Pharmacy -
Osmania University (G.Pulla Reddy College Of Pharmacy)
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