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Patrick Smith, Chief Operations Officer“We’ve accomplished that through a couple of different means: we added our digital operations in the form of mailroom support, paper to EDI claims conversion, claims adjudication, as well as our contact center services,” says Patrick Smith, Chief Operations Officer, Imagenet. “These services operate 24 by 7, 365 days a year, providing our clients unparalleled access to technology processes and skilled resources.” The company provides digital transformation and BPO services to more than 250 payers across the U.S for their claims operations, mail rooms, workflow solutions and contact center services.
The clients call for help from Imagenet for a particular health plan, where Imagenet receives paper claims forms and medical records like X-rays, digitizes those documents, and returns electronic files to the clients. The clients can then automate the downstream processes, improve data analytics and develop a document repository that’s HIPAA compliant. In addition, the company provides claims adjudication services, where they will augment the workforce of a health plan using skilled adjudication resources. Imagenet trains the workforce on how to review the claims, properly pay them and provide appropriate denial or rejection reasons using their in-house proprietary technology. The company also provides reporting and analytics on financial and procedural accuracy to its clients. Finally, from a customer support perspective, Imagenet furnishes solutions using a cloud-based elastic call center, which can be easily scaled leveraging resources across the U.S.
The company offers a digital workflow solution, Jetstream, that can take documents and data, route those around organizations to different teams and departments, and give them the capability to make better and quicker decisions. Within Jetstream, the clients can design their custom workflows and analytic solutions to analyze the data they’re working with and make sure that the software matches their process versus their process. Imagenet incorporates industry best practices to keep the client’s business running compliant and smoothly.
The company received the opportunity to work with a large healthcare payer that operates out of all 50 states within the U.S. Before Imagenet, they had low productivity and throughput on their claims processing or claims adjudication business and had a high abandonment rate on the calls. Imagenet came in and put together a project portfolio that addresses all of their operational team points, improves the quality and performance of their adjudication department through Imagenet resources and services, and improves their customer satisfaction and call handle rates.
We’ve accomplished that through a couple of different means: we added our digital operations in the form of mailroom support, paper to EDI claims conversion, claims adjudication, as well as our contact center services
Imagenet has been growing steadily and targets significant expansion of its contact center and claims adjudication services. Targeting a 30 to 40 percent growth in each of the company’s divisions, Imagenet wishes to cater to the demand of the healthcare industry and service those clients.
Sesha Mudunuri Appointed as Chief Operating Officer at Imagenet, Abhishek Sengupta as Chief Commercial Officer
Wednesday, March 13, 2024
TAMPA, Fla.,: Imagenet, LLC, a leading healthcare operations partner, is pleased to announce the appointment of Sesha Mudunuri as its new Chief Operating Officer (COO). Sesha brings a wealth of experience in technology and health plan operations, showcasing strong leadership, a passion for customer service, and a proven track record of success.
The company also announces the appointment of Abhishek Sengupta as its new Chief Commercial Officer. Abhishek brings a wealth of experience at the intersection of healthcare and technology, and his strategic leadership will drive Imagenet's sales and marketing functions to new heights.
Prior to joining Imagenet, Sesha served as the Chief Operating Officer at Commonwealth Care Alliance, where he was responsible for overseeing health plan operations, including information technology, claims processing, member and provider experience, and various other critical areas.
Sean Wilder, Managing Director at BV Investment Partners, Imagenet's private equity sponsor, expressed enthusiasm about Sesha's appointment: "We are thrilled to welcome Sesha Mudunuri to Imagenet as our new COO. With a robust background in health plan operations, Sesha's leadership and strategic vision will play a pivotal role in steering Imagenet towards continued growth and operational excellence."
In his role as COO, Sesha will collaborate closely with other leaders at Imagenet to advance the company's capabilities, operational performance, internal effectiveness, and scalable solutions.
In his previous roles, Abhishek Sengupta served as the Chief Revenue Officer for two innovative health tech start-ups, where he focused on enhancing member engagement. His expertise in payer sales was further showcased during his tenure as the Senior Vice President of Payer Sales at Change Healthcare, where he also played a crucial role in shaping overall go-to-market and solutioning strategy.
Abhishek's dynamic leadership style and proven track record make him an excellent addition to the Imagenet executive team.
"We are delighted to welcome Abhishek Sengupta to Imagenet as our Chief Commercial Officer," said Zac Fritz, CEO at Imagenet. "His extensive experience and strategic vision in the healthcare and technology sectors align seamlessly with our goals. We are confident that Abhishek will play a pivotal role in driving our sales and marketing functions forward, contributing to Imagenet's continued growth and success."
Imagenet's comprehensive suite of services, including digital mailroom, claims adjudication, and contact center services, is designed to enhance operational efficiency and ensure the seamless delivery of healthcare solutions to communities across the nation. With a robust 24-year history, Imagenet is a trusted partner for health plans and managed care organizations nationwide. For more information on Imagenet and its suite of services, please visit the official website at www.imagenetglobal.com.
Company
Imagenet
Management
Patrick Smith, Chief Operations Officer
Description
Provides digital mailroom and virtual reject letter services, claims adjudication, contact center services, and digital workflow platforms.
