Aiswarya Suresh
Summary
Senior Process Consultant at Sagility with expertise in claims adjudication and healthcare compliance. Demonstrated success in resolving payment discrepancies and improving provider reimbursements. Strong communication skills and commitment to quality assurance drive process enhancements and promote teamwork in dental practices.
Overview
4
4
years of professional experience
Work History
Senior Process Consultant
Sagility
Bengaluru
11.2022 - 07.2025
- Review and process dental insurance claims in accordance with standardized procedural codes (CDT codes) and organizational SOPs.
- Analyse clinical documentation to determine claim eligibility and coverage, ensuring accuracy and compliance with healthcare guidelines.
- Collaborate with providers to request missing or additional information to support claim adjudication.
- Later was the part of the Adjustments Team, specialising in investigating and correcting improperly processed claims.
- Identify and resolve payment discrepancies, determine root causes, and take corrective actions to ensure timely and accurate provider reimbursements.
- Maintain strong understanding of US dental insurance workflows, coding systems, and healthcare compliance protocols.
Ensure high standards of quality assurance, and contribute to process improvement initiatives. - Developed and maintained detailed documentation for manufacturing processes and equipment maintenance.
General Dentist
Samyak Dental Clinic
Banglore
08.2022 - 11.2022
- Performed routine dental procedures, including fillings, extractions, root canals, and crowns, maintaining high standards of patient care.
- Managed patient records meticulously, documenting treatments, plans, and progress notes in accordance with data protection regulations.
- Treated patients with empathy, offering reassurance to minimise anxieties and enhance patient experience.
Fellowship in General Dentistry
Devsuman Dental Clinic
Meerut
06.2022 - 08.2022
- Developed excellent working knowledge of industry trends and improvements in processes.
- Assisted in diagnosing and treating a variety of dental conditions, gaining valuable practical experience.
- Followed up with patients after procedures for proper pain management.
- Provided oral hygiene advice and instructions to patients, promoting long-term dental health.
- Removed plaque to remove and minimise hardening of tartar and tooth decay.
- Administered local anaesthetics effectively, minimising discomfort during dental procedures.
- Diagnosed tooth infections and gum disease to provide patients with appropriate treatment plans.
General Dentist (Junior)
Dr.Gupta's Dental Care Centre
Bhopal
01.2022 - 06.2022
- Performed routine dental procedures, including fillings, extractions, root canals, and crowns, maintaining high standards of patient care.
- Performed routine dental procedures, including fillings, extractions, and root canal treatments.
- Administered local anaesthetics effectively, ensuring minimal discomfort during dental procedures and surgeries.
- Managed emergency dental cases, providing immediate pain relief and appropriate treatments to mitigate dental injuries and infections.
- Advanced expertise in periodontal therapy, treating gum disease effectively through scaling, root planing, and educational support.
BDS Lecturer
Rishiraj College of Dental Sciences and Research centre
Bhopal
07.2021 - 01.2022
- Developed tests and materials to assess and promote student learning objectives.
- Had community health visits and teachings during the period. of work
Education
Bachelor of Dental Surgery -
Rishiraj College of Dental Sciences and Research centre
Bhopal, M.P01.2021
Higher Secondary School Certificate -
Mar Gregorius Memorial School(MGM)
Bhilai, Chhattisgarh01.2015
Secondary School Certificate -
Senior Secondary School, Sector-10
Bhilai, Chhattisgarh01.2013
Skills
- RCT and extraction techniques
- Pain management strategies
- Patient handling and equipment
- Dental disease expertise
- Claims adjudication processes
- Dental documentation analysis
- Healthcare compliance
- Communication proficiency
- Empathy in patient care
- Collaborative teamwork
- Strong work ethic
- Eagerness to learn
- Adaptability in practice
- Quick learning ability
- Community engagement initiatives
Accomplishments
- Health Education Camps, Organiser
- Field Visits in Rural and Urban areas, Organiser
- Medical Programs & Events organised in College, Participant
- Paper Presentation Programmes held in College, Participant
- Cultural Events and Competetions, Winner
- Tobacco Cessation Centre, Contributor
Languages
- English
- Hindi
- Malayalam
Personal Information
- Date of birth: 1997-02-22
- Gender: Female
Timeline
Senior Process Consultant
Sagility
11.2022 - 07.2025
General Dentist
Samyak Dental Clinic
08.2022 - 11.2022
Fellowship in General Dentistry
Devsuman Dental Clinic
06.2022 - 08.2022
General Dentist (Junior)
Dr.Gupta's Dental Care Centre
01.2022 - 06.2022
BDS Lecturer
Rishiraj College of Dental Sciences and Research centre
07.2021 - 01.2022
Bachelor of Dental Surgery -
Rishiraj College of Dental Sciences and Research centre
Higher Secondary School Certificate -
Mar Gregorius Memorial School(MGM)
Secondary School Certificate -
Senior Secondary School, Sector-10