Madhumanti Das
Hyderabad
Summary
Dedicated healthcare professional with over 5 years of experience in claims auditing and client coordination, specializing in HIPAA compliance. Proven ability to analyze medical records, identify discrepancies, and ensure regulatory adherence. Seeking to leverage strong communication, organizational, and analytical skills as a HIPAA Claims Associate in a dynamic healthcare environment.
Overview
7
7
years of professional experience
Work History
Claims Audit Assistant
Cotiviti India Pvt Ltd
Hyderabad
06.2021 - Current
- Supported the claims auditing process by reviewing over 500 claims weekly, ensuring compliance with regulatory standards and company policies by providing the necessary careful attention to detail and efficient time management to meet deadlines
- Conducting audits on 2000+ claims per month, ensuring compliance with HIPAA and CMS regulations.
- Maintained the required accuracy rate in reviewing insurance claims and medical records while ensuring the client requirements.
- Provided supporting documents on claims submissions, ensuring zero backlogs in processing.
- Alerted management of system in-efficiencies, contributing towards the reduction in processing delays.
- Developed a comprehensive training manual for new claims audit assistants, improving and ensuring consistent application of audit procedures.
- Reviewed clinical documentation to ensure to meet established standards by management, reducing compliance errors.
- Achieved departmental productivity goals, consistently meeting or exceeding targets.
Process Associate
Genpact India Pvt Ltd
Hyderabad
11.2018 - 01.2020
- Served as the customers' initial point of contact kept up-to-date on all technical details to solve issues.
- Effectively addressing customer concerns and challenges and providing prompt resolutions.
- Consistently developed more efficient methods of communicating with and resolving client concerns, managed the quality control of the work done and made sure it had been completed on time, Proactively collaborated with all team members to identify the problem.
Education
Master of Science - Information Technology
Vellore Institute of Technology
Hyderabad, IndiaMaster of Science - Organic Chemistry
Osmania University
Hyderabad, IndiaBachelor of Science -
Osmania University
Hyderabad, IndiaSkills
- Strong Interpersonal and communication skills
- Ability to work collaboratively as part of a team
- Problem solving
- Meticulous attention to details
- Poised under pressure
- Excellent Organizational skills
- Maintaining Compliance & Regulations
Disclaimer
I hereby declare that all the information contained in this resume is in accordance with facts or truths to my knowledge.
Web
https://www.linkedin.com/in/madhumanti-d-23a9a2225/
Mailing Address
306, ParkView Apartment, Huda Trade Center, Hyderabad, Telangana, 500019
Languages
English
Proficient
C2
Hindi
Proficient
C2
Bengali
Upper Intermediate
B2
Telugu
Elementary
A2
Timeline
Claims Audit Assistant
Cotiviti India Pvt Ltd
06.2021 - Current
Process Associate
Genpact India Pvt Ltd
11.2018 - 01.2020
Master of Science - Information Technology
Vellore Institute of Technology
Master of Science - Organic Chemistry
Osmania University
Bachelor of Science -
Osmania University