Results-driven Sr. Process Executive at Cognizant Technology Solutions specializing in healthcare billing and claims resolution. Demonstrated ability to enhance operational efficiencies and maintain strict compliance with HIPAA regulations. Proficient in data analytics and negotiation, leading to significant improvements in revenue cycle management and customer service delivery.
Overview
6
6
years of professional experience
Work History
Sr. Process executive
Cognizant Technology solution
Bangalore
08.2022 - Current
Income Production Payouts for US Market, Post-Pay Adjustments on Income for Global Markets and Payables Claims
Solely responsible for any Post-Pay Adjustment for clients
Taking responsibility of tasks independently, Insurance Claim, Medical Billing
Daily processing of Incoming claims, Customer Service, Patient Advocacy, Business Issues, Payer Relations
Analyses, Research and resolve cases, Healthcare Industry
Claim processing, USA Health care payroll, Internal audit
Timely Red Flags rose within prescribed SLAs (Service Level Agreement) in case of blue print/sensitive clients
Handing HCFA and UB claims, Compliance Procedures, Patient Communication, Strategy To Execution
HIPPA policy, Revenue Cycle Accounts Receivable Managed Services Healthcare Operational Efficiencies Revenue Cycle Management Process Improvement Quality Assurance Data Analytics Medical Groups Patient Care
SR. Process Consultant
HGS
Bangalore
06.2019 - 07.2022
Daily processing of Income pay-outs
Analyses, Research and resolve cases
Claim processing, USA Health care payroll, Internal audit
Timely Red Flags rose within prescribed SLAs (Service Level Agreement) in case of blue print/sensitive clients
Handing HCFA and UB claims, Revenue Insurance Patient Implement Accounts Data Compliance Billing Operations