Arun Choudhary
New Delhi
Summary
Committed and meticulous U.S. Healthcare insurance professional with over six years of experience in UAT, claims processing, contract management, quality analysis, and provider pricing configuration.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Quality Analyst
Optum
Greater Noida
03.2019 - Current
- Coordinated contract termination solutions to optimize operational efficiency as renewal manager.
- Analyzed provider service agreements and configured systems for accurate claim processing as Network Program Analyst.
- Validated accuracy and reliability of Facets claim processing module as Quality Analyst.
- Optimized medical and hospital claims processing to ensure accuracy and efficiency as Claim Processor.
- Evaluated denial patterns across multiple providers and executed corrective actions to enhance reimbursement rates.
Process Associate
Genpact
Greater Noida
01.2018 - 03.2019
- Managed payment and deposit issues for Citibank's U.S. citizens' retirement plans.
- Oversaw banking operations, including transactional and non-transactional activities.
Education
BBA - Business Administration
GURU GOBIND SINGH INDRAPRASTH UNIVERSITY
New Delhi07.2016
Intermediate - Commerce
KENDRIYA VIDYALAYA
New Delhi01-2013
High School -
KENDRIYA VIDYALAYA
New Delhi03-2011
Skills
- Claim processing and denial management
- NDB maintenance and loading
- Medical billing and coding
- Provider service agreements
- US health plans knowledge
- Facets expertise
- Manual testing and auditing
- Data analysis and SQL
- Basic VBA skills
- Customer support excellence
- Agile methodology
- User acceptance testing (UAT)
- Excel and Power Query
Certification
Completed CPC medical coding training from Resolve Medicode
Extracurricular Activities
Represented college and school for inter house competition in volleyball.
Additional Projects
- Led a team of 10 members, addressing their daily queries, and reviewing their work during implementation projects
- Developed a macro using the Macro Editor tool to generate member IDs for testing purposes
Timeline
Quality Analyst
Optum
03.2019 - Current
Process Associate
Genpact
01.2018 - 03.2019
BBA - Business Administration
GURU GOBIND SINGH INDRAPRASTH UNIVERSITY
Intermediate - Commerce
KENDRIYA VIDYALAYA
High School -
KENDRIYA VIDYALAYA
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