Summary
Overview
Work History
Education
Skills
Certification
HOBBIES
Timeline
Generic

BALAKRISHNA KOMMU

Ongole

Summary

Dynamic Sr Associate in Trans-Processing at Sutherland Healthcare Solutions, adept in Medicaid credentialing and payer operations. Proven track record in compliance tracking and health information management, ensuring adherence to HIPAA regulations. Recognized for effectively managing provider credentialing processes and enhancing operational efficiency through meticulous application reviews.

Overview

3
3
years of professional experience
1
1
Certification

Work History

Sr Associate Trans-Processing

Sutherland Healthcare Solutions
Hyderabad
05.2022 - 07.2025
  • Extensive experience with Medicaid credentialing projects in various U.S. states.
  • Experienced in payer operations.
  • Handle provider credentialing and recredentialing.
  • Track applications, and follow up as needed.
  • Thoroughly review CAQH applications for providers across all U.S. states.
  • Handling all protected health information in a consistent manner with Health Insurance Portability and Accountability Act (HIPAA) regulations.
  • Meeting all compliance requirements in my role.

Education

Master of Arts - Social Work

Andhra Kesari University
Ongole
07-2025

Bachelor of Commerce -

Sri Nagarjuna Degree College
Ongole
12-2021

Skills

  • Medicaid credentialing
  • Payer operations
  • Compliance tracking
  • Health information management

Certification

  • Awarded with certificate of excellence -Humana credentialing initial cred for my dedication and exceptional performance

HOBBIES

  • Travel Enthusiast
  • Learning through podcasts, books
  • Listening Music

Timeline

Sr Associate Trans-Processing

Sutherland Healthcare Solutions
05.2022 - 07.2025

Master of Arts - Social Work

Andhra Kesari University

Bachelor of Commerce -

Sri Nagarjuna Degree College

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