Bendhram Keerthana

Achieved success rates on appeal cases by closely analyzing denial reasons, and crafting persuasive arguments for reconsideration.

• Decreased case backlog by effectively prioritizing and managing high-volume caseloads.
• Continuously monitored changes in healthcare policies affecting appeals processes, ensuring adaptability in response to evolving requirements.
• Examined case to initiate clinical review.
• Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
• Provided excellent customer service by actively listening to customer concerns and empathetically addressing their needs throughout the appeals process.
• Expedited the appeals process for faster resolutions by streamlining procedures and workflows.
• Developed training materials for new hires, ensuring consistent quality standards across the team.
• Prepared detailed reports summarizing appeal outcomes for management review, enabling data-driven decision-making processes within the department.
• Mentored junior staff members on effective communication skills for handling challenging customer interactions, resulting in improved team performance.
• Worked for payment posting for one of department of RCM in Hospital billing.