DEEP CHANDRA MELKANI
Haldwani, uttrakhand
Summary
Customer-focused Retail Associate with solid understanding of retail dynamics and customer service standards. Experienced providing quality product recommendations and solutions to meet customer needs and exceed expectations. Committed to executing sales, service and customer experience initiatives driving strong sales.
Overview
4
4
years of professional experience
Work History
Sr. Authorization Specialist
WNS Globals
Gurgaon
02.2021 - Current
- Worked on multiple softwares like ECW
- Input all patient data including C.P.T against all chemotherapy injectables along with diagnosis code, regarding claims and prior authorizations into system accurately
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verified eligibility and compliance with authorization requirements for service providers. Reached out to insurance carriers to obtain prior authorization for testing and procedures. Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Authorization on calls and websites with respective insurances.
- Analysed medical records and other documents to determine approval of requests for authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Developed and maintained productive working relationships with healthcare providers.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Other Back-end operations for cancer hospital
- Handled a team of 5 new hires, Providing them resolution to their doubt, concern or any query and helping them with the best
- Trained 8 people in the team giving them training, process modules, notes, hands onn on dummy account, etc
Sales Associate
FIS Global solutions PVT LTD
Gurgaon
08.2019 - 02.2021
- Adhered to company initiatives and achieved established goals.
- Worked with fellow sales team members to achieve group targets.
- Helped customers find specific products, answered questions, and offered product advice.
- Greeted customers and provided exceptional customer service.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Engaged customers in friendly, professional dialogue to determine needs.
- Sold various products by explaining unique features and educating customers on proper application or usage.
- Answered incoming telephone calls to provide store, products and services information.
- Assisted customers with product selection, sizing and styling.
- Provided accurate information about products, prices and services.
- Developed promotional strategies to increase sales volume.
- Assisted teammates with sales-processing tasks to meet daily sales goals.
- Handled customer complaints in a professional manner.
Education
MBA - Financial Management
Suresh Gyan Vihar University
Jaipur 08-2023
BBA -
Amrapali Groups of Institution
Haldwani 08-2019
12th -
DAV Centenary Public School
Haldwani 04-2016
10th -
DAV Centenary Public School
Haldwani 03-2014
Skills
- Microsoft Office
- Upselling
- Time Management
- Positive and Professional
- Reliable and Punctual
- Written and Oral Communication Skills
- B2B, B2C Sales and Customer Service
- HIPAA Compliance
- Insurance Verification
- Medical Terminology Expertise
Interests
DECLARATION –
, I hereby declared that all the facts given here are true to my knowledge. The Resume correctly describes my qualification and me.
Languages
English
Upper Intermediate
B2
Hindi
Proficient
C2
Timeline
Sr. Authorization Specialist
WNS Globals
02.2021 - Current
Sales Associate
FIS Global solutions PVT LTD
08.2019 - 02.2021
MBA - Financial Management
Suresh Gyan Vihar University
BBA -
Amrapali Groups of Institution
12th -
DAV Centenary Public School
10th -
DAV Centenary Public School