Playing Shuttle
DHANEKULA KEERTHIRAJ
Senior Associate
Gajuwaka,Vishakhapatnam
Summary
Senior Associate – operations (Healthcare) supporting medical billing, claims review, and pre-adjudication edits for healthcare processing workflows. Validates member eligibility, date of service, and provider details while completing coding and data entry to keep records accurate and application fields complete. Strengthens revenue cycle work by checking medical and clinical billing records and confirming treatment and insured amounts.
Overview
1
1
Language
3
3
years of professional experience
Work History
Senior Associate – operations (Healthcare)
WNS Global Services (Part of Capgemini) – VIZAG
08.2023 - Current
- this organization operates within business process management(bpm)
- Executed thorough medical bill reviews, coding, and data entry for precise documentation. Validated member eligibility along with date-of-service and provider details for accuracy. Streamlined healthcare claims management to enhance operational efficiency in revenue cycles. Checked patient clinical records against application requirements to ensure completeness. Emphasized treatment locations and insured amounts in patient billing processes. Implemented pre-adjudication edits to increase claim approval rates. Coordinated with departments to refine billing practices, reducing errors.
- Joining: Aug 14, 2023
Education
Bachelor of Pharmacy -
01-2023
GPA: 82%
Intermediate - undefined
01-2019
GPA: 98%
SSC - undefined
01-2017
GPA: 90%
Skills
MS – OFFICE
Interests
Playing Throwball
Timeline
Senior Associate – operations (Healthcare) - WNS Global Services (Part of Capgemini) – VIZAG
08.2023 - Current
NRI Junior college - Intermediate,
SFS School, Gajuwaka - SSC,
Raghu College of Pharmacy - Bachelor of Pharmacy,
PERSONEL DETAILS
Languages known : Telugu, English
DECLARATION
I hereby declare that all the above information is true to best of my knowledge.