Pravalika Kalalie
Beeramguda
Summary
Experienced customer service professional with a strong background in Physician billing and claims management. Proven ability to deliver exceptional service, resolve complex issues, and maintain high standards of professionalism. Demonstrated expertise in customer relationship management, problem solving, and team collaboration. Adept at multitasking and adapting to fast-paced environments while ensuring attention to detail and compliance with industry standards. Career goal: To leverage extensive experience and skills in a dynamic role that enhances customer satisfaction and operational efficiency.
Overview
6
6
years of professional experience
Work History
Team Lead
Ascent Healthcare
08.2025 - Current
- Led a team of 20 employees to ensure consistent adherence to industry standards and company policies.
Leveraged data analytic tools to monitor trends, enabling proactive problem-solving efforts before escalation into larger issues. - Developed comprehensive audit plans to identify gaps in the process.
- Promoted teamwork and collaboration within the team, leading to increased productivity and overall job satisfaction.
- Reduced client escalations by identifying areas for improvement and initiating corrective actions.
- Championed a culture of excellence within the organization by setting high expectations for performance and holding employees accountable for results-driven outcomes.
- Facilitated employee training on quality standards, protocols, and best practices, leading to increased awareness and adherence across the organization.
- Prepared reports to dispense information and compile information supporting long term company development and success.
Quality Analyst
ASCENT HEALTHCARE
01.2024 - 08.2025
- Performing audits and sending reports on a timely basis.
- Analyzed global trends in denials.
- Facilitated training sessions for junior analysts, focusing on quality assurance methodologies.
- Coordinated and participated in internal and external quality management system audits to guarantee product and quality specifications.
- Monitored ongoing projects to identify risks and implement preventive measures.
Senior Revenue Cycle Officer
INVENTURUS KNOWLEDGE SOLUTIONS(IKS)
Hyderabad
07.2022 - 01.2024
- Performing account receivables job duties including conducting denial analysis, making calls to the payers when required, capturing responses in a prescribed format, and taking correct actions to ensure the claims reach resolution.
- Trend analysis and reporting.
- Mentored junior team members, contributing to their professional growth and development.
MRT
HGS (Sagility)
Hyderabad
01.2020 - 02.2022
- Joined as a Trainee Process Consultant, gained knowledge of complete revenue cycle management.
- Promoted to Senior Process Consultant, later moved to MRT for an internal audit of claims.
- Apart from this, I will be assisting the team when there is a need, and taking care of team members.
Education
B Pharmacy -
TRR College of Pharmacy
Hyderabad, TGBi.P.C -
Sri Chaitanya Junior Kalasala
Hyderabad, TGSSC -
Daffodils High School
Hyderabad, TGSkills
- Ability to prioritise tasks
- Quality assurance
- Trend reporting
- Internal auditing
- Claims resolution
- Process improvement
- Team mentoring
- Denial analysis
- Root Cause Analysis
Languages
English
Advanced
C1
Hindi
Advanced
C1
Telugu
Advanced
C1
Custom Section
- Attended workshop on 'SIX SIGMA'
- Attended workshop on 'FISHBONE'
Timeline
Team Lead
Ascent Healthcare
08.2025 - Current
Quality Analyst
ASCENT HEALTHCARE
01.2024 - 08.2025
Senior Revenue Cycle Officer
INVENTURUS KNOWLEDGE SOLUTIONS(IKS)
07.2022 - 01.2024
MRT
HGS (Sagility)
01.2020 - 02.2022
B Pharmacy -
TRR College of Pharmacy
Bi.P.C -
Sri Chaitanya Junior Kalasala
SSC -
Daffodils High School