DINESH S
Senior Process Associate
Chennai,TN
Summary
Experienced Healthcare Operations / RCM professional skilled in HIPAA compliance, prior authorization, and referral processing. Collaborates effectively with clinical teams and providers to enhance documentation accuracy and service delivery. Proficient in MS Excel, Word, and PowerPoint, with strong analytical and organizational skills. Available for rotational and off-hour shifts.
Overview
4
4
years of professional experience
Work History
Senior Process Associate
Prochant
Chennai
06.2022 - Current
- Processed incoming and outgoing referrals and prior authorizations following standard operating procedures
- Coordinated with hospitals, clinics, and providers to expedite approvals for referrals and authorizations
- Assisted clinical staff by setting up documentation and triage cases for Clinical Coverage Review
- Reviewed medical records and supporting documents to ensure completeness and compliance
- Resolved member and provider inquiries, enhancing communication effectiveness to improve service satisfaction
- Managed administrative intake of members, verifying service requests to ensure accuracy and compliance
- Maintained strict HIPAA confidentiality standards for protected health information
- Utilized MS Excel for data tracking, reporting, and audit support
- Worked rotational shifts and off-hours to meet staffing needs
Education
Bachelor of Science - Computer Science
Nandha Arts And Science College
Erode05-2021
Skills
- Administrative intake management
- Prior authorization processing
- Service request processing
- Referral management
- HIPAA compliance
- Patient scheduling
Websites
Timeline
Senior Process Associate
Prochant
06.2022 - Current
Bachelor of Science - Computer Science
Nandha Arts And Science College