Dr Nivethitha .B

• Processed cashless and pre-authorization medical claims by reviewing patient records, treatment plans, and hospital documentation.
• Evaluated and verified death claims, ensuring medical accuracy and compliance with policy guidelines.
• Applied ICD codes and procedure codes accurately while processing claims for proper categorization and billing.
• Utilized Matrix and CMS software for claim entry, documentation, and workflow management.
• Coordinated with internal teams to resolve queries and expedite claim approvals.
• Ensured strict adherence to regulatory standards, company policies, and medical ethics in all claim decisions.

Key Achievements: Improved claim turnaround time (TAT) while maintaining high accuracy levels.
Detected and reduced fraudulent or invalid claims through detailed scrutiny of coding and documentation.
Gained expertise in medical coding, claims adjudication, and insurance.

• Performed basal and conventional implant placement independently, with precise treatment planning.
• Interpreted and analyzed radiographs (OPG, IOPA), and CBCT scans for accurate diagnosis and treatment planning.
• Identified and evaluated oral lesions
• Conducted minor oral surgical procedures, including impacted tooth extractions.
• Utilized soft tissue lasers for frenectomy and depigmentation procedures.
• Enhanced precision and treatment outcomes by implementing an apex locator and an endo motor in endodontics.
• Managed periodontal cases involving gum disease and post-extraction socket care.
• Delivered restorative treatments such as fillings, restorations, and oral prophylaxis (scaling and polishing).
• Ensured high standards of patient care, infection control, and follow-up management.