Durga E
Chennai
Summary
A strategic thinker with strong analytical skills, able to identify and capitalize on new opportunities. I am highly motivated and always looking for a new challenge and I am able to adapt to new technologies quickly
Overview
7
7
years of professional experience
Work History
Senior Lead Analyst
PAIX PRIVATE LIMITED
Chennai
01.2025 - 08.2025
- Analyzed claims to identify trends and implement coding corrections.
- Conducted write-offs and adjustments based on claim analysis.
- Submitting corrected claims and appeals as per the denial.
- Sharing reports, daily meetings, and working on client emails.
Lead Analyst
AJUBA HEALTHCARE
Chennai
06.2023 - 01.2025
- Identify and remedy defects within the production process and the errors which are been done by the team members are rectified and given feedback to the individuals.
- Recommend, implement, and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
- I arrange meetings for my team members to address the difficulties at work.
- Offer simple patterns/Trends for the application to follow in order to complete the work in TAT.
- Sharing feedback to the individual user and to Team, and cascading the process knowledge, Preparing Assessment for Users on SOP updates.
- Attend Client Call and clarifying the Questions and getting approval for Trends, and sharing the updates to all the leads and users via mail.
- I Conduct refresher training and share the MOM.
- Floor Assistance, making the team to meet Client SLA.
SENIOR CLIENT PARTNER
Omega Healthcare PRIVATE LIMITED
Chennai
01.2021 - 12.2022
- Ensure complete review of claims and forward to correct insurance companies.
- Contact insurance carriers or other responsible parties to confirm payment dates and details.
- Handle all claims on denials, rejections and no response work queue and follow up, review and document accordingly.
- A strategic thinker with strong analytical skills, able to identify and capitalize on new opportunities.
- I am highly motivated and always looking for a new challenge and I am able to adapt to new technologies quickly.
PROCESS EXECUTIVE AR
ACCESS HEALTH CARE SERVICES PRIVATE LIMITED
Chennai
01.2019 - 12.2021
- Interacting with US Ins companies and resolving the billing queries, collections and getting the proper solution and handling the payment verification.
- Making Standard operating procedure (SOP) for the process and giving training to the new users and assisting team members/ query clarification. Main focus to collect payment on or before getting due.
- Assisting team and managing escalations.
- Extraction of reports work allocations to team members based on sense of urgency.
- Adhering to Key Performance Indicators (KPI) like efficiency, Quality, TAT.
- Direct interaction with Insurance companies.
- Making calls to payer to get collect the payment if it is pending bills.
Education
MBA - Human Resource
01.2022
B.Com - General
01.2019
Skills
- MS Office
- Excel
- Power Point
- Project management
- Effective decision maker
- Complex problem solver
- Creative design
- Innovative
- Service-focused
References
References available on request
Disclaimer
I hereby declare that the above furnished information is true to the best of my knowledge and belief.
Languages
- English, Fluent
- Tamil, Fluent
Personal Information
- Date of Birth: 07/13/99
- Nationality: Indian
- Marital Status: Married
Timeline
Senior Lead Analyst
PAIX PRIVATE LIMITED
01.2025 - 08.2025
Lead Analyst
AJUBA HEALTHCARE
06.2023 - 01.2025
SENIOR CLIENT PARTNER
Omega Healthcare PRIVATE LIMITED
01.2021 - 12.2022
PROCESS EXECUTIVE AR
ACCESS HEALTH CARE SERVICES PRIVATE LIMITED
01.2019 - 12.2021
MBA - Human Resource
B.Com - General
Similar Profiles
Lavanya ChittaLavanya Chitta
QA Engineer at PAIX Services India Private LimitedQA Engineer at PAIX Services India Private Limited
SIWAR EL MAGHREBISIWAR EL MAGHREBI
Educational Assistant at École Notre Dame de la PaixEducational Assistant at École Notre Dame de la Paix
PANKTI ToshniwalPANKTI Toshniwal
Legal Executive at Jiostar India Private Limited Erstwhile Viacom18 Media Private LimitedLegal Executive at Jiostar India Private Limited Erstwhile Viacom18 Media Private Limited
Sanjay KSanjay K
Model-Based Developer (Software Engineer) at Bosch Global Software TechnologiesModel-Based Developer (Software Engineer) at Bosch Global Software Technologies
Sohini RoySohini Roy
Trainee Executive Quality Control at OrBION Pharmaceuticals Private LimitedTrainee Executive Quality Control at OrBION Pharmaceuticals Private Limited