Summary
Overview
Work History
Education
Skills
Languages
Disclaimer
Personal Information
Certification
Accomplishments
Languages
References
Timeline
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Geetha Karagowni

Chennai

Summary

Results-driven Quality Assurance Specialist with a proven track record at Optum Technologies, adept in Microsoft Excel and effective communication. Expert in root cause analysis and quality compliance, consistently delivering projects on time while enhancing operational efficiency. Skilled in managing inventory and ensuring adherence to health insurance claim guidelines.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Quality Assurance Specialist

Optum technologies
Chennai
08.2022 - Current
  • Tracked and reported all data-related details for management oversight.
  • Planned, forecasted, and managed inventory to align with production demands.
  • Reviewed production plans and actuals according to client guidelines.
  • Ensured timely delivery of projects while managing costs and quality standards.
  • Verified health insurance claims in accordance with established guidelines.
  • Maintained quality documents on a daily, weekly, and monthly basis.
  • Conducted root cause analysis for U.S. clients using the 5 Why method.
  • Interacted with regional managers to gather operational requirements.

Quality Assurance

Technosoft PVT LTD
11.2018 - 07.2022
  • Tracking & Reporting the All Data Related Details to the Manager's.
  • Planning, Forecasting & inventory management controlling the operations and production demands and requirements.
  • Verify the Health insurance Claims as per the guidelines.
  • Daily interaction with ops for production & Feedback review.
  • Maintain the Quality documents as per the guidelines (Daily /Weekly/MOM).
  • Providing the RCA (Root cause analysis) for US Clients . & applying 5WY method roles.
  • Interacting with regional managers and gathering requirements.
  • Review the Target Vs Actuals tracking.
  • Maintain & update the all dashboards related with Ops level.

Quality Control Analyst( Qc)

Omega-Healthcare Management Services Pvt. Ltd.
02.2015 - 11.2018
  • Responsible for accurate coding and abstracting clinical information from medical records.
  • Successfully handled the coding of Health Insurance Claims as per client specifications from providers across U.S
  • Responsible for monitoring and maintaining quality and compliance targets.
  • Monitoring and auditing of products to ensure high standards of quality.
  • Keeping quality documentation up to date.
  • Preparing and analyzing information for the purpose of Management Review.
  • Provide weekly and monthly reports to senior managers on performance.
  • Providing RCS(Root cause analysis) on monthly basis.
  • Responsible for the review and update of the programme quality plans.

Education

MSC - organic

Sri Venkateswara University
Tirupati
01.2014

Skills

  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Word
  • Microsoft Outlook

Languages

English, Telugu, English, Telugu

Disclaimer

I hereby declare that all above mentioned details are true and best of my knowledge.

Personal Information

Date of Birth: 06/16/92

Certification

  • AHIMA-CCS

Accomplishments

  • AWARDED IN PRESENTATION OF OIG TOOL KIT-2023 MODEL IN HIGHRISK

Languages

Telugu
First Language
English
Proficient (C2)
C2

References

References available upon request.

Timeline

Quality Assurance Specialist

Optum technologies
08.2022 - Current

Quality Assurance

Technosoft PVT LTD
11.2018 - 07.2022

Quality Control Analyst( Qc)

Omega-Healthcare Management Services Pvt. Ltd.
02.2015 - 11.2018

MSC - organic

Sri Venkateswara University

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Geetha Karagowni