Geetha Raja
Chennai
Summary
Dynamic Insurance Coordinator and Senior HR Executive at Mothers Speciality Hospital, adept in claims management and compliance auditing. Proven track record in enhancing patient satisfaction through effective communication and problem-solving. Skilled in revenue cycle management, I foster team collaboration to drive operational excellence and ensure accurate billing processes.
Overview
9
9
years of professional experience
Work History
Insurance Coordinator/Senior HR Executive
Mothers Speciality Hospital
Chennai
12.2021 - Current
- Coordinated insurance verification processes for patient admissions and services.
- Assisted patients with understanding insurance benefits and coverage options.
- Managed claims submissions and follow-ups to ensure timely processing.
- Collaborated with healthcare providers to obtain necessary documentation for claims.
- Developed training materials for new staff on insurance procedures.
- Reviewed and resolved discrepancies in patient billing information promptly.
- Communicated effectively with insurance representatives to clarify policy details.
- Maintained accurate records of patient interactions and insurance communications.
- Validated insurance and advised patients of benefits and coverage.
- Performed customer service duties such as answering inquiries, providing information and resolving customer complaints.
- Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.
- Analyzed weekly and monthly financial reports and reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management.
- Responded promptly to customer inquiries regarding billing issues or policy updates.
- Compiled data from various sources to prepare reports for management on a regular basis.
- Participated in meetings with senior management to discuss current projects and develop action plans for implementation.
- Informed patients of claims status after filing insurance claims.
- Provided assistance with the coordination of underwriting activities for new business policies.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Maintained up-to-date knowledge of industry trends in order to provide customers with the best possible coverage options.
- Developed relationships with insurance representatives to facilitate effective communication and problem resolution.
- Conducted regular audits of insurance billing to ensure accuracy and compliance.
- Prepared and submitted detailed reports on insurance billing activities and outcomes.
- Coordinated communication between insurance providers and patients to ensure clear understanding of coverage.
- Developed and implemented HR policies aligned with hospital goals and regulations.
- Led recruitment efforts to attract qualified candidates for various healthcare positions.
- Managed employee relations to foster a positive work environment within the hospital.
- Oversaw training programs to enhance staff skills and compliance with healthcare standards.
- Coordinated performance appraisal processes ensuring timely feedback for employees.
- Advised management on labor laws and best practices in human resources administration.
- Facilitated conflict resolution among staff to promote teamwork and collaboration within departments.
- Performed exit interviews to gather feedback from departing employees.
- Managed recruitment process, including interviewing, hiring and onboarding new employees.
- Maintained records of employee attendance, leaves of absence, vacation time and other related data.
- Resolved conflicts between management and staff through mediation techniques.
- Advised senior leadership on best practices in talent acquisition, retention, motivation and engagement strategies.
- Reviewed existing job postings to ensure accuracy in terms of qualifications required.
- Prepared reports on HR metrics for senior management review.
- Conducted employee performance reviews and provided feedback on career development opportunities.
- Created policies, procedures and job descriptions to ensure compliance with legal requirements.
- Worked with department managers to assess needs.
- Created staff teams based on employee strengths and made adjustments to promote overall productivity.
- Helped with employee transfers and referrals.
Laboratory Incharge
chennai Diagnostic Center
Chennai
03.2016 - 09.2019
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Assisted with customer requests and answered questions to improve satisfaction.
- Identified needs of customers promptly and efficiently.
Education
Associate of Applied Science - Electronics And Communications Engineering
P.T.Lee Chengalvarayan College
Vepery06-2010
Skills
- Insurance verification
- Claims management
- Patient billing
- Coverage analysis
- Pre-authorization coordination
- Revenue cycle management
- Compliance auditing
- Customer relationship management
- Team collaboration
- Effective communication
- Conflict resolution
- Problem solving
- Employee relations
- Private insurance
- Accounting skills
- Insurance processes
- Documentation
- Multi-tasking
Languages
Tamil ,English
First Language
Timeline
Insurance Coordinator/Senior HR Executive
Mothers Speciality Hospital
12.2021 - Current
Laboratory Incharge
chennai Diagnostic Center
03.2016 - 09.2019
Associate of Applied Science - Electronics And Communications Engineering
P.T.Lee Chengalvarayan College
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