Summary
Overview
Work History
Education
Skills
Work Preference
Timeline
Generic
Open To Work

Harsh JHA

New Delhi

Summary

Dedicated Healthcare Customer Service Representative with strong skills in claims evaluation and coverage determination. Experienced in analyzing claim denial trends to drive improvements and ensure compliance with industry regulations, contributing to enhanced customer satisfaction.

Overview

5
5
years of professional experience

Work History

Healthcare Customer Service Representative

Optum Global Solution
Noida
01.2021 - Current
  • Evaluated claims for accuracy and compliance with company policies.
  • Reviewed policy details to determine coverage eligibility and claim validity.
  • Processed a high volume of claims efficiently while maintaining quality standards.
  • Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
  • Handled billing related activities focused on medical specialties.

Education

Bachelor of Arts -

School of Open Learning (Delhi University))
09-2020

High School Diploma -

Government Senior Secondary School
05-2016

High School Diploma -

Government Senior Secondary School
New Delhi
04-2014

Skills

  • Claims evaluation
  • Coverage determination
  • Billing management
  • Trend analysis
  • Claim denial resolution
  • Claims processing
  • Medical terminology
  • HIPAA compliance

Work Preference

Job Search Status

Open to work

Work Type

Full Time

Location Preference

RemoteOn-SiteHybrid

Salary Range

₹380000/yr - ₹600000/yr

Timeline

Healthcare Customer Service Representative

Optum Global Solution
01.2021 - Current

Bachelor of Arts -

School of Open Learning (Delhi University))

High School Diploma -

Government Senior Secondary School

High School Diploma -

Government Senior Secondary School
Harsh JHA