Hemalatha
Summary
Senior Process Associate with 6+ years of experience in healthcare and insurance operations. Skilled in medical billing support, member enrollment, eligibility verification, and insurance data validation. Consistently maintain quality while meeting productivity and TAT targets in high-volume operations. Strong expertise in discrepancy resolution, data accuracy, process compliance, and operational reporting.
Overview
7
7
years of professional experience
Work History
Senior Process Associate – Medical Billing
NTT DATA Information Processing Services Pvt. Ltd.
Chennai, Tamil Nadu
10.2018 - 07.2025
- Manage health insurance member enrollment and disenrollment for individual and group health plans, ensuring timely and accurate processing of member coverage records.
- Review and validate eligibility forms, demographic information, employer details, policy numbers, and coverage effective/termination dates against plan requirements before system updates.
- Process member data using healthcare enrollment systems and client-specific workflows, ensuring adherence to SOPs and payer/plan guidelines.
- Investigate and resolve data discrepancies and processing exceptions, coordinating with internal teams and clients to ensure accurate member record maintenance.
- Handle Protected Health Information (PHI) in accordance with HIPAA requirements, maintaining strict standards for data confidentiality, security, and integrity.
- Participate in quality audits and process reviews, implement corrective actions and consistently maintain processing quality.
- Consistently meet or exceed daily, weekly, and monthly productivity targets while maintaining accuracy and compliance with defined process standards.
- Prepare and submit daily operational reports and performance updates to Team Leads and Process Managers, providing visibility into productivity, quality, and process status.
- Train and mentor new team members on enrollment systems, process workflows, SOPs, and quality requirements to support faster process readiness.
- Contribute to process improvement initiatives by identifying workflow gaps, sharing best practices, and supporting operational efficiency improvements.
Education
Bachelor of Commerce (B.Com) -
AVS College of Arts & Science
Salem01-2017
Skills
- Microsoft Office proficiency
- Data entry accuracy
- Healthcare systems knowledge
- Medical billing knowledge
- Claims processing
- Digital communication skills
- Healthcare insurance processes
- Adaptable team player
Timeline
Senior Process Associate – Medical Billing
NTT DATA Information Processing Services Pvt. Ltd.
10.2018 - 07.2025
Bachelor of Commerce (B.Com) -
AVS College of Arts & Science