Vijaykumar Rao
Mumbai
Summary
Experienced Medical Billing Analyst specializing in Prior Authorization, with strong knowledge of insurance policies and payer requirements. Skilled in delivering accurate, timely approvals and eager to apply my expertise in a challenging role that supports smooth authorization workflows and improves patient access to care.
Overview
1
1
year of professional experience
Work History
Process Associate
Infinx Services Pvt Ltd
Mumbai
09.2024 - Current
- Managed prior authorization requests for radiology services using multiple insurance portals, ensuring timely approvals and adherence to payer-specific guidelines.
- Utilized strong clinical knowledge and accurate ICD codes to obtain instant approvals from insurance providers such as Molina and Health Help, resulting in improved approval rates.
- Regularly exceeded daily and monthly targets, showing strong dedication to work and willingness to take on extra responsibilities.
- Ensured strict compliance with HIPAA guidelines to protect patient confidentiality and safeguard sensitive health information.
- Gained extensive experience working with Delaware-based insurance plans and developed expertise in managing prior authorizations through the Availity portal.
Education
TYBMS -
Vikas College of Arts, Science And Commerce
Mumbai12.2024
HSC -
MD. College of Arts, Science And Commerce
Mumbai12.2020
SSC -
KEM High School
Mumbai12.2018
Skills
- Leadership
- Prior authorization management
- HIPAA compliance
- Data analysis
- Problem solving
- Communication
- Multitasking
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
Personal Information
Title: ANALYST
Languages
- English
- Marathi
- Hindi
- Telugu
- Spanish (Level A1) Currently Pursuing from Henry Harvin University
Timeline
Process Associate
Infinx Services Pvt Ltd
09.2024 - Current
TYBMS -
Vikas College of Arts, Science And Commerce
HSC -
MD. College of Arts, Science And Commerce
SSC -
KEM High School