Jeevan Devadiga
Process Executive
Karkala,KARNATAKA
Summary
Experienced Process Executive with 2.6 years of expertise in the field of Claim, Enrollment and Prior Authorization. Currently seeking opportunities to contribute to a dynamic and stable workplace that fosters a consistently positive atmosphere for learning new technologies. Eager to implement acquired skills for the betterment of business and to enhance my professional capabilities.
Overview
4
4
years of professional experience
6053
6053
years of post-secondary education
4
4
Languages
Work History
Process Executive
Cognizant Technology Solutions India Pvt Ltd
BANGALORE
08.2022 - 06.2025
- Company Overview: Cambia is a healthcare company for which we support to process the health insurance claims in the system. It needs to be processed based on various factors like the health plans which customer has chosen, hospital admin details etc.
- Enrolling eligible members/subscribers in the application for insurance policy
- Create authorization using the medical records
- Responsible for handling Individual policy, small group member renewal, grandfather policy & large group policy
- Well knowledge in different Authorization Plans such as pair plans, Medicare, Medicaid, Commercial and Individual plan
- Understand the Claim details and raise for further processing in the system
- Processed claim request from various customers for payment
- Acquiring client information, Data validation and Data Maintenance
- Provide accurate, valid and complete information by using right methods/tools
- Performs quality assurance reviews of identified functions within the assigned time frame, offering timely and constructive feedback based on completed work
- Makes accurate system entries and ensures task management in accordance with company guidelines.
- Motivated Team members throughout the learning curve, making them perform to the best of their potential
- Conducted quality assurance reviews to ensure accuracy of entered data and to maintain HIPAA compliance
- Resolved complex billing issues for providers and patients by analyzing and interpreting medical records
- Monitored and maintained medical claims to ensure timely and accurate payment of claims
- Successfully processed medical claims in a high-volume, fast-paced environment
- Successfully processing 100+ new enrollment on monthly basis.
- Cambia is a healthcare company for which we support to process the health insurance claims in the system. It needs to be processed based on various factors like the health plans which customer has chosen, hospital admin details etc.
- Assisted management in strategic decision-making by providing data-driven insights on process performance trends and opportunities for improvement.
Accountant
MAMGSCO Chartered Accountants
Mumbai
06.2021 - 07.2022
- Preparation of Bank Reconciliation Statement along with Cash Flow and Fund Flow Statement
- Knowledge of Journal and Ledger entries.
- Excellent understanding of accounting
- Preparation of bank statement and daily monthly MIS
- Handled day-to-day accounting processes to drive financial accuracy.
- Maintained up-to-date knowledge on professional accounting standards to manage financial recordkeeping.
- Reduced expenses by negotiating with vendors for better pricing and terms on services and supplies.
- Improved financial reporting accuracy through meticulous data analysis and reconciliation efforts.
Education
Bachelor of Commerce - Accounting
Sri Bhuvanendra College
Karkala 06.2020
PUC - Accounting And Finance
Vikas Pre-University College
Mangalore04.2017
SSLC - Accounting
Swasthi Shree Nemisagar Varniji High School
Hiriyangady, Karkala03.2015
Skills
- Good judgmental skill in claims
- Claim adjudication
- Prior authorization
- Enrollment and eligibility verification
- Data entry and documentation
- Medical billing and coding
- Problem solving and dispute resolution
- Basic of computer MS word
- MS excel
- MS powerpoint
- Outlook
- Tally with GST
- Bank statement along with cash flow
- Purchase and sales bill entry in tally
Interests
Trading and investment
Travelling
Sports
Cooking
Disclaimer
I hereby declare that the information furnished by me above is true to the best of my knowledge and belief.
Achievements Awards
Awarded as best performer in Enrollment and claims at Cognizant Technology Solutions India Private Limited
Timeline
Process Executive
Cognizant Technology Solutions India Pvt Ltd
08.2022 - 06.2025
Accountant
MAMGSCO Chartered Accountants
06.2021 - 07.2022
Bachelor of Commerce - Accounting
Sri Bhuvanendra College
PUC - Accounting And Finance
Vikas Pre-University College
SSLC - Accounting
Swasthi Shree Nemisagar Varniji High School
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