K. SANTOSH REDDY
Senior Employee
Hyd
Summary
The primary role of financial management in healthcare organizations is to manage money and risk in a way that helps to achieve the financial goals of the organization. When a healthcare organization has strong and organized financial management plans, they're able to provide efficient healthcare to all their patients.
Overview
8
8
years of professional experience
3
3
Languages
Work History
Claims Process Associate
US Health Care
07.2017 - 12.2020
- Evaluate all claim and policy information and investigate all details for insured client for various line of business and ensure applicable coverage of individual.
- Perform interviews and gather all statements from insured clients, physicians and attorneys for all claim information and evaluate all facts for policy contracts.
- Investigate and prepare reports for all denials of claims and settlements and provide update on all files and recommend reserve changes to all claims.
- Evaluate progress for all claims and coordinate with team leader for all issues and effective resolution and develop new methods to handle all claims.
- Administer and settle all claims effectively and inform all customers and claimants for any denial on claims.
- Coordinate with team leader and attorneys and prepare all cases for trials and record all statements of witnesses and participate in all claim file review and audits.
- Maintain records of all benefits and resolve all issues in claim processes to minimize risks in claims processes and maintain records of all shipments and storage.
- Maintaining adequate documentation on the client software to send necessary documents to insurance companies and maintain clear Audit trials.
Business process with SAP / SLP/MDG technical support
Technical Support
01.2020 - 09.2025
- Handling queries for Supplier Information Management as L1 support team.
- Creation of vendor account on Ariba SLP/MDG.
- Change of vendor accounting SLP/MDG.
- Monitor the replication &IDOC monitoring in MDG.
- Configuration and maintenance of Procurement & Data steward approval flow in Ariba SLP&MDG system.
- Resolving technical issues related to SAP/MDG/SLP (Supplier Information Management) and SAP ERP/applications.
- Working on Ad-Hoc requests, IDOC Failures and taking the necessary action to fix the errors.
- Working on GRC (Governance, risk & compliance for the access of/MDG/SLP access request for business users and various approvers.
- Working on Access management for / MDG/SLP & SAP application.
- Escalating queries to L2 support.
- Following-up with various teams to resolve the issues.
- Working on mass upload of Payment terms, vendor blocking & unblocking.
- Delegating of MDG/SLP requests to approvers.
- Syndicating the vendor data to various downstream systems.
- Working on report tickets.
- Extracting reports as per business requirement through MDG syndicator, cleansing and providing to business.
- Working on quality checks for the tickets & proving feedback and correct act.
- Handling tickets on Service Now application.
- Training new joiners.
- Providing MDG / SLP application training to new joiners.
Education
B.com - computers
Rainbow degree college
01.2016
Intermediate - undefined
Rainbow junior college
01.2012
SSC - undefined
Sri Sai vidya nikethan high School
01.2010
Skills
Customer service orientation
Product and service sales
Stocking and replenishing
EMR charting
Personal Information
- Date of Birth: 12/29/94
- Gender: Male
- Nationality: Indian
- Marital Status: Unmarried
Disclaimer
Here by I declare that above mentioned information is correct to my knowledge and I bear the responsibility for the correctness of the above mentioned.
Father's Name
K. Purushotam Reddy
Timeline
Business process with SAP / SLP/MDG technical support
Technical Support
01.2020 - 09.2025
Claims Process Associate
US Health Care
07.2017 - 12.2020
B.com - computers
Rainbow degree college
Intermediate - undefined
Rainbow junior college
SSC - undefined
Sri Sai vidya nikethan high School