Lakshmipriya G
Senior Process Executive
Chennai,Tamil Nadu
Summary
Versatile in health industry with background of successfully executing diverse project tasks to meet deadlines for the past 24 years. Highly skilled at communicating with colleagues, monitoring status and achieving key milestones. Enthusiastic problem solver and talented team player with superior planning and decision-making skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
4
4
years of post-secondary education
Work History
Project Coordinator
Rapid Care Transcription Pvt. Ltd.
Chennai
08.2021 - Current
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed admission reviews based for medical necessity based upon specification.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed prior authorization review of services requiring notification.
- Verified accuracy of patient information in medical records.
- Scanned and uploaded medical records into electronic medical records system.
- Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed charts and flagged incomplete or inaccurate information.
- Processed medical records requests from outside providers according to facility, state, and federal law.
Quality Control Auditor
Nsight Solutions Pvt. Ltd.
Chennai
06.2016 - 07.2021
- Reviewed documentation for compliance with requirements and accuracy of information.
- Reviewed patient charts for accuracy, correcting grammar and syntax errors before submission to clinic.
- Corrected grammar, spelling and syntax mistakes in medical records.
- Referred to variety of medical sources to prevent mistakes in medical terms.
- Documented patient medical histories, vitals and test results in electronic health records system.
- Maintained compliance with legal and medical requirements, internal protocols and oversight committee standards.
- Recorded information using word processing, dictation and transcription software and equipment.
- Maintained 99% accuracy rate for spelling and content.
- Edited drafts created from speech recognition software.
- Identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Attended training associated with role to improve skills and boost speed.
- Performed qualitative analysis of records for accuracy, internal consistency and correlation of recorded data.
- Accurately documented medical dictation to record patient care records.
- Applied medical terminology related to provider-specific treatments and techniques.
- Demonstrated excellent skills to understand diverse accents and dialects.
- Translated medical jargon into correct terminology.
Quality Auditor
Nuance Transcription Services India Pvt. Ltd.
Chennai
06.2012 - 05.2016
- Performed continuous auditing and analysing quality of client delivered jobs and grading appropriately based on Client’s standards and providing appropriate feedbacks
- Trained and reviewed work of junior personnel on departmental responsibilities.
- Organized and detail - oriented with a strong work ethic.
- Provided professional services and support in a dynamic work environment.
- Worked effectively in fast-paced environments.
- Worked well in a team setting, providing support and guidance.
- Skilled at working independently and collaboratively in a team environment.
- Passionate about learning and committed to continual improvement.
- Demonstrated leadership skills in managing projects from concept to completion.
- Developed strong communication and organizational skills through working on group projects.
- Strengthened communication skills through regular interactions with others.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Proven ability to learn quickly and adapt to new situations.
- Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
- Managed and archived quality documentation and participated in internal and external quality audits.
- Reviewed incoming materials against specifications.
- Performed continuous reviews of quality management system.
- Transcribed and edited physician reports from dictation using eScription, Dictaphone and EMDAT .
Education
Bachelor of Science - Microbiology
Valliammal College For Women
Chennai 06.1994 - 04.1997
Post Graduate Diploma in Medical Laboratory Techno - Post Graduate Diploma in Medical Laboratory Techno
Stella Maris College
Chennai 06.1997 - 04.1998
Skills
Search Engine Optimization
Teamwork and Collaboration
Multitasking Abilities
Analytical and Critical Thinking
Quality reviews
Medical transcription
Medical terminology
Documentation and reporting
Strong clinical judgment
Authorizations understanding
Retro-Authorizations
Authorizations
Claim research
Records review
Timeline
Project Coordinator
Rapid Care Transcription Pvt. Ltd.
08.2021 - Current
Quality Control Auditor
Nsight Solutions Pvt. Ltd.
06.2016 - 07.2021
Quality Auditor
Nuance Transcription Services India Pvt. Ltd.
06.2012 - 05.2016
Post Graduate Diploma in Medical Laboratory Techno - Post Graduate Diploma in Medical Laboratory Techno
Stella Maris College
06.1997 - 04.1998
Bachelor of Science - Microbiology
Valliammal College For Women
06.1994 - 04.1997