Summary
Overview
Work History
Education
Skills
Affiliations
Languages
Accomplishments
Timeline
Generic

Mahalakshmi Venkatesh BCA

Vellore

Summary

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.

Overview

5
5
years of professional experience

Work History

Analyst

Guidehouse India
Trivandrum, Chennai
04.2021 - Current
  • Prepared detailed analysis of trends associated with denials and appeals activity.
  • Working as a denial management for dental project.
  • Review the denials and verify through Explanation of Benefits for HMO and PPO plans.
  • Review the denials and send medical documentation as an electronic submission.
  • The denials I work on are Authorization, Frequency, non-covered, Referral, etc.
  • Review the Rejections in the patient’s claim work based on the type of rejections and submit the claim.
  • Expert in reviewing the patient's dental histories. Ex.Crown, Bridge, Implant.
  • Review and follow up on the claims until getting payment from payer.

Payment Poster

AGS HEALTHCARE
Vellore
05.2019 - 02.2021
  • Maintained accurate records as per Business expectations.
  • Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
  • Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.
  • Researched discrepancies between patient accounts and remittance advice received from insurance carriers.
  • Followed up on pending claims that have not been paid by third-party insurers within specified timeframes.

Education

BCA -

GOVERNMENT THIRUMAGAL MILLS COLLEGE, Thiruvalluvar University
05-2018

Skills

Software : Epic,Centricity,Cerner

MS office: Excel, Word, Powerpoint

Other : Collaborative Teamwork,Self Motivation,Time Management,Adaptability and Flexibility

Affiliations

  • Singing
  • Dancing
  • Flexible with people

Languages

Telugu
First Language
English
Proficient (C2)
C2
Tamil
Proficient (C2)
C2
kannada
Elementary (A2)
A2
Malayalam
Intermediate (B1)
B1

Accomplishments

  • Achieving targets and maintained consisted in quality
  • Encouraging colleague and maintaining Team coordination.

Timeline

Analyst

Guidehouse India
04.2021 - Current

Payment Poster

AGS HEALTHCARE
05.2019 - 02.2021

BCA -

GOVERNMENT THIRUMAGAL MILLS COLLEGE, Thiruvalluvar University

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Mahalakshmi Venkatesh BCA