Mamata Ruke
Thane
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Senior Verification Specialist
ACCURATE BACKGROUND BUSINESS PROCESSING INDIA PRIVATE LIMITED.
Thane
01.2023 - Current
- Evaluated phoenix software and third party websites, along with various tools, to verify candidate employment and education. Implemented radio buttons for easy updating of verification status for clients.
- Analyzed data from completed background checks to determine if any additional action is required.
- Verified employment and education history of job applicants by utilizing third party sites to contact employers, conducting reference checks, and acquiring required documentation.
- Performed routine audits on credit card verifications to ensure adherence with regulations and accuracy.
- Determined discrepancies by comparing information sources of applicants and employers.
- Utilized various tools such as ATM, NSC, TWN, ccverify, vaultverify, parchment, scriborder to verify candidates.
- Offered input on enhancing processes and incorporating more extracurricular activities, to both team leader and colleagues.
Senior Customer Service Associate (Data) For Florida Blue (BCBS)
Teleperformance global services
Thane
08.2021 - 11.2022
- Determined prior authorizations for medication and outpatient procedures. Served as a provider claim resolution specialist at United Health Care's Webstrat Claims division.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Leveraged Citrix software in the resolution of claims
- Efficiently utilized knowledge of Payee Auth, medically necessity, B-time and other relevant areas while working as a claim processor
- Managed inquiry resolution and processed claim-related correspondence with efficiency. Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Created and processed claims to third-party payers using specific coding guidelines. Adhered to HIPAA regulations when handling confidential patient information.
Senior Customer Service Associate for (BOI)
Q connect business solutions limited
Thane
01.2020 - 03.2021
- Assisted customers in navigating website features, enabling them to find products easily, with billing, troubleshooting and account issues and Audited customer account information to identify issues and develop solutions.
- Provided top quality control and eliminated downtime to maximize revenue.
- Performed basic troubleshooting on products to determine the best resolution. Monitored incoming calls and emails from customers, responding promptly and professionally.
- Provided training and guidance for junior customer service associates when needed. Compiled monthly such as call volume, wait times, Aht, resolution rates.
- Contributed ideas at monthly team meetings regarding ways to improve overall customer satisfaction levels.
Education
Bachelor of Commerce - Secretarial Practice
N. G. Bedekar Collage of Commerce
08-2021
Higher Secondary Certificate - Financial Accounting
N. G. Bedekar Collage of Commerce
Thane, MH01-2018
Secondary School Certificate -
Dr. Bedekar Vidya Mandir.
06-2016
Skills
- Medical Billing and review
- Coordination and Scheduling
- Communication and Interpersonal Skills
- Work Monitoring
- MS Office
- Quality Assurance
- Team building
Accomplishments
- Archived Quarterly and Monthly RNR for more than 10 Times
- Played a Major role in completing several projects in the Organization
Languages
- English
- Marathi
- Hindi
Personal Information
- Date of Birth: 10/23/00
- Nationality: Indian
- Marital Status: Unmarried
Hobbies and Interests
- Reading
- Cricket
- Painting
Disclaimer
I hereby declare that all the above mentioned details are correct and complete to the best of my knowledge.
Languages
Marathi
First Language
Hindi
Advanced (C1)
C1
English
Upper Intermediate (B2)
B2
Certification
- Received monthly, quarterly and yearly RNR.
Timeline
Senior Verification Specialist
ACCURATE BACKGROUND BUSINESS PROCESSING INDIA PRIVATE LIMITED.
01.2023 - Current
Senior Customer Service Associate (Data) For Florida Blue (BCBS)
Teleperformance global services
08.2021 - 11.2022
Senior Customer Service Associate for (BOI)
Q connect business solutions limited
01.2020 - 03.2021
Bachelor of Commerce - Secretarial Practice
N. G. Bedekar Collage of Commerce
Higher Secondary Certificate - Financial Accounting
N. G. Bedekar Collage of Commerce
Secondary School Certificate -
Dr. Bedekar Vidya Mandir.
- Received monthly, quarterly and yearly RNR.
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