Maniteja Kolanpaka
Hyderabad
Summary
Dynamic Senior Process Associate at Nimble Avontix Global Solutions, adept at enhancing cross-departmental communication and streamlining hospital billing processes. Proven expertise in denial management and trend tracking, coupled with strong teamwork and issue resolution skills, driving significant improvements in claims processing efficiency.
Overview
9
9
years of professional experience
Work History
Senior Process Associate
Nimble Avontix Global solution pvt ltd
Hyderabad
06.2024 - Current
- Coordinated cross-departmental communication to streamline operations and enhance collaboration.
- Facilitated team meetings to discuss trends updates and resolve any issues promptly.
- Documented standard operating procedures for various tasks to maintain consistency across teams.
- Working on hospital billing, ASC, UB04 form,
- Identifying the trends and dissuss with international POD leaders
- Working on out-of-network denial negotiations.
- creating appeal letters for TFl, No Auth, E-maintaince, low pay appeals.
- handling more than 18 facilities of ambulatory services
- well know ECw software
Associate
Data Marshall
Hyderabad
05.2023 - 06.2024
- Submitting claims to Insurance companies in order to receive payment for services rendered by a healthcare provider.
- Reviewed, follow up with Aged AR claim such as 180+, 120+, 90+ claims and also with rejected claims
- I diligently handled unpaid claims, addressed old claims, followed up on no-response received claims, managed outstanding claims and resolved denials.
- I collaborated with the Insurance office to address patient's claim-related queries and denials.
- Converting denials into payments.
- Checking Eligibility and verification policy.
- Taking denials from various Insurance carriers.
- Submitted and taken follow ups on Appeals and corrected claims, electronic claims and paper claims to primary or secondary Insurance to edit, correct or handing failed claims with proper information and re-submitted claim are required.
Process Associate
Intellisight Indian Pvt Ltd
Hyderabad
12.2016 - 01.2019
- Reviewed followed-up, unpaid claims old claims, no response claims, manage outstanding claims and resolved denials
- Reviewed denials and decide on the course of action with the insurance companies and take necessary steps.
- Follow-up on denials from various Insurance carriers.
- Answered phone calls and directed inquiries to collaborate with Doctors and Nurse to align outreach efforts.
- Co-ordinate with Patient and Doctors as per the HIPPA rules for emergency cases.
- Scheduled appointments for patients Convey message to On-call Doctors/Nurse about patient condition
- Patients confidentiality was maintained in accordance with state, federal, and company regulations.
Education
MBA - Information system
Lords Institute of Engineering & Technology
Hyderabad06.2016
Bachelor of Computer Science -
Pragati Mahavidyalaya
Hyderabad04.2013
Skills
- Communication
- Microsoft Excel
- Teamwork
- Microsoft Outlook
- Ability to Multitask
- Hospital billing
- Claim submission
- Denial management
- Asc billing
- Cross-departmental communication
- Aging accounts receivable
- Issue resolution
- Team collaboration
- Time management
- Trend tracking
Affiliations
- Identifying the complex cases
- Minimizing the aging claims
- working on high dollar value claims
Accomplishments
- Weekly performer
- monthly performer
- AR wins more than 300k
Hobbies and Interests
- Reading books
- Listening Music
- Exercise
- Going for Walking
Languages
- English
- Telugu
- Hindi
Timeline
Senior Process Associate
Nimble Avontix Global solution pvt ltd
06.2024 - Current
Associate
Data Marshall
05.2023 - 06.2024
Process Associate
Intellisight Indian Pvt Ltd
12.2016 - 01.2019
MBA - Information system
Lords Institute of Engineering & Technology
Bachelor of Computer Science -
Pragati Mahavidyalaya