Summary
Overview
Work History
Education
Skills
Accomplishments
Software
Hobbies
Timeline
Hi, I’m

Shivasai Guptha Chinthakunta

Senior Process Associate
Hyderabad

Summary

Senior process executive knowledgeable in Accounts receivable, payment processing and medical and vision billing, Authorisation for medical and vision claims. Collects and validates patient demographics, prepares medical charts and conducts insurance verification. Conducts meetings for team to meet Quality and production SLA. Makes strategies to improve and simplify to hit set target within team. Also trained freshers and audits end and billed claims and works upon escalations internally. Detail-oriented team player comfortable working independently. Committed to achieving company objectives and providing excellent assistance to patients.

Offers 4+ years experience in healthcare.

Overview

4
years of professional experience
4
years of post-secondary education

Work History

Corrohealth Healthcare
Hyderabad

Senior Process Executive
05.2022 - Current

Job overview

Partnered with healthcare teams to address care plan management for Authorisation services for vision and medical appointments.

Also used to make calls to get retro Authorisation for emergency services.

Dealer with optical and medical teams.

Reviews and Gathered copays and adjustments as per patient’s plan.

Maintained excellent attendance record, consistently arriving to work on time.

Sutherland Healthcare Solutions
Hyderabad

Senior Associate in Provider Operations
06.2019 - 02.2022

Job overview

Communicated and maintained good rapport with Insurance Representatives to resolve denied and rejected claims.

Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Collected payments and applied to patient accounts.

Posted and adjusted payments from insurance companies.

Gathered information from multiple sources to simplify billing and organize accounts.

Also worked upon medical and vision billing and Authorization.

Adhered to established standards to safeguard patients' health information.

Filed and updated patient information by preparing patient letters.


Worked for 5 projects and 5 depts in healthcare.

  • Accounts receivable
  • Medical & vision billing
  • Authorisation in medical & vision
  • Semi coding & eligibility

Projects

  • Mercy
  • Wyckoff
  • Ready responders
  • Northwell
  • Coronis health

Education

Keshav Memorial Institute of Commerce And Science
Hyderabad

Bachelor Of Commerce from Computer Application
05.2016 - 04.2019

All India Institute of Local Self Government
Nagpur

Food And Safety Inspector from Food Sciences And Technology
06.2015 - 08.2016

Skills

    Performance Incentives

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Accomplishments

Archived Best performer award for two consecutive months.

Software

Epic

E clinicals for coding

E360 for authorisation

Hobbies

Exploring places

Sports

Timeline

Senior Process Executive

Corrohealth Healthcare
05.2022 - Current

Senior Associate in Provider Operations

Sutherland Healthcare Solutions
06.2019 - 02.2022

Keshav Memorial Institute of Commerce And Science

Bachelor Of Commerce from Computer Application
05.2016 - 04.2019

All India Institute of Local Self Government

Food And Safety Inspector from Food Sciences And Technology
06.2015 - 08.2016
Shivasai Guptha Chinthakunta Senior Process Associate