Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Mote Ganesh

Hyderabad

Summary

Dynamic Claims Associate with proven expertise in denial management and claims analysis at Sagility (HGS Health Care). Recognized for outstanding performance, I excel in problem-solving and effective communication, driving timely resolutions for complex insurance claims. A collaborative team player, I consistently deliver results that enhance operational efficiency and client satisfaction.

Overview

3
3
years of professional experience

Work History

Claims Associate

Sagility (HGS Health Care) As a Senior Process Consultant
Hyderabad
03.2022 - 06.2025
  • Perform insurance follow-up on outstanding claims via phone calls and web portals to ensure timely resolution.
  • Analyze and resolve denials and underpayments by identifying root causes and initiating corrective actions (appeals, rebilling).
  • Work claims related to Medicare, Medicaid, and commercial payers, including BCBS, Aetna, Cigna, UHC, etc.
  • I worked in AR Denial Management for 24 months and later moved to a new project based on the project requirements.
  • Assisted the lead in handling the team by taking over a few responsibilities.
  • Received Top Gun, Extra Millers during RNR session for outstanding performance in the process.
  • Recognized for zero compliance issues during internal audits.

Education

Bachelor of Accounting - B.com

Keshav Memorial
Hyderabad
08-2021

Skills

  • Claims analysis
  • Denial management
  • Insurance follow-up
  • Problem solving
  • Analytical skills
  • Verbal and written communication
  • Teamwork and collaboration

Languages

Telugu
First Language
English
Advanced (C1)
C1
Hindi
Upper Intermediate (B2)
B2

Timeline

Claims Associate

Sagility (HGS Health Care) As a Senior Process Consultant
03.2022 - 06.2025

Bachelor of Accounting - B.com

Keshav Memorial

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Mote Ganesh