I am a Nursing graduate worked in medical ICU bedside hospital. Having good experience in medical knowledge as well as US healthcare insurance domain claims review process. Medical summarizer experience.
Overview
16
16
years of professional experience
2
2
years of post-secondary education
Work History
Healthcare clinical senior analyst
Accenture Solutions Private
Bangalore , Karnataka
03.2024 - Current
NCLEX Continue study program for USRN certification.
Medical Summarizer
Allstate Solutions Pvt Ltd
Bangalore
06.2022 - 03.2024
Create a detailed summary of medical package and provide support to autoclaims adjusters
Applied continuous process improvement strategies to enhance case management, programs and clinical management.
Entered and scanned patient history, current medical conditions and medications into novel EHR system.
Process Specialist
Cognizant
Bangalore
01.2016 - 04.2022
Working with the multiple sub process like IDX Coventry, SOE creation, Templates and screening the DRG claims.
Screening and segregating the claims to the dedicated bins.
Creating the templates and sending it to the provider for requesting medical records, if the services utilized does not meet the criteria
As a first touch, it is the responsibility of an analyst to verify the member details to avoid HIPPA errors.
Maintain member enrollment information, manage records, process claims and manage accounts payable.
Registered Nurse, Medical ICU
MS Ramaiah Hospital. Bangalore
Bangalore
01.2009 - 12.2015
Maintain the highest possible standard of patient care at all time.
Planing and implementing nursing care
Always alert in recieve emergencies and able to give basic cardiac life support
Neurological assessment
Evaluate the patient condition
Handling surgical equipments in sterile manner
Assessed medical equipment devices and co related with Biomedical an engineer
Orientation and supervision of juniors with subordinates also do all kind procedures under aseptic technique.
Education
PB.Bsc Nursing (RGUHS Of Health Science Bangalore) - Nursing
NDRK Nursing College
Hassan Karnataka
09.2010 - 03.2013
Skills
Patient Health Education
Timeline
Healthcare clinical senior analyst
Accenture Solutions Private
03.2024 - Current
Medical Summarizer
Allstate Solutions Pvt Ltd
06.2022 - 03.2024
Process Specialist
Cognizant
01.2016 - 04.2022
PB.Bsc Nursing (RGUHS Of Health Science Bangalore) - Nursing