Summary
Overview
Work History
Education
Skills
Timeline
DeliveryDriver

NAGARAJA Ramachandrappa

Healthcare medical analyst
Bangalore

Summary

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

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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

NDRK Nursing College
09.2010 - 03.2013

Registered Nurse, Medical ICU

MS Ramaiah Hospital. Bangalore
01.2009 - 12.2015
NAGARAJA Ramachandrappa Healthcare medical analyst