Naresh Reddy N K
Bangalore
Summary
Reliable senior analyst revenue services with outstanding talents in client management, business operations and leadership. Strong project management skills with adroitness in successfully managing multiple tasks at any given point. Over a several-year background providing strategic analysis services to businesses.
Overview
9
9
years of professional experience
Work History
Senior Analyst
Greenway Health India Pvt. Ltd
Bangalore
02.2022 - Current
- Independently evaluate explanations of payments for patient accounts, and understand correspondence based on knowledge of policy and personal discretion.
- Processing PNP files, correspondence, interest payments, ERA, and EOBs.
- Posts payments and adjustments from patient statements, commercial carriers, Medicare, Medicaid, and Blue Shield remittance advices.
- Resolved problems resulting from claim denials, pending, and rejection.
- Post payments on accounts, process refunds, make adjustments to customer invoices, and manage accounts.
QA Analyst
VHS Consulting India Pvt Ltd
Bangalore
10.2018 - 02.2022
- Developed and maintained test plans, cases, scripts, and data for manual and automated testing.
- Understanding SQL and Database Testing.
- Domain knowledge of U.S. healthcare, Cafeteria Plans.
- Coordinated and organized meetings internally with the QA team. Manage the bandwidth of team members by evaluating their knowledge base and assigning sprint tickets accordingly.
- Experience with mobile app (Android and iOS) and web testing.
- Conducted the functional testing on the web application and mobile app.
- Maintenance and support of the production environment.
Senior Associate
HGS
Bangalore
07.2015 - 09.2018
- Processing of the Electronic Correspondence Handling System (ECHS), which involves the creation of electronic claims using the data submitted by providers and members in image format, post-adjudication claims, and pre-adjudication claims.
- Thorough understanding of medical terminology in relation to diagnoses and procedures.
- Proficient in working with applications like Intergy, Prime Suite, RUMBA, CAS tools, Citrix applications, CRM Sugar, SAM, and Alegeus (BPs) application.
- Processing post-adjudication claims, such as overpayment, appeals, and complaints.
Education
BCA - Computer Science
SJR College
Bangalore03-2014
Skills
- Client management
- KPI analysis
- Metric tracking
- Process enhancement
- BI dashboards
- MS Excel
- Performance monitoring
Accomplishments
- Achieved the 'Quality Award' for 100% quality assurance for all the parameters over 12 months
- Achieved Spot Award of the Month in July 2022
DECLARATION
I hereby declare that the above-mentioned information is correct to my knowledge, and I bear the responsibility for the correctness of the above-mentioned
Naresh Reddy N. K.
Timeline
Senior Analyst
Greenway Health India Pvt. Ltd
02.2022 - Current
QA Analyst
VHS Consulting India Pvt Ltd
10.2018 - 02.2022
Senior Associate
HGS
07.2015 - 09.2018
BCA - Computer Science
SJR College
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