Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Senior Executive
ICICI lombard
Hyderabad
10.2022 - Current
Reviewed customer insurance claims to ensure accuracy and completeness of information.
Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims.
Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
Resolved customer complaints related to insurance claim processing.
Collaborated with team members to identify trends in customer issues and develop solutions accordingly.
Participated in training sessions conducted by insurers on new products and services.
Negotiated settlements between claimants and insurers when necessary to resolve disputes quickly.
Reviewed denied claims for errors or omissions before finalizing decision notices.
Determined liability, compensability and benefits due on each claim.
Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Planned and conducted investigations of claims to confirm coverage and compensability.
Assisted claimants, providers and clients with problems or questions regarding claims.
Collaborated with fellow team members to manage large volume of claims.
Senior Dietitian
Spring Meadows
06.2021 - 03.2022
Participated in multidisciplinary team meetings to discuss patient care plans.
Attended continuing education programs to stay abreast of current trends in the field of dietetics.
Supervised interns providing them with guidance on how best to provide quality nutrition care services.
Advised clients on new products available in the market that are beneficial for health purposes.
Performed full nutritional assessments.
Educated patients, families and medical practitioners on nutrition.
Patient Coordinator and Senior Dietitian
Diyos Hospital
NEW DELHI
01.2018 - 04.2021
Assisted with the development of efficient office procedures for improved workflow.
Provided support to patients regarding insurance coverage, payment plans, and other financial matters.
Managed medical records by filing documents into appropriate folders according to established protocols.
Prepared patient charts prior to visits as well as updated records after each visit.
Reviewed patient accounts on a regular basis to ensure accuracy of billing data.
Acted as liaison between physicians, staff members, patients, families, and third party payers.
Ensured all paperwork related to patient care was completed accurately and timely.
Provided education about preventative health measures to promote healthy lifestyles.
Compiled reports summarizing activities such as number of new or returning patients seen daily.
Resolved issues arising from incorrect coding or denied claims due to lack of pre-authorization.
Created monthly reports detailing productivity levels of providers within the practice setting.
Pulled patient files and verified insurance before patient's appointment.
Coordinated care for patients, oversaw admission processes and managed patient flows.
Provided nutrition education and counseling to patients with chronic diseases.
Patient Coordinator and Dietitian
Tapovan Wellness
01.2017 - 01.2018
Counselled patients on potential financial liabilities and payment requirements.
Documented patient counters in hospital system and initiated follow-up actions.
Accessed programs and set up correct payment strategies based on patient means and needs.
Initiated application processes to add patients to assistance programs at bedside and followed through until completion.
Dietitian
Health Sanctuary
03.2016 - 12.2016
Calculated nutritional requirements to assess adequacy of diet and nutrition support.
Developed diets to meet nutritional requirements for people with special conditions.
Recommended supplements as needed based on individual needs and preferences.
Attended conferences related to nutrition topics to stay up-to-date on current trends.