Nelton Moses Bandi
Thane
Summary
Operations and Process Executive with proven expertise in Claims Management and Back-end Operations. Demonstrated ability to optimize processes and enhance operational efficiency.
Committed to delivering high-quality results that meet organizational goals.
Overview
12
12
years of professional experience
Work History
Tier 3 Specialist RCM Operations
EclinicalWorks Pvt Ltd
Andheri East
02.2014 - Current
- Delivered solutions in Business Operations, enhancing efficiency and service quality.
- Managed multiple processes, including Patient Statement and Payment Posting.
- Conducted internal quality control to ensure team performance standards.
- Executed medical health claims processing for self-insured groups, verifying coverage and benefits.
- Oversaw coordination of claims management, including COB and adjudication processes.
- Led provider appeal processing to resolve claim disputes effectively.
- Implemented process flow analysis to identify improvement opportunities.
- Developed new service processes and executed innovative ideas to enhance operations.
Education
BSC.IT -
Mumbai University
04-2014
HSC -
Maharashtra Board
04-2010
SSC -
Maharashtra Board
04-2008
Skills
- Operations management
- Claims management
- Research and development
- Service process planning
- Process analysis
- People Management
- Team leadership
- Presentation skills
- Microsoft Office proficiency
- Internet research
- Typing proficiency (40 wpm)
Languages
- English
- Hindi
- Marathi
- Telugu
Personal Information
- Date of Birth: 02-05-1993
- Marital Status: Married
Extracurricular Activities
Martial Arts, National Cadet Corps [NCC]
Hobbies and Interests
- Listening To Music
- Playing Football
- Gymnastics
- Trekking
- Cooking
Disclaimer
I hereby declare that the information given here is correct to my knowledge and I will be responsible for any discrepancy.
Nelton Moses Bandi
Date :
Place :
Timeline
Tier 3 Specialist RCM Operations
EclinicalWorks Pvt Ltd
02.2014 - Current
BSC.IT -
Mumbai University
HSC -
Maharashtra Board
SSC -
Maharashtra Board
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