Listening Music
PARIDHI GAUR
US Healthcare
Noida,UP
Summary
To work for an organization which provides me the opportunity to improve my skills, knowledge and challenge my skills for greater enhancement of my personality, along with the achievement of organization objective and a position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
7
7
years of post-secondary education
Work History
Referral Analyst
HOM India Pvt Ltd
Noida, Uttar Pradesh
07.2020 - Current
- Coordinate referral appointments. Working with patients to arrange and schedule referral appointments
- Maintain and update patient records. These records include information from other care providers, detailed information on procedures and tests conducted within the office. Additionally provide these records to other care providers
- Ensure that referrals are addressed in a timely manner.
- Create authorization by matching ICD-10 codes to procedure codes. Enter referrals and documents communication and other data in an information system.
- Regularly assist patients by answering questions and resolving issues that may arise during the course of an office visit.
- Ensure that patients have the information necessary to make critical care decisions and may provide information to patient caretakers in accordance with HIPAA.
Internship Student
Cybergenie cops
noida, Uttar Pradesh
06.2017 - 08.2022
- Assisted human resources and recruiting teams by scheduling phone screens and on-site interviews and planning recruitment related events.
- Took messages and provided information about company processes, hours and requirements.
- Worked with HR team to coordinate company events.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
Process Associate
Sandmartin consultants
, Uttar Pradesh
08.2018 - 03.2020
- Assists with the training of new hires.
- Provide timely processing and adjudication of claims.
- Take responsibility of payment of all claims in compliance with rules.
- Respond to inquiries and resolve pertaining to specific claim issues.
- Maintain working relationships with departments processing claims
- Assist staff in processing complicated claims.
- Handle claims related to health, disability, life.
- Auditing of data received from various sources in excel based on the SOPs provided in different files to determine discrepancies among the data received.
- Writing commissions reports for the US client, entering transaction data into accounting systems and analyzing financial information.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
Education
MBA - Human Resource Management
(SCDL) Symbiosis Centre For Distance Learning
Pune 08.2018 - 08.2020
BBA - Business Administration And Management
Ideal Institute of Management And Technology
Delhi 08.2015 - 06.2018
CBSE - XII
Asn Sr Sec School
Delhi 04.2014 - 03.2015
CBSE - X
ASN Sr Sec School
Delhi 04.2012 - 03.2013
Skills
MS ExcelData AnalysisGood analyzing and communication skills
EHR referral tracking
Understanding of medical terms
Account management of Patients
Transactions reconciliation
Accomplishments
- Supervised team of 6 staff members.
- Documented and resolved queries/problems of team members which led to enhanced productivity and efficiency.
- Shining star of the year.
Interests
Drawing and Painting
Playing Badmintion
Timeline
Referral Analyst
HOM India Pvt Ltd
07.2020 - Current
MBA - Human Resource Management
(SCDL) Symbiosis Centre For Distance Learning
08.2018 - 08.2020
Process Associate
Sandmartin consultants
08.2018 - 03.2020
Internship Student
Cybergenie cops
06.2017 - 08.2022
BBA - Business Administration And Management
Ideal Institute of Management And Technology
08.2015 - 06.2018
CBSE - XII
Asn Sr Sec School
04.2014 - 03.2015
CBSE - X
ASN Sr Sec School
04.2012 - 03.2013