Poorvitha P
Udupi
Summary
Dynamic AR Analyst and Process Consultant at Sagility Healthcare, adept at resolving complex billing discrepancies and streamlining operations. Leveraging strong organizational skills and SQL expertise, I enhanced claim denial resolution processes, significantly reducing outstanding debt. Proven ability to analyze large data sets while thriving in fast-paced environments.
Overview
3
3
years of professional experience
Work History
AR Analyst And Process Consultant
SAGILITY HEALTHCARE
05.2022 - Current
- Investigating and resolving any discrepancies or missing information in the claims
- Demonstrated expertise in managing processes and ensuring smooth operations
- Proven ability to work in fast-paced environments, multitasks effectively and prioritizes tasks to meet deadlines
- Handling a high volume of inbound and outbound phone calls to provide assistance, support, information to customers and clients
- Conducted audits to identify and resolve, billing discrepancies, and other operations
- Streamlined communication between departments, facilitating faster resolution of denied claims.
- Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
- Collaborated with billing department staff to ensure accurate coding and charge entry, minimizing future claim denials.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Verified client information by analyzing existing evidence on file.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Processed and recorded new policies and claims.
- Calculated adjustments, premiums and refunds.
- Posted payments to accounts and maintained records.
- Determined appropriateness of payers to protect organization and minimize risk.
Education
BCA -
Mangalore University
Udupi01.2021
PUC -
Department of Pre-University
Kalasa01.2018
SSLC -
Karnataka Secondary Education Board
Kalasa01.2016
Skills
- Ms-office
- Proficient Time Management
- Skilled in Managing Large Data Sets
- Efficient Self-Management Skills
- Claims processing
- Claim Denial Analysis
- Medical billing
- Health Insurance Verification
- ICD-10 proficiency
- Eligibility Assessment
Accomplishments
- Achieved State level Participation in Sports (THROWBALL)
- Participated in inter college fest at ST. Agnes Convent Institution Mangalore
Hobbies and Interests
- Gaming
- Cooking
- Listening music
Projects
Second hand car dealing, The project is aimed to build a website for a car business owner or dealer who wants to list his cars in his website and allow users to come to the site and browse through all the available cars. Filter the car by features, price etc.
Disclaimer
I hereby that the information and facts stated above are correct to the best of my knowledge and belief.
Languages
- English
- Kannada
Personal Information
Date of Birth: 09/27/00
Timeline
AR Analyst And Process Consultant
SAGILITY HEALTHCARE
05.2022 - Current
BCA -
Mangalore University
PUC -
Department of Pre-University
SSLC -
Karnataka Secondary Education Board
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