Prathap Reddy
Bengaluru
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Senior Process Consultant
Sagility India Private Limited
03.2019 - 09.2023
- Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
- Assisted Customer Service Representatives by answering telephone inquiries concerning the status of medical claims, procedures for submitting claims, procedures for submitting appeal letters for then claims are denied for payment.
- Responsible for filing additional claims that are in a pending status until all required information is received.[FACETS]
- Import training and assist junior claim executive on the job training.
- Identifying the process improvement opportunities.
- Escalating to higher level for unapproved invoices on daily basis.
- Handling Potential Duplicate Report and ensure no double payments occurs.
- Coordinated cross-functional teams to ensure successful implementation of new processes.
Education
Bachelor of Science - Physics
Sri Venkateshwara University
Tirupathi04.2016
Skills
- Medical Terminology
- Quality
- Social security
- CPT
- CMS
- Performance Improvement
- Process Development
- Team Collaboration
- Documents and Reports
- Report Generation
- Project Management
Accomplishments
- Mentor Award & other monthly performance awards.
- Received Top Gun Award for the best performance
Languages
English
Hindi
Telugu
Kannada
Activities
- Achieved team goals.
- Provided trainings for a new Batches-Hired
- Conducted refresher training sessions for new batches
- Coordinate activities of the department with the Team Lead to include work flow monitoring, process improvement, training, and reporting.
- Provided subject matter expert support to the new hires.
Tracking Experience
- Process Development
- Team Collaboration
- Documents and Reports
- Report Generation
- Project Management
Hobbies and Interests
- Cooking and Baking-Breads
- Web-surfing regarding hospitality
Timeline
Senior Process Consultant
Sagility India Private Limited
03.2019 - 09.2023
Bachelor of Science - Physics
Sri Venkateshwara University
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