Summary
Overview
Work History
Education
Skills
Accomplishments
Appreciation And Awards
Roles And Responsibilities
Personal Information
Languages
Disclaimer
Timeline
Generic

Prathibha MN

Bangalore

Summary

Associate with an organization that has a strong and longstanding commitment to values that allows me to utilize my creativity and expertise to translate business needs into growth opportunities, in an environment that promotes continuous upgrading of knowledge along with creative thinking and personal growth. Experience in configuration medical services for fully insured standard and custom plans of different US states like CA, CO, and NV etc. ASO - Administrative services only or self-funded plans.

Overview

6
6
years of professional experience

Work History

Associate for Enrollment and Billing

Carelon Global Solutions
Bangalore
07.2018 - Current

Process Executive at Cognizant Technology Solutions, Bengaluru (Dec 2017 – June 2018).

· Worked on Billing Exception report.

· Worked on Enrollment and Billing.

Education

Bachelors of Engineering - Industrial Engineering And Management

Sri Siddhartha Institute of Technology
Tumkur
05-2015

Diploma -

Government Polytechnic
Tumkur
03-2012

SSLC

Govt. High School
Koratagere
03-2007

Skills

  • Processing enrollment and maintaining the provided TAT
  • Working on enrolment and Mailbox management
  • Processing refund, ACH and wire payments
  • Billing reconciliation and refund processing
  • Providing floor assistance
  • Maintaining daily reports and
  • Concentrating on meeting the RE
  • Maintaining good quality score
  • Workflow management- Maintaining team productivity and quality
  • Conducting sessions for the team updates to the team members
  • Conduction PKT on Weekly basis
  • Helping team members on rebuttals and Mail back letters
  • Providing new members
  • Maintained WGS
  • Microsoft Excel
  • Case processing
  • Problem solving
  • Automation/Macro
  • Healthcare management
  • Workflow management
  • Proactive team player
  • Decision-making
  • Positive thinking

Accomplishments

  • Cross trained and worked on all the LOB's of ISG and WGS
  • Awarded with "Star performance award" for maintaining good quality, production along with additional responsibilities
  • Received appreciation emails from management and clients for the completion of project before target with 100% quality

Appreciation And Awards

  • Received appreciation emails from management and clients for the completion of project before target with 100% quality
  • Received Star performance award" for maintaining good quality in team

Roles And Responsibilities

  • Inventory assignments to be done in a timely manner 15mins before the shift starts and ensuring critical inventory is tracked until closure
  • Contribute towards production/ audits. 15% production in all work queues
  • Resolving the providers request and queries
  • FAQ, Escalation, Process updates reporting along with progression status
  • Help the Team to improve efficiency by achieving a 2% productivity increase
  • Upskilling recommended team members from the Team lead into different work types/subprocesses and publishing the progression
  • Preparing Training modules and facilitating training/ Tracking Ramp performance and publishing and Complete identified/ recommended learnings to enhance skills.

Personal Information

  • Total Experience: 6 Years
  • Father's Name: Nagaraju M N
  • Title: Associate for Enrollment and Billing
  • Date of Birth: 11/03/1991
  • Gender: Female
  • Nationality: Indian
  • Marital Status: Single

Languages

  • English
  • Kannada

Disclaimer

I, Prathibha M N, hereby declare that the information contained herein is true and correct to the best of my knowledge and belief.

Timeline

Associate for Enrollment and Billing

Carelon Global Solutions
07.2018 - Current

Bachelors of Engineering - Industrial Engineering And Management

Sri Siddhartha Institute of Technology

Diploma -

Government Polytechnic

SSLC

Govt. High School

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