Priyanka Babu
Enrollment Specialist
Chennai
Summary
Senior Process Analyst with 3+ years of experience in US healthcare processes, including provider enrollment and data management. Strong focus on compliance, accuracy, and process improvement. Skilled in Excel and Tableau for efficient reporting and analysis.
Overview
4
4
years of professional experience
Work History
Senior Process Analyst
Thryve Digital Health Care
10.2023 - Current
- Managed end-to-end provider enrollment, including credentialing, verification, and revalidation.
- Coordinating with providers and payers to ensure HIPAA and regulatory compliance.
- Maintained accurate provider data, reducing errors, and improving data integrity.
- Supported internal teams and claims with escalated provider queries, ensuring timely resolution.
- Implemented process improvements to reduce enrollment turnaround time and minimize claims rejections.
Assisted in audits and generated enrollment metrics reports for leadership insights.
Team Member
Guardian India Operations Pvt Ltd
07.2022 - 09.2022
- Working as an Associate for the US based healthcare Industry.
- Handling and Analyzing different benefits and claims for small and large groups
- Developing and maintaining a tracking system of incoming and late payments.
- Handling daily queries from customers and clients and providing a solution.
- Reporting client about daily task details on every SOD and EOD
- Trained in Non-Electronic, Electronic Data interchange, GA Application programming Interface, EMMA, Census
Education
MCA - Master of Computer Application
University of Madras
Chennai12-2025
B.Sc - Mathematics
Agurchand Manmull Jain College
Chennai07-2022
Skills
Claims processing
Provider enrollment
RCM
Claims Adjudication
Denial Management
HIPAA
Regulatory Adherence
Advance Excel
Tableau
SLA Monitoring
Analyzing and Reporting
EDI & APIClaims Adjudicationprovider enrollment
Accomplishments
- Exceeded performance goals through diligent task completion, attention to details and consistent follow through on assignments
- Maintained high levels of attention to detail driving and 100 percent accuracy in quality and more than 100 percent in production.
- Partnered with team member to develop and execute innovative ideas for process development
- Providing budding training to the newly recruited people.
- Continuously learning new processes other than my work.
Timeline
Senior Process Analyst
Thryve Digital Health Care
10.2023 - Current
Team Member
Guardian India Operations Pvt Ltd
07.2022 - 09.2022
MCA - Master of Computer Application
University of Madras
B.Sc - Mathematics
Agurchand Manmull Jain College