PRIYANKA ROHILLA

• Experience in claims processing, data management, and process improvement; targeting assignments in a challenging role that values accuracy, efficiency, and effective communication. Searching to contribute to organizational success and growth through a strong track record of maintaining high standards in audit accuracy and managing complex tasks.
• Possess 9 years of professional experience with leading organizations such as Genpact, R1RCM, OPTUM, and EXL, showcasing a strong background in process development and analysis.
• Showcased versatility through diverse roles including Process Developer, Senior Analyst, and Associate, highlighting adaptability to various work environments.
• Proven expertise in data management, including tasks such as data extraction, system ID creation, and information validation with high accuracy.
• Rich experience in reviewing, analyzing, and processing claims with a strong focus on claim adjudication and managing medical treatment claims.
• Maintained 100% accuracy in on-shore audits and effectively managed preauthorizations, ensuring strict compliance with the industry standards and policies.
• Skilled in coordinating benefits, managing reimbursements, and applying co-pays, co-insurances, and deductibles, showcasing a commitment to customer service.
• Delivered excellent performance in high-pressure environments, reflecting resilience and productivity under stress.
• Proven track record of driving process improvements and enhancing operational efficiency through detailed attention to detail and strategic problem-solving.
• Experienced in managing accounts receivable operations during US shift hours, ensuring seamless financial processes and timely resolution of issues across time zones.
• Strong capability to quickly adapt to new technologies and methodologies, ensuring continuous improvement and alignment with the industry best practices.

• English
• Hindi

Date of Birth: 03/20/93