Rajshekar Reddy Metuku

• Handling client specific training to new hires. And teaching them in different types training methodologies like discussion and demonstration and E-learning modules .Which are completed PT face training.
• Maintaining new hires attendance and conducting mock calls sessions to improvise their call ethics' and rate of speech and sentence formation.
• Conducting mock assessments to know trainees understandings and providing them structural feedbacks.
• Providing floor support to new OJT trainees and conducting daily team huddles understanding difficulties and working towards resolving issues .
• Performing internal audits to OJT trainees and and analyzing error trends and providing feedbacks to trainees
• Conducting quality meets to understand daily updates
• After clearing OJT providing floor support to OJT trainees till they complete 30-60-90 rule and hit complete floor target.
• Developed effective training plans based on department needs and objectives.
• Prepared and presented supplementary learning material to support structured lessons.

• .Review and analyze medical claims to ensure accuracy and compliance with coding and billing regulations.
• .Investigate and address any discrepancies or errors in claims submission.
• .Work on denied claims, identifying reasons for denial and taking appropriate actions to resolve issues.
• .Engage in regular follow-ups with insurance companies to check status of outstanding claims.
• .Monitor aging reports and prioritize follow-up efforts based on urgency of outstanding claims.

● Reviews the work order

● Follow-up with insurance carriers to check status of outstanding claims Analyze claims in case of rejections

● Following upon the denied claims and taking appropriate actions

● Working on provider issue denied claims.

● Following up on appeals.

● Taking respective action on claims based on the insurance provided EOB. ● Understand the client requirements and specifications of the project

● Ensure deliverable's adhere to quality standards

• Implemented process improvements that led to a reduction in unallocated cash on the balance sheet