Summary
Work History
Education
Skills
Languages
Timeline
Generic

Ratan Priya

Bangalore

Summary

I seek challenging opportunities where I can fully use my skills for the success of the organization. Developed in the fast-paced retail environment focusing on team leadership and operational efficiencies skilled in, seeking to transition into new field eager to leverage transferable skills to contribute a new and challenging role.

Work History

Specialist

Omega healthcare
Bangalore
  • Proficient in utilizing Billing software to manage data process claims and ensure accuracy in patient and insurance details.
  • Skilled in verifying insurance coverage applying medical code and adhering to standard operating procedures to maintain quality standards above 95%
  • Experience in analyzing procedures attention to detail meeting daily targets and a continuous to professional development in medical insurance coding and billing

Junior

Vidal health insurance
Jaipur
  • Reviewing medical reports comprehensively across i.e. - pre-auth level claim analyze level and clean suspension level.
  • Identification of trigger factors of insurance related thoughts.
  • Responsible for ensuring and efficient response at the level of Pre-Authorization to maintain TAT

Trainee

EVAA super specialty hospital
Jaipur
  • Internship as a junior radiographer at EVAA super specialty hospital, Jaipur.
  • Operated and assisted in x-ray, CT, MRI procedures, ensuring accurate imaging for diagnosis.
  • Collaborated with senior radiologist and the medical team to maintain high standards of patient case.
  • Gained Hands on experience in using advance radiology equipment and adhering to safety protocols

RM-Executive

Oracle Investigation Agency
Ahmedabad
  • Prepared comprehensive medical reports including TTD (Temporary Total Disability), death cases, and critical illness cases.
  • Created detailed reimbursement reports and pre-post hospitalization reports for insurance claims.
  • Managed and processed insurance claim documentation for companies such as Aditya Birla, Bajaj Allianz, ManipalCigna, Apollo Munich, and HDFC Ergo.
  • Familiar with the claim formats and reporting requirements for multiple insurance providers.
  • Coordinated with on-field executives to gather necessary documentation and information from policyholders and claimants.
  • Ensured accuracy and compliance in all reports submitted for insurance processing.

Education

Bachelor of Science - Radiography and Imaging Technology

NIMS University
Jaipur, Rajasthan

Higher Secondary Education -

Kendriya Vidyalaya
Ambala, Haryana

Matriculation -

Kendriya Vidyalaya
Ambala, Haryana

Skills

  • Scrutinizing claims
  • Team management
  • Turn around and restructuring
  • Strong customer relations
  • Strong communication skills
  • Medical claim reimbursement

Languages

  • English, Advanced (C1)
  • Hindi, Proficient (C2)

Timeline

Specialist

Omega healthcare

Junior

Vidal health insurance

Trainee

EVAA super specialty hospital

RM-Executive

Oracle Investigation Agency

Bachelor of Science - Radiography and Imaging Technology

NIMS University

Higher Secondary Education -

Kendriya Vidyalaya

Matriculation -

Kendriya Vidyalaya

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Ratan Priya