Renuka Devi R
SENIOR CONSULTANT AUDIT
Bengaluru
Summary
2.5 years of hands-on experience conducting audit planning activities and reviewing and compiling financial data. Expertise in evaluating internal and operational control procedures. Self-motivated professional comfortable taking initiative.
Overview
2
2
years of professional experience
3
3
Languages
Work History
2.5 years of hands-on experience conducting audit
Hinduja Global Solutions
Bengaluru
12.2020 - 04.2023
- Auditing Health insurance claims on Mainframe terminals for an U.S Based health Insurance company-Aetna International.
- As a claim auditor, I will be evaluating the claims whether the claims has processed correctly including trainers batch –New Hire.
- Having knowledge in both medical claims and Hospital claims.
- Basic Knowledge in CPT, Revenue and ICD Codes.
- Validation of the billed diagnosis code, procedure codes and other details of the services billed by provider or member.
- Evaluating quality check in team.
- Auditing additional claims In absence of other senior auditor.
- Claim types involved: Medicare and Medicaid claims, duplicate claims, Cob claims, Inpatient and outpatient claims, Radiology, Laboratory, Emergency,Urgent care and Anesthesiology services.
- Auditing claims as per Policy Guidelines with RUMBA and tools.
- Completing all assigned tasks before the end time and meet the daily targets.
- Proven ability to learn quickly and adapt to new situations.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Proven ability to develop and implement creative solutions to complex problems.
- Organized and detail-oriented with a strong work ethic.
- Gained extensive knowledge in data entry, analysis and reporting.
Skills
- Audit Monitoring
- Audit Conduction
- Audit Inventory
- Good observation
- Individual performer
- Quality check and analytical
- Audit Processes
- Audit Reports
- Audit Documentation
Languages
Tamil
Bilingual or Proficient (C2)
English
Advanced (C1)
Hindi
Advanced (C1)
Telugu
Upper intermediate (B2)
Education
SSLC - 72.4%
Mary Immaculate Girls Hr. Sec. School
06.2014 - 04.2015
HSC - 65%
Meenakshi Girls Hr. Sec. School
06.2015 - 05.2017
B.Com - 62%
Sacred Heart College (Autonomous)
Tirupattur 06.2017 - 04.2020
Accomplishments
- Recognized for excellence in work
- Basic Knowledge in HIPPA privacy
- Coordinated team for Error Share sessions and team Quality activities
- Maintaining records of team work and mentoring trainers
- Special handling and auditing LMC claims (separate workflows)
Software
Microsoft Office 365
Tally ERP 9 with GST
Timeline
2.5 years of hands-on experience conducting audit
Hinduja Global Solutions
12.2020 - 04.2023
B.Com - 62%
Sacred Heart College (Autonomous)
06.2017 - 04.2020
HSC - 65%
Meenakshi Girls Hr. Sec. School
06.2015 - 05.2017
SSLC - 72.4%
Mary Immaculate Girls Hr. Sec. School
06.2014 - 04.2015
Similar Profiles
Mohit WadhwaniMohit Wadhwani
Customer Care Associate (Amazon.in) at Hinduja Global SolutionsCustomer Care Associate (Amazon.in) at Hinduja Global Solutions
Gail mackinnonGail mackinnon
Customer Service Representative at HGS - Hinduja Global SolutionsCustomer Service Representative at HGS - Hinduja Global Solutions
George MathewGeorge Mathew
Deputy General Manager – Operations at Sagility India Private Limited (formerly Hinduja Global Solutions)Deputy General Manager – Operations at Sagility India Private Limited (formerly Hinduja Global Solutions)
JOZEP LINUS SAN FELIPEJOZEP LINUS SAN FELIPE
Workforce Management Specialist at Hinduja Global SolutionsWorkforce Management Specialist at Hinduja Global Solutions
Pranit SunkadPranit Sunkad
Assistant Manager - HR at SMFG India Credit Company LimitedAssistant Manager - HR at SMFG India Credit Company Limited