S. SRINITHYA
Thanjavur
Summary
Dynamic healthcare operations professional with expertise in claims processing and audit collaboration at NTT DATA. Proven track record in ensuring claim accuracy and compliance, while maintaining high data quality. Proficient in MS Office and typewriting, with a strong focus on continuous improvement and operational excellence.
Overview
3
3
years of professional experience
Work History
HC & Insurance Operations Senior Associate Grage 4
NTT DATA Information Processing services private limited
Chennai
10.2024 - 04.2025
- Processed and adjudicated U.S. healthcare insurance claims (Centene).
- Ensured claim accuracy as per policy, eligibility, and HIPAA guidelines.
- Maintained data quality and met SLA targets in claim operations.
- Collaborated with audit teams for quality checks and error resolution.
Processor & Auditor Claims Adjudication Grade 2
Excela technologies
Thanjavur
05.2022 - 10.2024
- Adjudicated multiple bill types (UB-04 and CMS-1500) for Medicare and Medicaid claims using IKA via Citrix.
- Handled QRP audits and high-dollar claims review, ensuring compliance with healthcare policies.
- Performed data entry with high accuracy, and processed pending claims efficiently.
- Conducted claim quality audits, and collaborated with QA teams for continuous improvement.
Education
B. Ed -
St. John De Britto College Of Education
Thanjavur01.2021
B.Sc. - Computer Science
Kunthavai Naacchiyar Govt.Arts college for women
Thanjavur01.2019
HSC. -
Blake Hr.Sec.School
Thanjavur01.2016
SSLC. -
Blake Hr.Sec.School
Thanjavur01.2014
Skills
- Typewriting
- MS Office
- C
- Multitasking capacity
- Claims processing
- Audit collaboration
Personal Information
- Date of Birth: 02/10/99
- Gender: Female
- Nationality: Indian
- Marital Status: Married
- Religion: Hindu
Languages
- English
- Tamil
Declaration
I hereby declare that the above information given by me is true, and to the best of my knowledge and belief
Timeline
HC & Insurance Operations Senior Associate Grage 4
NTT DATA Information Processing services private limited
10.2024 - 04.2025
Processor & Auditor Claims Adjudication Grade 2
Excela technologies
05.2022 - 10.2024
B. Ed -
St. John De Britto College Of Education
B.Sc. - Computer Science
Kunthavai Naacchiyar Govt.Arts college for women
HSC. -
Blake Hr.Sec.School
SSLC. -
Blake Hr.Sec.School
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