Summary
Overview
Work History
Education
Skills
Languages
Certification
Timeline
Generic

Saividya Naishadham

Pheonix

Summary

Dynamic Customer Care Representative with a proven track record at Medical Transportation Management, excelling in patient confidentiality and claims processing. Mastered HIPAA and Medicaid regulations, significantly enhancing insurance verification accuracy. Skilled in transforming complex insurance issues into positive outcomes, demonstrating exceptional problem-solving abilities and a commitment to maintaining up-to-date industry knowledge.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Customer Care Representative

Medical Transportation Management
Phoenix
03.2023 - Current
  • Observed confidentiality and safeguarded all patient-related information.
  • Assisted patients with requests for their medical records, guiding them through the process.
  • Scanned and validated medical records for upload.
  • Compiled and coded patient data using standard classification systems.
  • Answered questions from patients regarding their personal health information or billing inquiries.
  • Generated reports on patient data and record-keeping activities as required by management.
  • Maintained up-to-date understanding of insurance payment practices.
  • Accurately processed large volume of medical claims every shift.
  • Prepared detailed summaries of medical claims data for review by upper management.
  • Researched medical codes used in billing processes to ensure accuracy of documentation.
  • Performed administrative tasks such as filing paperwork, preparing reports, answering phones, scheduling appointments.
  • Resolved complex insurance issues by communicating with providers, patients, and third-party payers.
  • Explained coverage options to potential policyholders, answering questions or concerns.
  • Analyzed patient records to determine eligibility for coverage, benefit levels, and other related matters.
  • Participated in training sessions regarding new policies or procedures related to medical insurance processing.
  • Handled third-party insurance processing tasks to assist patients.
  • Maintained up-to-date knowledge of changes in state and federal laws pertaining to health care coverage.

Education

Associate Degree - Teacher Education

Bhongir College of Elementary Education
Bhongir, INDIA
03-2013

High School Diploma -

Sri Saraswathi Junior College
Rajapet, INDIA
03-2009

Skills

  • Patient confidentiality
  • Medicaid guidelines
  • HIPAA compliance
  • Medicare regulations
  • Claims processing
  • Insurance verification
  • Fraud detection skills
  • Denial management

Languages

English
First Language
Telugu
Advanced (C1)
C1

Certification

  • MS Office

Timeline

Customer Care Representative

Medical Transportation Management
03.2023 - Current
  • MS Office

Associate Degree - Teacher Education

Bhongir College of Elementary Education

High School Diploma -

Sri Saraswathi Junior College
Saividya Naishadham