SANGEETHA TN

Senior Assistant, Accounts Receivable, Sep 2018; Accounts Receivable Specialist, April 2021.

• Executed timely processing of assigned tax fusions and SFDC tickets using Dell Tools.
• Reviewed and uploaded exemptions on accounts for tax-exempt customers accurately.
• Supported customers with inquiries related to sales tax rates on transactions.
• Managed the processing of customer-requested sales tax credits and debits after verification.
• Addressed management emails and participated actively in weekly discussions.
• Suggested enhancements to processes and tools for operational efficiency.
• Generating queue status reports for team visibility into workload.
• Trained and mentored new employees in sales tax processing protocols, and issue resolution.
• Supporting cross-functional teams with sales tax inquiries resolution.

• Reviewing and analyzing appeal cases, prioritizing details and documentation for resolution.
• Resolved complex appeals through thorough examination of case specifics and nature of the appeal.
• Evaluating and examining data provided by member, including medical records, claim history, policy guidelines, and other significant documents.
• Executed precise processing and finalization of medical claims.
• Facilitate processing of Timely and Untimely Filled Appeals, ensuring compliance with established turnaround standards.
• Based on research, collaborate with business partners to determine whether to uphold or overturn claim decisions.
• Analyzing and utilizing plan concepts, including deductible, coinsurance, co-pay, out-of-pocket limits, state variations, waiver of liability, and legitimate cause reasons.
• Effectively communicating with various stakeholders, including members, providers, and internal teams.
• Adhering to quality assurance protocols, internal processes, and standard operating procedures.