Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Sanjay Singh

New Delhi

Summary

Experienced and dedicated pharmacy professional with four years of hands on experience in healthcare administration and medical insurance. Proficient in all aspects of insurance claims processing and healthcare coordination. Demonstrates a unique blend of technical expertise ,analytical acumen and interpersonal skills to effectively manage medical claims and ensure data security. Proven tract records of efficiently managing claims workflows, ensuring compliance with regulatory standards and delivering exceptional results. Known for delivering exceptional service,resolving complex issues and driving process improvement. Proficiency in utilizing software systems for data entry and claims adjudication. Possess advance knowledge of medical terminology and pharmacology .A collaborative team player with excellent communication skills and interpersonal abilities.

Overview

4
4
years of professional experience

Work History

Process Developer

Genpact
12.2022 - Current

Responsible for medi-claims handling including verifying insurance policy coverage and making sure client information is accurate. Analyzing insurance information, performing data entry, handling insurance claims reimbursements, and deciding whether a claim should be processed or denied.
Efficiently processed insurance claims for accuracy and compliance with company policies and industry regulations.
Reviewed documentation, verified information and resolved discrepancies to ensure timely and accurate processing.
Contributed to process improvement initiatives, identifying areas for optimization and implementing solutions to enhance efficiency.

Senior Associate

Innodata
06.2021 - 12.2022

Compiled concise and accurate summarization of medical records including patient histories, diagnoses, treatment and outcomes. Reviewed and analyzed medical documentation to extract relevant information and highlight key findings for easy reference. Organized and categorized medical data in specific codes to established guidelines and standards. Utilized IWS to streamline summarization process and maintain consistency and accuracy.
Demonstrated proficiency in medical terminology, coding system and regulatory requirements, facilitating effective communication and compliance with industry standards

Health Manager

Hindustan Wellness
07.2020 - 03.2021

Provided compassionate and supportive counseling to patient and their families. Conducted thorough assessments through medical records and developed individualized care plans tailored to each patient's needs and goals , fostering a collaborative and empowering environment .
Offered guidance and education on coping strategies, self care techniques, and resources to enhance patient being and resilience.

Education

Pharmacist - Pharmacy

Apeejay Stya University
Gurugram
04.2020

Secondary Education - Science

Remal Public School
Delhi, India
04.2016

Skills

    SAS Certified: Base SAS

    FDA Drug safety understanding

    Analytical skills :attention to details

    Software proficiency

    Compliance knowledge: understanding of insurance regulations and compliance and compliance retirements

    Regulatory knowledge of Insurance,understanding insurance laws, policy provisions

    Clinical skills and clinical knowledge

    Medical Knowledge ,aware of medical terminologies

    Diagnosing the disease

Languages

English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)

Timeline

Process Developer

Genpact
12.2022 - Current

Senior Associate

Innodata
06.2021 - 12.2022

Health Manager

Hindustan Wellness
07.2020 - 03.2021

Pharmacist - Pharmacy

Apeejay Stya University

Secondary Education - Science

Remal Public School
Sanjay Singh