Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Process consultant position. Ready to help team achieve company goals.
Overview
2
2
years of professional experience
8
8
years of post-secondary education
1
1
Language
Work History
Process Consultant
Sagility Pvt.Ltd.
Hyderabd
08.2022 - 05.2023
Responsible for all follow up on insurance claims to medical,medicaid and commerical insurance.
Maid investigative phone calls to the insurance carriers for payments and claim processing .
Fixed demographic ,physician ,ICD'10 and insurance related errors through research's online application ,internal system and calling the physician officer if required.
Maintained a superior quality rating of above 95% in claims resolution and fixing the front-end errors, exceeding the 90% departmental goal.
Extremely knowledge in specimen analysis
Worked in the front-end billing from the providers side
Key the insurance according to TRF-FORM
Participates in test and implementations of process updates and new plan implementations
Ability to work independently and with a group of people towards a common goal
Process Consultant
Hinduja Global Solutions
Hyderabad
08.2021 - 08.2022
Developed documentation, diagrams, and specifications to meet project requirements and regulatory standards.
Documented feasibility and implementation of third-party projects for review and future reference.
Met weekly with team members to discuss project implementations and alleviate any issues.
Provided technical assistance to production team when issues arose.
Analyzed critical line data to make recommendations for improvement.
Evaluated current processes to develop improvement plans.
Claims Adjudicator 2 Years of Experience at Sagility Healthcare India Pvt.Ltd.Claims Adjudicator 2 Years of Experience at Sagility Healthcare India Pvt.Ltd.