Subhash Sadguru Murthy Natava
Hyderabad
Summary
Seeking a position in a fast-paced, customer-oriented environment where I can use my strong communication and problem-solving skills to provide excellent service and support.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Associate Data entry
Genzeon Technologies
Hyderabad
08.2022 - Current
- Understanding benefit documents shared by healthcare payers, configuring benefits into the system, and maintaining accurate plan and benefit attributes.
- Collaborate closely with BSA leads to ensure seamless integration of software solutions for our clients.
- Testing the Member and Advocate experience, raising Jira tickets, and collaborating with cross-functional teams.
Senior Claims Associate
CHCS Services, Inc.
Noida
12.2021 - 07.2022
- Sought missing information and clarifications from clients to facilitate claim progression and settlement, recording provided data for future reference.
- Authorised clearance and payments to enable clients to obtain services from providers and partners after verifying validity of insurance covers.
- Examined claim evidence against company guidelines and procedures to determine suitable outcomes for submitted claims, informing approval or rejection decisions.
- Formulated and implemented policies governing claim resolution to streamline redress submissions, processing and settlement.
- Assessed incoming claims for validity against policy's conditions and communicated reasons for partial or no payments to clients, enabling fair settlement of valid claims.
Medical Coding analyst
OPTUM Global Solutions
Hyderabad
04.2018 - 08.2021
- Extracted clinical information from manual and computerised patient health records to assign appropriate clinical codes.
- Maintained strict confidentiality of all coded and other patient data at all times to safeguard patient welfare.
- Adhered to all rules, regulations and protocols of clinical coding using surgery clinical computer system.
- Abstracted and analysed complex clinical information required to assign ICD10, CPT and HCPCS classification codes in line with national guidelines.
- Confirmed diagnoses using histology, microbiology and x-ray reports to maintain high-level coding standards.
Education
Bachelor of Pharmacy - JNTU Anantapur
Santhiram College Of Pharmacy
Nandyal, AP2016
Intermediate - AP State Board
CV Raman Junior College
Kurnool, AP2012
SSC - AP State Board
Sri Vidya High School
Koilakuntla2008
Skills
- Analytical Problem Solving capabilities
- Interpersonal and consultative skills
- Oral and written communication proficiency
- Creative Outlook
- Basic software knowledge and skills
- Basic programing language knowledge
- Understanding of Databases and Networks
- Industry knowledge
- Business structure understanding
- Knowledge of Relevant Tools
Certification
- Certified Professional Coder (CPC)® certification by AAPC - American Association of Professional Coders.
Timeline
Senior Associate Data entry
Genzeon Technologies
08.2022 - Current
Senior Claims Associate
CHCS Services, Inc.
12.2021 - 07.2022
Medical Coding analyst
OPTUM Global Solutions
04.2018 - 08.2021
Bachelor of Pharmacy - JNTU Anantapur
Santhiram College Of Pharmacy
Intermediate - AP State Board
CV Raman Junior College
SSC - AP State Board
Sri Vidya High School
Similar Profiles
GAURESH PARSHURAM BHOSLEGAURESH PARSHURAM BHOSLE
Associate Cloud Engineer at Genzeon Technologies Pvt. Ltd.Associate Cloud Engineer at Genzeon Technologies Pvt. Ltd.
Ram C M KonjetiRam C M Konjeti
Product Owner at Genzeon India Pvt. Ltd.Product Owner at Genzeon India Pvt. Ltd.
Sreedhar BalakrishnanSreedhar Balakrishnan
Director at Genzeon CorporationDirector at Genzeon Corporation