Sunnith Reddy Mothe
Hyderabad
Summary
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results. Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments. Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.
Overview
1
1
year of professional experience
Work History
Pre-Authorization and Eligibility Verification
Infinx Services Pvt Ltd
Hyderabad
07.2023 - 08.2024
- Reviewed and verified patient insurance coverage to ensure authorization criteria were met.
- Collaborated with providers, payers and members to obtain prior authorizations for services.
- Assessed the medical necessity of requested services in accordance with payer policies.
- Maintained detailed records of pre-authorization requests and denials.
- Addressed inquiries from providers regarding status of authorization requests.
- Ensured that all necessary documentation was submitted for approval processes.
- Researched alternative funding sources when required prior authorizations are denied.
- Prepared reports summarizing trends in denial rates and areas requiring improvement.
- Identified opportunities for process improvements to streamline pre-authorization workflow.
Education
Bachelor of Science - Computer Science And Physics
Hindi Mahavidyalaya Degree College
Hyderabad10-2020
Board Of Intermediate Education -
Nalla Malla Reddy Junior College
Hyderabad06-2017
School Secondary Certificate -
JMJ High School
HanamkondaSkills
- Microsoft Word
- Time Management
- Written Communication
- Analytical Thinking
- Attention to Detail
- Teamwork and Collaboration
Accomplishments
- Spotlight of the Month in March 2024
Affiliations
- NCC-2017-2020
- I have done 3 years of NCC training where i have represented as a lead for a couple of college troops
Timeline
Pre-Authorization and Eligibility Verification
Infinx Services Pvt Ltd
07.2023 - 08.2024
Bachelor of Science - Computer Science And Physics
Hindi Mahavidyalaya Degree College
Board Of Intermediate Education -
Nalla Malla Reddy Junior College
School Secondary Certificate -
JMJ High School
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