SUPRITHA BY
Bangalore
Summary
Flair for identifying & addressing industry requirements to achieve organizational objectives and success norms. Good communication, good typing speeds & Analytical thinking.
Overview
3
3
years of professional experience
Work History
Senior process consultant
Sagility Indian private limited
12.2021 - Current
- Company Overview: Multiplan (RCM (Revenue cycle management) Credentialing, Provider update and Maintenance, NonPar provider details) - 3 Years
- Demonstrated comprehensive expertise in analyzing provider data within US healthcare operations segments
- Adjudication of international medical claims in accordance with police terms and conditions to meet personal and team productivity and quality goals
- Worked as a process consultant under MACESS
- Corrected claims and Medicare claims Team
- Finding the correct contract for the claims to process payments
- Denying codes which are unnecessarily billed and finding correct overpayment
- An Agent sells Insurance plan quotes to the prospective groups/Provider
- After the group/Providers decides to opt for a product, the case is received along with all the state mandated applications
- (MP3, Filebound and NOW applications)
- We are responsible to review and manage all the orders received on all the above applications and determines if any further info required at Employer/Employee level is missing and if there is any missing then will route back to them with details
- Once we receive all the information will review and load them directory
- The TAT for all the work we do is 5 days from the received date
- Multiplan (RCM (Revenue cycle management) Credentialing, Provider update and Maintenance, NonPar provider details) - 3 Years
Education
SSLC - undefined
Narendra High School
04.2013 - 5 2014
PUC - undefined
Navodaya PU Collage
05.2014 - 6 2016
B.Com - undefined
SAFGC
05.2016 - 7 2019
Skills
Flair for identifying & addressing industry requirements
Disclaimer
The information provided is true and accurate to the best of my knowledge.
Personal Information
Date of Birth: 06/23/98
Timeline
Senior process consultant
Sagility Indian private limited
12.2021 - Current
B.Com - undefined
SAFGC
05.2016 - 7 2019
PUC - undefined
Navodaya PU Collage
05.2014 - 6 2016
SSLC - undefined
Narendra High School
04.2013 - 5 2014
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