Urja Joshi
Anand, Gujarat
Summary
Dynamic Process Associate – U.S. Healthcare & Revenue Cycle Management
Detail-oriented and results-driven professional at Ifedora Services Pvt. Ltd. With hands-on experience in the U.S. Healthcare processes, specializing in insurance verification and prior authorization. Proficient in EMR systems, and well-versed in HIPAA compliance, ensuring accurate and timely processing of medical authorizations. Known for excellent client coordination, strong communication, and improving turnaround time by streamlining workflows.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Senior Process Associate
Ifedora Services Pvt Limited
Ahmedabad
07.2023 - Current
- Specialization in U.S. healthcare and revenue cycle management (RCM).
- Client communication, cold calling, and interpersonal interaction.
- Working with multiple U.S. insurance companies regarding the authorization process, EVBV verification, and denial management.
- Working on EMR/EHR systems and insurance portals (e.g., Availity, Navinet, UHC, etc.).
- Ability to handle a complex, varied workload in any environment.
- Knowledge of HIPAA policies, organizational rules, ICD-10, CPT, and HCPCS codes.
- Initiate and submit prior authorization requests to insurance companies for chemotherapy and related diagnostic procedures.
- Understanding of HMO, PPO, Medicare, Medicaid, and Insurance Type.
Dissertation
Central Salt and Marine Chemicals Research Institute (CSIR-CSMCRI)
Bhavnagar
12.2022 - 05.2023
- Created detailed reports summarizing the findings from various research studies.
- Conducted fieldwork activities, including data collection, and observation of algal samples.
- Contributed to the writing and editing of research papers, reports, and presentations.
- GC-MS, ICP-MS, PCR, RAPD, isolation of DNA and plasmid, plant and animal tissue culture, TLC, HPTLC, and spectrophotometer.
Education
Master of Science - Biotechnology
Sardar Patel University
Anand, Gujarat04-2023
Bachelor of Science - Biotechnology
Sardar Patel University
Anand, Gujarat04-2020
Skills
- Healthcare compliance
- Revenue cycle management
- Insurance verification
- Prior authorization
- EMR systems
- Client communication
- Interpersonal skills
- Report analysis
- Data analysis
- Data entry
- MS Office
- Proficient in written and spoken English
Certification
- Cambridge English Placement Test- Part of the University of Cambridge, organized under SCOPE Initiative and obtained the score 50 – C1 or above which is considered highest by the Common European Framework of Reference level (CEFR). (2018)
- National Hands-on Workshop on “Comprehensive Study based on Caenorhabditis elegans- An Animal Model” organised by Shri A.N. Patel PG Institute of Science and Research, Anand, Gujarat in collaboration with GSBTM, Gandhinagar, Gujarat (16th May- 1st June 2022).
- National High-End Workshop on “HANDS ON SPECIALIZED TECHNIQUES SEAWEED BIOTECHNOLOGY-MULTIPRONGED APPROACH” (“KARYASHALA” under the accelerate Vigyan Scheme) organised by CSIR- Central Salt and Marine Chemicals Research Institute, Bhavnagar Gujarat (1st- 8th August 2022).
Languages
English
First Language
Hindi
Proficient (C2)
C2
Gujarati
Proficient (C2)
C2
Timeline
Senior Process Associate
Ifedora Services Pvt Limited
07.2023 - Current
Dissertation
Central Salt and Marine Chemicals Research Institute (CSIR-CSMCRI)
12.2022 - 05.2023
Master of Science - Biotechnology
Sardar Patel University
Bachelor of Science - Biotechnology
Sardar Patel University
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