Venkatesh K

Sagility India Pvt Ltd

Bangalore

01.2019 - Current

Met Month-End Reporting Objectives and Deadlines.
Identified modifications to processes and procedures that would promote better efficiency.
Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.
Supervised a team of process associates to enhance accountability, develop professional skills, and improve efficiency.
Good understanding of the health insurance business.
Hands-on experience, trained and certified by the training team.
Performed research and facilitated the processing of claims payments.
Adjudication of Various Medical and Non-Medical Provider Claims and Update on CMS.
Good knowledge in CPT codes, HCPCS codes, ICD-9, and ICD-10.
2-Time 'Top Gun' (Best Performer) Awarded for the Highest Production with 100% Quality.
Good training facilitator for new hires and certified trainer from the Global Business Learning team.
About 4 batches have trained with a headcount of 20.
Additional responsibility taken from management. Develop and monitor performance metrics (SLAs, quality, productivity, TAT).
Act as a subject matter expert (SME) for clients and internal stakeholders on claims adjudication policies, procedures, and systems.

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