Vrindha Vasudevan
Chennai,TN
Summary
To work in an organization where I can utilize and apply knowledge and skills that would enable me, as a fresh graduate, to grow while fulfilling the organization's goals. Strategic professional in business operations known for high productivity and efficiency in task completion. Specialize in process optimization, project management, and data analysis, ensuring streamlined workflows and enhanced operational efficacy. Excel in communication, problem-solving, and leadership, leveraging these soft skills to drive team success and achieve organizational goals.
Overview
9
9
years of professional experience
Work History
Subject Matter Expert - voice
Amvick Solutions Pvt. Ltd
05.2022 - 05.2024
- My work is related to contact several payors (Insurance company) and provide the details of the provider and make the provider to get credentialed with the insurance companies
- Call the insurance company and try to get contracted with the Payor.
- Maintain compliance with all regulatory and accrediting institutions.
- Monitor provider credentials and licenses.
- Advise provider on renewal procedures of their documents.
- Participate in the development of internal credential processes
- Update provider licenses, DEA, CAQH, credentials and insurance.
- Release Provider information to the insurance companies when required.
- Enroll the therapist in various Medical / Medicare applications such as PECOS, PAVE, TMHP and get the therapist enrolled in all Medicare and Medicaid boards to treat the patients.
- Trained the new hires with credentialing and re-credential policy and gave them the knowledge about various Medicare and Medicaid boards, company policies and all the production tools.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Generated reports detailing findings and recommendations.
- Conducted regular reviews of operations and identified areas for improvement.
- Period - May 2022 to May 2024
- Team size - 10
Senior Process Executive
Cognizant Technology Solutions
01.2020 - 05.2022
- Major work is related to check provider details and then create an ID to enroll into Insurance company
- Send them contract and per the norms and valid it
- Assigning Networks and Fee schedule as per the contract signed
- Validate all their certificates and License
- Period: December 2020 to May 2022
- Team Size: 30
Credentialing Analyst
Cognizant Technology Solutions
01.2020 - 12.2020
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
- Maintain internal provider grid to ensure all information is accurate and logins are available.
- Request to annually renew all provider licenses; Professional, DEA, Controlled Substance.
- Complete credentialing and re-credentialing applications to add providers to Medicare Payers.
- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges.
- Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
- Maintain accurate provider profiles on CAQH NPPES, and NPDB database.
- Period: January 2020 to December 2020
- Team Size: 42
Claims Adjudicator
Accenture Solutions Pvt. Ltd
12.2014 - 08.2019
- Audited the claims processed by the associates and provided suggestions to avoid their mistakes
- Processed payments promptly and sent to appropriate entities to avoid delays
- Performed cash reconciliations on daily basis
- Met all deadlines including those for month-end reporting
- Managed escalated customer orders in timely and professional manner
- Performed opening and closing procedures to keep operations running smoothly
- Period: Claims adjudicator - 2014 - 2018
- Auditor - 2018 - June 2019
- Team Size: 68
Education
B.Sc - Computer Science
Anna Aadarsh College For Womens
Chennai01.2014
Higher Secondary -
Sri Ramakrishna Matriculation Higher Secondary School
Chennai01.2011
Skills
- Flexibility and adaptability
- Credentialing process
- Communication skills
- Training and mentoring
- Positive attitude
Accomplishments
- Awarded as Best Process Associate and Senior process associate.
- Supervised team of [Number] staff members.
- Certified as Best trainer of the year.
Disclaimer
I hereby declare that the above furnished information is authentic to the best of my knowledge.
Hobbies and Interests
- Listening to Music
- Singing
- Reading novels
Activities
- Received Rajya Puraskar award in Scout & Guide.
- Participated in many welfare associations and won prizes in national youth competitions conducted by Sri Ramakrishna Math, Mylapore.
- Attended many camps for village welfare associations in Guide.
Timeline
Subject Matter Expert - voice
Amvick Solutions Pvt. Ltd
05.2022 - 05.2024
Senior Process Executive
Cognizant Technology Solutions
01.2020 - 05.2022
Credentialing Analyst
Cognizant Technology Solutions
01.2020 - 12.2020
Claims Adjudicator
Accenture Solutions Pvt. Ltd
12.2014 - 08.2019
B.Sc - Computer Science
Anna Aadarsh College For Womens
Higher Secondary -
Sri Ramakrishna Matriculation Higher Secondary School
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