Career Objective:
To be a part of an organization, where I can undertake challenging assignments in Finance arena thereby enhancing my professional & Personal skills by providing sincere efforts to achieve the goals of the organization.
Summary:
** Ability to work well in both a teamenvironment and individual environment.
** Sound conceptual knowledge of financial management with strong grip over analysis and problem-solving tools & techniques.
Organizational Exposure:
Company Name : Infosys LTD PUNE ltd June 2018 –May 2021
Job Title : Process Specialist III
** Processing US healthcare insurance claims, Appeals and complaints and handling provider disputes.
** Processing and adjudication US health insurance claims as senior analyst .
** As a US healthcare experience handling appeal, Complain and dispute from payer.
Addition to this check patient demographic details Eligibility verification and benefit verification, authorization, billing, payment posting within HIPAA, ERISA guidelines.
** In addition to this working with Medicare, Medicaid, HMO, PPO,CMS.
** Overseeing department training and individual development.
** Generate Monthly Admin/team reports for submission to management.
** Quality check, support for team and also working high dollar claim.
** Ensures compliance with quality, safety, regulatory requirements.
** Manage team workload distribution and structure to ensure consistent good performance.
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