Headline

Senior Associate - US healthcare | Claims Processing | Skilled in EOBs, Appeals & Claims Adjudication | Seeking opportunities in Claims management

About

"Detail-oriented healthcare professional with 3 years of experience in US Healthcare in Claim Processing. Specialized in end-to-end Claims Processing and Denials Management. Proven track record in analyzing denied claims, submitting successful appeals, and reducing days in A/R. Committed to maintaining high accuracy standards and staying updated with payer-specific guidelines to ensure seamless financial operations for healthcare providers."

Location

Gurugram

Work experience

Senior Associate at CONCENTRIX DAKSH SERVICES INDIA PRIVATE LIMITED, Jul 2022 - Present · 4 yrs, Gurugram, Haryana, India, Proficient in reviewing CMS-1500/UB-04 forms and handling Clearinghouse rejections efficiently. Analyzed denied claims and prepared clinical/administrative appeals to maximize reimbursement rates.

Transaction Processor at Concentrix, Jul 2022 - Present · 4 yrs, • Process Physician (Professional) and Hospital (UB/Institutional) healthcare claims accurately and efficiently • Handle provider and member appeals, reviewing documentation and ensuring timely resolution • Work across multiple lines of business (LOBs) with adaptability to varied claim types and workflows • Maintain high accuracy and compliance standards in healthcare claims adjudication

Field Sales Executive at Paisabazaar, Sep 2021 - Apr 2022 · 8 mos, Gurugram, Haryana, India, Generate Credit card leads from open Market sales and login the credit card files to till approved the files and also all pendencies to be clear .

Education

Bachelor of Commerce - BCom, Commerce, Dr. Ram Manohar Lohia Avadh University

Intermediate (Class XII), Praxie