SHWETHA.S

Kitturu rani chennamma raste

*rd cross

Hosakote

Bangalore-562114

Phone: +918*********. 829-***-****

E-Mail: ad0xe1@r.postjobfree.com

Objective

I seek a career into which I can apply my skills and efficiency in a synergistic manner towards corporate goals and personal development. I intend to explore myself and realize my potential to the fullest. My aim is to obtain a challenging position and contribute effectively.

Currently work profile.

Working as : Senior Process Associate

Industry : US Healthcare Claim Adjudication.

Organization : Cognizant technology solutions Pvt. Ltd, Bangalore.

Period : Since September 2017 to till date.

Roles & responsibilities

Good knowledge in adjustment claims and overpayment claims

Good knowledge in Plan change and benefit period

Sound knowledge on FACETS Modules - Claims Processing, Medical Plan, Network, Provider and Member/Subscriber.

Knowledge of HIPAA (Health Insurance portability and accountability Act) complaints of US acts.

Excellent knowledge and exposure to all Hospital (Inpatient, Emergency, surgery observation and outpatient etc.) and medical contracts.

Responsible for collection, aging, establishing write-off standards and claim denial management

Evaluated effectiveness of the process, recommended and implement changes to policies and procedures.

Responsible for Improve productivity and decrease the backlog.

Developed, implemented, and continually improved policies, processes, and procedures.

Weekly team huddles and monthly quality presentation

Update and maintain Productivity/Quality.

To prioritize the pending claims for calling from the aging basket

Achievements:

Received best employee award for the year of 2019 for hard work.

Received many monthly and quarterly awards for the hard work and taking ownership of the process.

Received many appreciation mails from client for quick and quality work.

ERP Tools

MS- Office

Academics Credentials

.MBA from sir m visvessvarayya institute of technology Bangalore

B. Com Computersfrom LOYOLA degree college, YV University in year of 2015.

Intermediate from YSVRM College for girls, Board of intermediate in year of 2012.

SSC from APSWER School .Board of secondary education in year of 2010.

Core competencies

Highly self-motivated and result orientated.

Willing to learn and adapt to new technologies.

Problem solving.

Proactive, Positive.

Personal Details

Father’s Name : S.Harinath Reddy

Mother’s Name : S.manjula

DOB : 05/02/1993

Languages : English, Telugu and Kannada

Marital status : Married

Nationality : Indian

Declaration:

I hereby declare that the information furnished above is true and correct to the best of my knowledge.

Date :

Place : Bangalore (Shwetha.s)

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