High School Process

CURRICULUM VITAE

D.No:** ***, Maitri Panigraghi Rajugaripeta Street, Email:*********@*****.*** Sompeta (Mandal) Mobile: 998-***-**** Srikakulam CAREER OBJECTIVE

Seeking a challenging career with immense opportunity for growth and development, in terms of using my communication skills, technical skills, analytical ability and my hard work. I can take any challenge to meet my objective.

EXPERIENCE

COMPANY : DST WORLDWIDE SERVICES B BLOCK 5TH FLOOR,

Q CITY BUILDING, GACHIBOWLI.

DESIGNATION : PROCESS ASSOCIATE.

TENURE : JULY 2012 TO TILL DATE

PROCESS : CLAIMS ADJUDICATION

JOB RESPONSIBILITIES

* Reimbursement of LTC Nursing facilities, HHC and ICG claims whether to pay or deny.

* Escalated to client to submit the documents for Missing Information.

* Releasing the Payment according to the Eligibility of Provider or Policy Holder.

* Meeting defined SLA’s as per client requirement.

* Ability to understand and apply plan concepts like Deductible, Coinsurance, Co pay, Medicaid,

Medicare, Waiver of Premium, Elimination, Maximum inside limits and Exclusions, State Variations.

* Scrutinizing UB04 & HCFA 1500 Medical Claim Documents that route out of automatic adjudication,

within current turnaround standards, Following HIPAA guidelines.

PRIOR EXPERIENCE

COMPANY : PATRA INDIA BPO SERVICES, VIZAG

DESIGNATION : PROCESS ASSOCIATE.

TENURE : June” 2010 to November” 2011

PROCESS : BACKEND OPERATIONS

JOB RESPONSIBILITIES

* Pull reports for policy holders which talk about past losses, history of policy holders and open cases by

means of emails, fax, calls and website downloads.

* Providing M.I. reports to the management team on a daily, weekly and monthly basis.

* Monitoring and ensuring quality of call meets the client’s expectations.

* Preparing training material and Conducting Process training for the new joiners and out layers.

* Identifying areas of process improvements and implementing best practices.

* Interaction with client for implementing the process changes.

Educational Details:

* B.Com (Computers) from Andhra University 2010

* Intermediate from Government Junior College.2007

* SSC from Government High School. 2005

Personal Profile

Name : Maitri Panigraghi

Father Name : Pradeep kumar Panigrahi.

Date of Birth : 8TH FEB 1989

Nationality : Indian

Status : Single

Languages Known : English, Hindi, Telugu and Oriya.

Hobbies : Listening music & Watching Movies.

Strengths : Hard Working and Self Confidence

DECLARATION:

I hereby declare that the above furnished details are true to the best of my knowledge and belief.

DATE: Maitri Panigraghi HYDERBABAD

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