Data Entry Enrollment Specialist

Latha Anusha Guntaka

Phone:971-***-**** Email: ************@*****.***

Professional Summary:

Having 2+ year’s experience in analytical and knowledgeable provider enrolment specialist with extensive knowledge of credentialing and enrollment.

Has extensive experience in the healthcare industry.

Oversaw processing of and preparation of new member enrolment.

Experience on manual testing and coordinated with other teams to resolve the defects.

Worked on different Queues in enrolment.

Worked on Recon and UMV.

Monitored all enrolments to identify any processing problems.

Worked on ticketing system for the data entry.

Worked on updating, Verifying & Issuing tickets through email.

Have the experience on responding the customer calls, ticket confirmation and resolving customer queries.

Worked with different types of data like numerical and alphabetical.

Proven ability to quickly learn new things and willingness to learn new technologies.

Very good working experience in data entry with typing speed more than 45 words per minute.

Had the experience in reviewing the file before we distribute to other teams.

Worked on performing the Quality Control on documents as they are received from the Customer.

Have the good communication, interpersonal, and coordination skills.

Always flexible in working for the team willing to learn new things.

Technical Skills:

Application : MS OFFICE (Word, Excel, Power point, Outlook),SAS, QuickBooks.

Operating Systems : MS-DOS, Windows 98/2000/XP/7/10.

Tools : Good Knowledge in MS-Excel and MS-Windows.

Browsers : Internet Explorer, Mozilla Firefox, Google Chrome, Safari.

Education

•B.Tech in I.T.

Professional Experience:

Randstad, Phoenix, AZ May, 2018 – May2020.

Provider Enrollment Specialist

Oversaw processing of and preparation of new member enrolment.

Manual changes are done to the Insurance Members for active, inactive, suspended, awaiting payment cases.

Assist in the resolution of outstanding payments from past due accounts.

Evaluated the Bad Debt Cases and updated it to the related member files.

Working on the HICS (Health Insurance Casework System), which analyze the member cases.

Identified Nonpayment of Initial Member Enrollment and updated it to the related member files.

Cancellation of a passive enrollment if previous coverage was Termed or Canceled with voluntary withdrawal.

Worked on member information reconciliation procedures.

Worked on different Queues in Enrollment and different tools like Recon and UMV

Monitored all Enrollments to identify any processing problems.

Completed credentialing applications for providers.

Had the experience in reviewing the file before we distribute to other teams.

Environment: Windows 7/10, MS word, Excel, Power point, Data entry, Softheon, Citrix, UMV (Unified Member View), PRIME tool, OMNI tool.

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