Enrollment Specialist Data Entry

Sarada Bethamcherla

Phone 704-***-**** Email: *.*******@*****.***

Professional Summary:

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

Has extensive experience in the healthcare industry.

Monitored all enrolments to identify any processing problems.

Worked on updating, Verifying & Issuing tickets through email.

Worked with different types of data like numerical and alphabetical

Oversaw processing of and preparation of new member enrolment.

Worked on different Queues in enrolment.

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

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

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

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

Worked on Softheon& UMV.

Have 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

•MBA in Andhra University, Vishakhapatnam Andhra Pradesh.

Professional Experience:

Cognizant, Bridgewater, NJ Feb 2017– June,2019.

Provider Enrollment Specialist

Oversaw processing of and preparation of new member enrolment.

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

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

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

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

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

Monitored all Enrollments to identify any processing problems

Cancellation of a passive Worked on different 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 Softheon and UMV.

Completed credentialing applications for providers.

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

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

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