KAPARTHY PRIYANKA
*-*-** ******** ***** colony Mallapur Hyderabad
903******* adxx1d@r.postjobfree.com
OBJECTIVE
I seek challenging opportunities where I can fully use my skills for the success of the organization. SUMMARY
Over all 6 years of experience as Senior Associate in US healthcare In depth knowledge and understanding of handling the entire Claim requests received from Hospitals. Focused and Goal driven with strong work ethics, continuously striving for improvement coupled with commitment to offer quality work.
Adaptable and a quick learner with skills to work under any circumstances. Ability to work with a team and manage team effectively by helping them in completing the task. EXPERIENCE
United health group (optum)
July 2016 - July 2022
Senior associate
Worked in Medica (Hospital department) as Claims Associate for United Health Group (OPTUM), A Multinational Healthcare IT Firm-
From -jul 2016-jul 2022
In-depth knowledge of medical terminology useful in reading medical reports and determining coverage. Determined the amount of coverage and sent payments to medical facilities or reimbursements to customers. Conduct regular audits of random claims for purposes of quality assurance. Post payments and make adjustments to accounts and analyze credit accounts for refunds. Resolved issues involving customer complaints and claim adjudications. Reventics private limited
July 2022 -
Senior AR associate
Working in Reventic private limited as AR senior associate. From -jul 2022 - Till date
Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions.
Ensured all new admission call activities are in accordance to set guidelines. Verified insurance eligibility for patients via insurance portals and telephone. Efficient in time management.
EDUCATION
Aurora degree college
2016
B.com computers
78%
London management academy
2018
MBA finance
70%
PROJECTS
Academic Project
Successfully Completed Project Report on ANALYSIS ON INVESTMENT AVENUES at LONDON MANAGEMENT OF COLLEGE.
ACHIEVEMENTS & AWARDS
Organized Abdul Kalama’s event at college. Volunteer at RED CROSS. SKILLS
Knowledge of Basic Computer, Operating system, MS Office (Word, Excel, PowerPoint). Basic knowledge of C, TALLY.
Certified in mannual and automation testing
INTERESTS
Listening to music.
Playing Shuttle, Throw ball and Painting.
PROFESSIONAL SKILLS
Adaptable to any kind of situation.
Zeal to learn.
Proactive Team Player.
PERSONAL INFORMATION
Name : Kaparthy Priyanka.
Fathers Name : Kaparthy Ravinder.
Date of Birth : 14-04-1995
Sex : Female.
Marital Status : Single.
Nationality : Indian.
Religion : Hindu.
Languages : English, Hindi, Telugu.
DECLARATION
I do here by declare that the particulars of information and facts stated here in above are true, correct and complete to the best of my knowledge and belief.
(Kaparthy Priyanka)