Data Entry Claims Processor

AKHILA BANALA

Email: ***************@*****.***

Contact no: +224-***-****

Location: Atlanta, Georgia

CAREER OBJECTIVE:

To work in an organization that provides me with an Opportunity to grow and learn to achieve my

personal as well as Organizational goals. A platform that provides me a scope for growth in the finance vertical to contribute my skills for Organizational benefits.

Professional Summary:

Detail-oriented and dedicated healthcare Claims Processor with over 4 years of experience in revenue cycle management at Tata Consultancy Services, supporting the client Bank of America. Specialized in processing and auditing claims for major U.S. insurance providers such as Humana, Aetna, BCBS, and others. Proficient in using Microsoft Excel for secure data entry, claim analysis, and reconciliation. Experienced in verifying patient details, services rendered, and checking for secondary insurance, Medicare, and Medicaid eligibility. Skilled in posting payments, performing payment balancing, and ensuring accurate adjustments before closing and submitting claims. Served as a Subject Matter Expert (SME) for claim audits, user training, and updating teams with client-driven process modifications. Known for maintaining strict compliance with HIPAA standards, consistently meeting turnaround time (TAT) goals, and delivering high-quality results.

Work Experience

Claims Processor – Healthcare Domain

Tata Consultancy Services (Client: Bank of America), Hyderabad, India

March 28, 2017 – August 2, 2021

•Handled high volumes of electronic healthcare claims using Microsoft Excel.

•Processed claims from major insurance companies including Aetna, BCBS, Humana, AMR, and CVS etc.

•Entered patient demographics, service details, and verified secondary insurance, co-pay, deductibles, and co-insurance and allowed amt.

•Focused on CPT codes, revenue codes, date of service (DOS), and accurate payment adjustments.

•Manually created and reviewed Explanation of Benefits (EOBs) as per client and insurer instructions.

•If the patient data of service, CPT code is missing we will be taking the default data of service and CPT code.

•Processed correspondence and letter claims, applying appropriate actions based on insurer guidelines and documentation.

•In letter claims be will be checking the Medicare, Medicaid is mention on letter we will be consider as a Medicaid claim same like refund, denial, Medicaid Eobs.

•Handled check claims and letter claims; flagged incomplete claims and processed denials EOBs.

•Worked on AMR claims and high-dollar claims with attention to detail and compliance.

•Ensured claims met quality and compliance standards prior to submission.

•Maintained turnaround time (TAT) and helped reduce claim inventory.

•Collaborated with team leads and client representatives to resolve discrepancies.

•Handled sensitive financial and patient data securely in compliance with HIPAA.

•Recognized consistently for high productivity, accuracy, and team contribution.

•Managed workflow queues and ensured daily productivity met or exceeded team benchmarks.

•Recognized by team leads for accuracy, minimal error rates, and commitment to maintaining quality.

•Responsible for achieving daily performance goals.

•Proficient in high-volume data entry with excellent typing speed.

Education

•MBA in Finance, Sri Indu Institute of Management, Hyderabad – 2017

•B. Com (Computers), Pragathi Degree College for Women, Hyderabad – 2015

•Intermediate, Vikas Junior College, Hyderabad – 2012

•SSC, Krishnaveni Talent School, Devarakonda – 2010

Skills

•MS-Office (Word, Advance Excel, PowerPoint), outlook

•Windows Server Monitoring.

•Good typing speed 60wpm

Achievements

• Best Performer Awards (2017–2021) for quality, productivity & attendance

• Consistently achieved “Best Performer” award for 6 consecutive months

• Recognized by the client for outstanding performance

• Topped multiple operations contests during tenure

PERSONAL ABILITY:

•Strong communication skills

•Fast learner with excellent adaptability

•Able to work independently and collaboratively

•Goal-oriented, sincere, supportive, and hardworking

PERSONAL PROFILE:

Father’s Name: Banala Manohar Rao

Date of Birth: 11/03/1994

Languages Know: English, Telugu

Nationality: Indian

DECLARATION:

I do here by state and declare that the above information furnished is correct to the best of my knowledge and belief and I am solemnly responsible for the above stated facts.

Date:

Place: Georgia, Atlanta

(Akhila Banala)

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