5+ years of experience in claims processing

Roles & Responsibilities

 Omega Healthcare Pvt Ltd - Senior Executive - Accounts Receivable

 Understand insurance rules and regulations.

 Verifying patient's eligibility.

 Obtaining benefits for the treatment provided.

 Collecting the patient responsibility information from the insurance.

 Verify patient’s insurance coverage and pre-authorization requirement and status.

 Followed up with insurance to ensure prior authorization expedited in a timely manner.

Senior Associate Claims (15/11/2022 to Present)

 Internally promoted to Senior Associate Claims based on performance metrics.

 Maintained responsibility for all inquiries, concerns, and complaints, resolving matters effectively and to satisfaction of costumers.

 Promoted positive team environment through effective motivational strategies and mediation of issues amongst associates.

 Handled internal audit for team as and when required and shared feedback.

 Updating the dashboard and sharing attendance report to team on daily basis.

 Consolidating production data for the team and sharing with the audit team.

 Trained multiple batches including the new pilot batch from Philippines.

 Understanding and discussing the updates related to workflows with the team.