Aishwarya Sreenivasan
Farmington Hills,MI
Summary
Seeking a Healthcare Analyst position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team .have experience in Performing research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Responsible for Evaluating, writing, and presenting healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
Overview
4
4
years of professional experience
Work History
Insurance Claims Analyst
Livonia Care Pharmacy
10.2017 - 02.2022
- Reviewed payer-related documentation for Medicare/Medicaid for accuracy and make the necessary corrections as needed.
- Verified insurance information and computer data entry for accuracy and completeness and resolves discrepancies as needed.
- Obtained clinical information needed to support payer medical necessity requirements and to support the billing process.
- Processed information received from intake and branch personnel.
- Facilitated communication between the branch personnel and departments. Prepares reports using MS Excel and PowerPoint.
- Prepared client-ready service documents as required by the Policies and Procedures Manual.
- Worked as an analyst with a focus on healthcare process improvement.
- Manipulated, cleansed, and processed internal health plan data using Excel, Access, and SQL.
- Organized and cataloged incoming documentation for the department.
- Automated data extraction processes for patient demographics, reducing time spent on manual data entry by 40 hours per week.
Education
Master of Science - Engineering Technology
VTU
06.2011
Skills
- Experience in personal auto home and medical insurance
- Great ability to gather information and input data into computer system
- Exceptional communication skills with customers and coworkers
- Summarization of numerical data
- Internal and external presentations
- Capable of analyzing problems
- Broad understanding of healthcare data like claims, clinical data and health outcomes
Timeline
Insurance Claims Analyst
Livonia Care Pharmacy
10.2017 - 02.2022
Master of Science - Engineering Technology
VTU
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