Anjani Maddula
Edison
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Sr. Analyst
Thryve Digital Health LLP Hyd
06.2022 - 10.2023
- Responsible for timely and accurate posting of payments and adjustments to all patient accounts
- Connected to Mainframes for testing and feedback
- Collaborated with cross-functional teams to drive process improvement initiatives
- Presented analytical findings and recommendations to senior management
- Coordinated cross-functional teams to resolve issues
- Resolved conflicts in Health Insurance Claims.
Sr. Pharma Benefit Analyst
R1RCM Global Pvt. Ltd
10.2019 - 06.2022
- Responsible for timely and accurate posting of payments and adjustments to all patient accounts
- Interpreted the explanation of benefits and balance transfers money to the secondary insurance or patient liability
- Research credit balances and process refunds or transfers to the appropriate party
- Worked with Insurance Companies on submitting an electronic beneficiary file for Medicare
- Provided exceptional customer service for providers and members while meeting matrix call time/quality/research and individual and team goals.
Pharma Benefit Analyst
Optum Health Care
12.2016 - 09.2019
- Analyze benefit request and secure all necessary data to ensure appropriate
- Implementation based in applied logic of RxCLAIM adjudication system
- Work with client management to implement new and maintain existing benefit plans
- Develop client specific implementation of plans and manage implementation process
- Work with pharmacy network management to implement pharmacy rate changes.
Education
Bachelor of Pharmacy -
Avanthi Institute of Pharmacy
Intermediate -
Sri Chaitanya Jr. College, Board of Intermediate
S.S.C (10th) -
Nagarjuna High School, Board of Secondary Education
Skills
- MS Office
- Tableau
- MySQL
- Mainframe(Testing),
- Conflict Resolution
- Rx Claims
Strengths
- Systematic Approach, Quick adaptability to new Technologies.
- Ability to work in Flexible Times.
- Willingness to learn and Explore new Opportunities.
- Can communicate Effectively and Professionally with Individuals in all levels of Business.
- Strong Office Productivity Software skills.
- Prioritizes work time in various departments to Meet business needs.
- Ability to work within tight deadlines and tough Client conditions, which May require working for Extended hours.
- In-depth understanding of Escalation Tracking System and Customer Data Base Applications.
Timeline
Sr. Analyst
Thryve Digital Health LLP Hyd
06.2022 - 10.2023
Sr. Pharma Benefit Analyst
R1RCM Global Pvt. Ltd
10.2019 - 06.2022
Pharma Benefit Analyst
Optum Health Care
12.2016 - 09.2019
Bachelor of Pharmacy -
Avanthi Institute of Pharmacy
Intermediate -
Sri Chaitanya Jr. College, Board of Intermediate
S.S.C (10th) -
Nagarjuna High School, Board of Secondary Education
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