Rathna Raju
Hyderabad,Telangana
Summary
Hardworking and passionate professional about insurance claims processes. Background includes claims processing in fast-paced environments. Gifted in working with stressed, confused and upset individual. Effective at operating within regulations and department guidelines. Offering 2 years of experience in RCM process. Pharmacy Graduate where i can work with my professional ability which helps in broadening and enhancing my current skills and knowledge.
Overview
5
5
years of professional experience
Work History
Claims Associate
Optum Global Solutions
Hyderabad, Telangana
03.2020 - Current
- Posted payments to accounts and maintained records.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Evaluated accuracy and quality of data entered into agency management system.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Examined reports, accounts to determine integrity and accuracy of information.
Data Analyst
Ebase Interactive.inc
Hyderabad, Telangana
03.2018 - 02.2020
- Identified and documented detailed business rules and use cases based on requirements analysis.
- Researched and resolved issues regarding integrity of data flow into databases.
- Participated in requirements meetings and data mapping sessions to understand business needs.
- Trained employees on software to improve data management, monitored use and suggested improvements.
Education
Bachelor of Science - Pharmacy
Qis College of Pharmacy
Andhra Pradesh12.2020
Skills
- Claims
- Understanding of medical terms
- Reporting skills
- Insurance industry experience
- Medical Terminology
- Data integrity
Accomplishments
- Achieved quarterly STAR AWARD for performing with quality, accuracy and efficiency.
Timeline
Claims Associate
Optum Global Solutions
03.2020 - Current
Data Analyst
Ebase Interactive.inc
03.2018 - 02.2020
Bachelor of Science - Pharmacy
Qis College of Pharmacy