Experience:
I have 14 years of experience in the US healthcare insurance industry specializing in Claims Adjudication and RCM processes. I have handled end-to-end claims processing — verifying member eligibility, reviewing medical documentation, applying CPT/ICD codes, resolving denials, and coordinating with providers for clarification.
I have consistently maintained high accuracy and productivity, supported quality audits, and trained new team members. As a Process Lead, I also managed workflow, helped resolve escalated issues, and ensured compliance with HIPAA and company policies.
Education:
I am graduate as Bachelor of commerce.
Skills:
Customer Service & Communication
Analytical & Problem-Solving Skills
Team Leadership & Coordination
Technical & System Skills
Productivity & Quality
Additionally:
I have worked in the US healthcare/insurance industry for many years, and now I am looking to explore new job opportunities.
