Akshitha

Healthcare Process Executive with 2 years of experience in US healthcare, Specializing in prior authorization (PA), provider and patient verification, processing and skilled at working with providers, nurse Practitioner and third party administrators to ensure smooth medical billing operations and also. To pursue a successful career in a growth-oriented environment that would provide me with challenging opportunities to be innovative as well as resourceful.

Customer service associate - Big basket

(2022-05 - 2023-01)

• Associated as Customer Service Associate for big basket Daily Project Domestic Process.
• Managed an average of 100+ Inbound calls daily.
• Providing accurate information to customers and resolving issues effectively.
• Identify and escalate priority issues to the appropriate channels.
• Communicate and co-ordinate with internal departments.
• Maintaining Quality Score of 98 - 100% weekly.
• Helping customers product related queries and assisting.

Process associate level 1 - Ags healthcare

(2024-05 - 2026-07)

• Handled outbound calls with healthcare providers to collect medical patient medical benefits.
• Coordinated with providers, hospitals, and clinics to obtain accurate and timely records for claims processing.
• Worked on patient eligibility and benefits.
• Worked on epic tools and availity portals.
• Ensured all documents met payer compliance guidelines and maintained strict HIPAA confidentiality.
• Verified claim-related information such as diagnosis, treatment dates, and additional supporting clinical evidence.
• Followed up with providers for pending or incomplete documentation to meet SLA timelines.
• Uploaded and updated all records in the payer system/ as per process workflow.
• Performed quality checks to ensure accuracy and reduce claim processing delays.
• Prior Authorization (PA) Processing.
• Insurance Verification and Benefits Eligibilit.

Government first grade college (2018 - 2020)

St. Anne's girls pu college

Little rose high school (2018-06)