Divya Potti

Detail-oriented US Healthcare professional with hands-on experience in Revenue Cycle Management (RCM). Experienced in claim process, appointment scheduling, insurance eligibility verification, prior authorizations, and payment posting. Seeking an opportunity to contribute effectively to healthcare operations while ensuring compliance with US payer guidelines.

US Healthcare Operations Executive - Monad Health India Private Limited

(2024-10 - 2026-04)

• Claim management including submission, handling rejections, EOB, etc
• Appointment scheduling for US-based healthcare providers.
• Insurance eligibility and benefits verification (Commercial & Government payers).
• Processing and tracking prior authorizations as per payer-specific requirements.
• Working with multiple US insurance payers and understanding authorization guidelines.
• Payment posting (ERA & Manual posting).
• Reviewing EOBs and resolving discrepancies.
• Maintaining accurate patient demographics and insurance records.
• Supporting billing workflows and ensuring clean claim processes.

B. Pharmacy - Hindu College of Pharmacy (2020 - 2024)

Intermediate (BIPC) - Sri Chaitanya Junior College (2017 - 2019)

SSC - Oxford Concept High School (2016 - 2017)