Hemanth Reddy

A dedicated and compassionate BDS graduate with a strong foundation in clinical practice and healthcare administration. Experienced in medical claims adjudication, medical coding (ICD-10, CPT, HCPCS), and patient care. Proven ability to handle complex medical documentation while ensuring strict compliance with data privacy standards.

Medical Officer / Claims Executive - Medi Assist TPA

(2025-04)

• Reviewed incoming claim documents through multiple intake channels to verify eligibility and prevent fraudulent claims.
• Captured and validated data from medical claims forms using Medi Assist Portal (MAven) and Matrix for end-to-end cashless processing.
• Identified and corrected inconsistencies and format errors by interpreting ICD-10, CPT, and HCPCS codes.
• Ensured strict compliance with HIPAA and data privacy standards while handling Protected Health Information (PHI).
• Met daily productivity and quality benchmarks by managing cashless claims workflows with high accuracy.
• Coordinated with clinical, finance, and operations teams to resolve complex claim scenarios following documented SOPs.

Clinical Assistant - Vivek Dental Clinic

(2024-03 - 2025-03)

• Assisted in diagnosing and treating dental conditions such as caries, periodontitis, and tooth abscesses.
• Performed routine dental procedures including scaling, polishing, extractions, and restorations under supervision.
• Gained experience in taking patient history, performing oral examinations, and providing patient education.
• Collaborated with senior dentists and specialists in treatment planning and patient management.

Bachelor of Dental Surgery - BDS - Dr Sudha and Nageswarao Institute of Dental Science (Dr. NTR University of Health Sciences) (2023-12)