Karthika K

Detail-oriented and motivated Bachelor of Computer Science graduate with experience in healthcare claims processing and medical documentation operations. Skilled in HIPAA compliance, claims management, payment processing, documentation accuracy, and client coordination. Strong communication, problem-solving, and client management abilities with a commitment to operational excellence and continuous learning.

Associate at Adamsbridge Service Private Limited (2022-01 – 2024-01)

• Demonstrated strong knowledge of HIPAA privacy and security regulations while handling confidential patient information with accuracy and professionalism.
• Managed appeals, claim submissions, charge postings, payments, and adjustments efficiently within established timelines.
• Applied payment adjustments and denial management processes using medical management systems to ensure accurate claim reconciliation.
• Prepared, reviewed, and submitted patient statements and refund requests for claims processed in error.
• Developed and implemented workflow improvements to enhance documentation accuracy, operational efficiency, and data completeness.
• Prepared utilization management reports and coordinated with insurance providers and third-party payers for claims-related activities.
• Maintained strong client management and communication practices while collaborating with internal teams and external stakeholders.

Bachelor of Computer Science in Computer Science – Bharathiar University (2021-06 – 2024-06)

HSC – St. Mary's Girls Higher Secondary School (2019-06 – 2021-06)

SSLC – Viswa Santhi Vidyalaya Matric High School (2018-06 – 2019-06)