Kasthuri Mercy

An inquisitive US Health Care with 8.5 years of experience in Health Care. To Support Insurance Claim for US Customer. We Conduct Health Care process to Validate Insurance Details and Website

Senior Quality Reviewer at Cognizant Technology Solution India Pvt Ltd (2023-03 – Present)

Worked on activities in multiple Enrollment Process. As part of Membership Enrollment Process, carried out following tasks:

• Conducting Audit for production representatives and providing refresher training on operations and TQM.
• Internal operations users are charged for errors made during the process, and feedback and RCA are provided based on error categories.
• Maintaining quality SLA by controlling errors, responding to internet and external inquires about process update, desktop procedures, SOP, and connecting with clients to update and finalize new cases.

Customer Service Associate at Firstsource Solutions Ltd (2016-11 – 2022-11)

Molina Healthcare is a managed care company. It provides health insurance to individuals through government programs such as Medicaid and Medicare. Responsibilities as customer service associate:

• We provide quality healthcare to people receiving government assistance.
• We help healthcare providers submit and clear their claims.
• We avoid claim resubmission, eligibility related rejections and denials.
• Leading to improve patient satisfaction and improving medical billing.
• Assists customers with requests for information, complaints, making appointments and resolving issues.
• Collect copays and deductible payments.
• Maintain and update customer and referral information.

B.COM in Commerce – New Prince Sri Bhavani Art & Science College (2016)