Khyati Taneja

Experienced Healthcare Professional with a demonstrated history of working in US Healthcare Operations. Skilled in Release of Information (ROI) process, Revenue Cycle Management, Medical Billing, Insurance Verification, and handling Patient Information requests in compliance with HIPAA guidelines. Strong analytical and communication skills with the ability to coordinate effectively with internal teams and clients.

Also possess prior experience in Credit Risk Analysis and documentation handling during banking operations.

Clinical Admin Coordinator (ROI Process) - Optum Global Solutions (India) Private Limited - Gurgaon

(2024-09)

• Managing end-to-end ROI (Release of Information) process ensuring HIPAA compliance & data security standards.
• Handling medical records retrieval, validation, release & process audits to ensure operational excellence.
• Coordinating with onshore leadership teams for critical information flow & resolution of process gap.
• Coordinate with onshore to provide requested information while safeguarding patient confidentiality.
• Conducting quality audits of medical records to improve process accuracy and minimize errors.
• Supporting process improvement initiatives to drive efficiency and operational excellence.

Collections Representative - Optum Global Solutions (India) Private Limited - Gurgaon

(2020-07)

• Led medical billing processes, overseeing coding, claims submissions, and reimbursement tracking procedures.
• Collaborated with insurance companies and patients to resolve billing discrepancies and expedite payments.
• Developed proficiency in financial analysis through the interpretation of financial documents and identification of patterns.

Credit Risk Associate - Yes Bank - New Delhi

(2019-01 - 2020-03)

• Enhanced efficiency within the department by automating routine tasks using advanced software solutions.
• Assessed credit risk and analysed financial statements.
• Streamlined the credit approval process for faster decision-making through efficient data management and analysis.
• Supported senior management in making informed credit decisions by providing accurate and timely risk reports.
• Evaluated existing systems and processes to identify areas for improvement in managing credit risks.
• Analysed credit scores to determine borrowers' creditworthiness.
• Reviewed and approved or denied credit applications to keep organization profitable by making informed lending decisions.

M.Com - International Business Operations - IGNOU (2020-06)

B.Com - Delhi University (2015-06)