Mahalakshmi T

BDS graduate with 4.4 years of experience in health insurance claims, reimbursement, cashless claims, and prior authorization at Vidal Health TPA. Proven expertise in Oracle SQL, Power BI, Advanced Excel, and healthcare operations. Strong analytical and problem-solving skills with experience in claims processing, reporting, and process improvement.

Medical claim reviewer - Vidal Health TPA

(2022-02)

• Process reimbursement and cashless claims while ensuring adherence to TAT.
• Review prior authorization requests and evaluate medical admissibility.
• Analyze claim discrepancies and resolve billing issues efficiently.
• Coordinate with hospitals and insurers to manage escalated claims.
• Prepare operational reports and contribute to process improvement initiatives.
• Handle major corporate accounts including HP, Ericsson, SanDisk, FIS, TVS, WABCO, and BNY.

Bachelor of Dental Surgery - BDS - Priyadharshini Dental College and Hospital (2020)