Manisha Gouti
Senior Process Executive
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About
I am a hardworking professional with over 5 years of extensive experience, strong interpersonal and communication skills, and ability to prioritize work based on company goals. Appointed as a Senior process executive, roles and responsibility following up with insurance on claims and maintaining the SLA's and assisting new users on the project, I pride myself on my strong Work ethic, ability to motivate team and being a fast learner who integrates seamlessly into any team, striving to be a positive role model for the company.
Experience
Senior Process Executive - Enovis - Hyderabad, India
(2026-04)
- Analyzed root causes of denials and processed payer rejections through availity clearinghouse; resolving issues per rejection guidelines
- Assisted team in resolving denials by collaborating on strategies and solutions
- Completed day-to-day duties accurately and efficiently.
- specialist in workers' compensation and auto insurance claims denials
Senior Process Executive - Cognizant - Hyderabad, Telangana
(2021-12 - 2026-03)
- Executed senior process executive role in AR calling, achieving consistent high performance.
- Created and implemented timeline to meet targets, ensuring alignment with project goals.
- Resolved complex rejections and denials, uncovering root causes to improve future processes.
- Engaged with US insurance companies to support service providers in claims inquiries. on behalf of service providers.
- Performed pre-call analysis, checked payer status, and maintained documentation for a clear trail.
Process Executive - Inventurus Knowledge Solutions - Hyderabad, Telangana
(2020-10 - 2021-11)
- Executed AR calling processes, leveraging expertise in denial management and revenue cycle management (RCM) to enhance recovery efforts.
- Performed daily tasks with precision in a fast-paced environment.
Education
B.com - computers - St. pious X degree college (2020-07)
Intermediate - Commerce - St. Francis junior womens college (2018-05)
SSC - Frobels Garden High school (2015-04)

