N Swathi

I am seeking to contribute my skills and expertise to an organization that fosters a positive and healthy work culture, supports continuous professional development, and provides a challenging environment that encourages growth and advancement. I am very optimistic and goal-oriented person, self-dependent and can easily adoptable to any environment. Can work independently or as a part of team.

Senior Claims Associate - UHG (Optum)

(2017-08 - 2022-07)

• Worked with denial management, Eligibility, billing rejections
• Front End Edits, Authorization medical records with complete END to END Appeal
• Moving in to different projects to cover up the production entity
• Sharing MOM (Minutes of Meeting) in daily manner
• Fixing the Internal Scrubber Edits to detect the Front Edits
• Maintaining the Team Schedule and sharing reports to SME
• Knowledge in Allscripts PM and Allscripts EHR
• Used Allscripts EHR to check medical records and patient information, billing and insurance eligibility
• Analysing the claim and work accordingly and follow up on denied claims
• Calling to resolve the claims based on the denial received
• Accountable and Responsible for delivering high quality in Verifying Eligibility and resolving the claims for better collections
• Worked on a special project connecting with the client for Service Now every fortnight, to prioritize the pending claims from the aging basket

Claims Associate - IKS (Inventurus Knowledge Solution)

(2016-06 - 2017-07)

• Worked with denial management, Eligibility, medical billing
• Authorization medical records with complete END to END Appeal
• Attending the client call to know the process update for every week. Appealing the Medical Records to insurance
• Pulling up the reports from the report server for internal purpose and doing the internal audit for whole team to eradicate the team errors

Process Associate - Genpact

(2013-10 - 2016-04)

• Worked as a Process Associate for auto insurance process Checked with Endorsements for auto insured Policy
• We are authorized to change the profile details of the policy holders
• Need to update the policy details and renewal for the policy details

BS.C - Electronics - Osmania University (2013)