Navya Shree

Claims Associate with 3 years of experience in US Healthcare Revenue Cycle Management (RCM), Claims Processing, Denial Management, Insurance Verification, and Payment Resolution. Experienced in reviewing medical records, resolving claim discrepancies, ensuring HIPAA compliance, and collaborating with cross-functional teams to improve operational efficiency. Strong knowledge of healthcare claims, reimbursement processes, and MS Office with excellent analytical and communication skills.

Business Process Associate - Carelon Global Solutions - Bengaluru, India

(2023-09)

• Processed and reviewed healthcare enrollment applications and member records.
• Ensured accurate and timely submission of client and member information.
• Collaborated with cross-functional teams to resolve discrepancies and ensure timely claim settlements for improved workflow and customer satisfaction.
• Processing insurance claims with high accuracy and within deadline.
• Verify patient information on, policy details and claims eligibility.
• Updated claim status in system and escalated complex cases when required.
• Communicated with clients to provide enrollment support and resolve issues.
• Identified discrepancies and coordinated with insurers for timely payments.
• Implemented process improvements to reduce billing cycle time.
• Verified customer billing details for accuracy.
• Validated claim details and routed them for payment release.
• Analyzed insurance coverage to confirm claim eligibility and benefits.
• Reviewed medical records, invoices, and documents for claim adjudication.

Bachelor Of.Commerce. - Commerce - Bharathi college -Mysore (2018 - 2021)