Pavithra Alva

US Healthcare operations professional with experience in Payment Posting, Claims Adjudication, benefit coding support, client communication, inventory management, escalation handling, and team training. Experienced in managing multi-site workflows, preparing weekly client dashboards, supporting new joiners, and resolving high-value PNPs worth $110K to help reduce accounts receivable (AR) days. Recognized for client responsiveness, team support, and process improvement contributions.

Senior Analyst – Payment Posting at Greenway Health (2022-02 – 2026-05)

• Manage AOO site operations, coordinate escalations, and support client satisfaction and smooth workflow delivery.
• Handle client clarification and escalation emails within defined turnaround times (TAT).
• Prepare and share weekly dashboard reports with clients to communicate operational status and performance.
• Participate in client discussions to resolve issues, align on workflow needs, and support continuity of operations.
• Train new joiners on process fundamentals and provide buddy support to help associates ramp up.
• Manage and support multiple sites, including Blue Cross Blue Shield, and assist the INFU SB CE team with queries and coordination.
• Resolved PNPs worth $110K, contributing to reduced AR days; proposed process improvements to strengthen operational efficiency.
• Received client appreciation for responsive communication and effective site management; earned the Highfive Award.
• Independently managed the PP Central project and developed Excel tools to improve process efficiency.

Senior Process Consultant – Claims Adjudication at Hinduja Global Solutions (HGS) (2019-08 – 2021-12)

• Worked in Claims Adjudication as a Senior Process Consultant, supporting claim review and processing activities.
• Served as a point of contact for the GCRT (Global Claims Referral Team), handling high-dollar claims.
• Managed Hong Kong and Singapore inventory sheets, distributed work among team members, and provided support as needed.
• Processed claims on OH+ and Actisure platforms and conducted team sessions on process updates.
• Guided junior associates on claim review practices, with a focus on processing accuracy and quality.
• Monitored turnaround time (TAT), managed designated email inboxes, and handled escalated emails.
• Received Top Gun and Perfect Experience awards for performance and contribution.

Benefit Coding Business Analyst at Legato Health Technologies (2019-12 – 2020-09)

• Analyzed Business Process Documents (BPDs) and coded benefits in the Blue Exchange application.
• Reviewed diagnosis and service information to support benefit coding.

Bachelor of Arts (BA) – Mangalore University