Pradeep Damineni

To achieve challenging position in a company where I can apply my knowledge, acquire new skills and work closely with team of highly experienced professionals. Total 9 years’ experience in Insurance Billing Department with hospitals.

Insurance Manager - Srikara Hospital - Lakdikapool, Hyderabad

(2023-12)

• Counseling patients and their attendants on insurance processing, factors required for approval, reasons for denials, and the roles of the hospital, insurance company, and TPA.
• Send duly completed pre-authorization forms on time for cases to be admitted and in-patients.
• Coordinate with patients, insurance companies, TPA, and billing.
• Follow up on pre-authorization approvals.
• Keep patients and attendants informed about insurance status and counsel them in case of denial.
• Monitor, guide, and coordinate insurance processing.
• Guide patients on reimbursement.
• Avoid claim denials where possible and ensure maximum payments to the hospital.
• Follow departmental protocols and procedures.
• Perform other duties assigned by superiors as required.
• Coordinate with billing to collect company payments.
• Work directly with insurance companies, health care providers, and patients to get claims processed and paid.
• Verify patients’ insurance coverage.
• Enter patients’ demographic information.
• Use payment information from insurance companies and patients to account for payments in the software.

Ip Insurance Manager - Micro Care Ent Hospital - Banjarahills, Hyderabad

(2018-07 - 2023-11)

IP Billing Executive - Ankara hospital for Women & Children - Mehdipatnam, Hyderabad

(2016-09 - 2018-06)

IP Billing Executive - VINN Hospital - Begumpet, Hyderabad

(2014-02 - 2016-05)

B.com - Computers - Krishna Chaitanya Degree college, Nellore (SV University) (2011)

Intermediate - CEC - NPM Junior college, Sangam (2008)

10th class - Vikas High School, Sangam (2005)