Pradeep

Healthcare operations professional with 5.8 years of experience in US healthcare processes, transaction processing, and medical billing. Experienced in patient documentation verification, insurance claim processing, and revenue cycle management. Skilled in data validation, medical record review, and maintaining high accuracy in healthcare operations. Seeking an opportunity to contribute to organizational success through strong analytical and operational skills.

Senior Associate – Transaction Processing Associate – III (Project: Novo Nordisk) at Conduent Inc. Pvt Ltd (2023-10 – Present)

• Processing patient documentation for diabetic medication programs.
• Verifying patient medical history and validating records.
• Processing medication dispatch to healthcare provider (HCP) addresses.
• Using Salesforce tool to manage patient cases and documentation.
• Ensuring compliance and accuracy while handling patient data.

Senior Associate at Wipro Pvt Ltd (2021-06 – 2023-04)

• Worked in Revenue Cycle Management (RCM) in the US Healthcare domain.
• Performed medical billing, charge entry, and demographic entry.
• Handled specialties including Radiology, Pathology, and Anesthesia.
• Worked on Change Healthcare project.

Associate – Operations at WNS Global Services Pvt Ltd (2019-10 – 2021-06)

• Worked in US Healthcare Insurance operations.
• Managed processes like Labelling, Splitting, and Data Capturing.
• Verified documents before insurance claim processing.
• Reported discrepancies or potential fraud cases.
• Provided back-office data entry and validation support.

B.Tech in Mechanical Engineering – Vizag Institute of Technology, Visakhapatnam (2019)

Intermediate in MPC + Computer Science (2015)

– Gayathri Vidya Parishad MLBT, Visakhapatnam (2013)