Rate Sangamesh

Detail-oriented Process Consultant with 2.3years of experience at Sagility, focusing on optimizing operational efficiencies within the U.S. healthcare industry. Adept at analyzing complex workflows, identifying improvement opportunities, and implementing effective process solutions that enhance patient care and reduce costs.

Sr. Process Consultant - Sagility

(2021-09 - 2023-11)

• Followed regulatory guidelines to maintain accuracy and integrity in processing health claims.
• Managed and resolved patient claims effectively, ensuring prompt responses and clear communication to enhance patient satisfaction and trust in the healthcare process.
• Effectively prioritized and managed multiple applications to ensure timely reviews and resolutions, maintaining compliance with regulatory deadlines and enhancing overall process efficiency.
• Reviewed the member account and determined the member's eligibility status.
• Checked member eligibility and benefits according to their specific plans for proper claims management.

MBA - Sharad Amba Govindaiah Shetty College, Hindupuram