Shital Patil

Experienced in handling end-to-end insurance processes including policy verification, claims processing, documentation review, and customer support. Skilled in analyzing insurance documents, ensuring compliance with company guidelines, and coordinating with internal teams to resolve claim discrepancies. Adept at maintaining accurate records, meeting turnaround time targets, and delivering high-quality service to clients.

Intake Co-Ordinator - Easy Mediclaim Pvt. Ltd - Pune

(2024-04 - 2025-10)

• Experience in P&C Insurance and Hands-On Team handling is mandatory in Claims and Underwriting/Policy Servicing Domain
• Review and analyze patient medical records, including physician notes, discharge summaries, lab reports, and diagnostic reports.
• Extract key clinical information from large volumes of medical documents.
• Prepare concise and accurate summaries of patient history, diagnoses, treatments, medications, and procedures.
• Identify important medical events, dates, and treatment timelines.
• Ensure documentation accuracy, completeness, and consistency.
• Maintain confidentiality and compliance with healthcare regulations such as HIPAA.
• Organize records in a structured format for easy review by healthcare providers, legal teams, or insurance companies.
• Highlight missing or inconsistent medical information for clarification.
• Use medical terminology, anatomy, physiology, and disease knowledge while summarizing cases.
• Work with EMR/EHR systems and medical documentation software.
• Meet productivity and quality targets while handling multiple cases.
• Coordinate with QA teams or supervisors for quality improvements and feedback implementation.

Medical Summarizer - AM INFO WEB

(2023-05 - 2023-17)

• Reviewed patients complex medical records include patient histories, diagnostic reports, lab reports, and treatment plans to create concise, accurate summaries for various insurance companies, underwriting, claims, or research.
• Ensured compliance with regulations, adhering to confidentiality and data protection standards specific to US Healthcare system.
• Demonstrated strong organizational and time management skills while managing multiple project.

Clinical Records Manager - Tech Care Medical Services Pvt. Ltd.

(2022-02 - 2023-05)

• Review and analyze patient medical records, including physician notes, discharge summaries, lab reports, and diagnostic reports.
• Extract key clinical information from large volumes of medical documents.
• Prepare concise and accurate summaries of patient history, diagnoses, treatments, medications, and procedures.
• Identify important medical events, dates, and treatment timelines.
• Ensure documentation accuracy, completeness, and consistency.
• Maintain confidentiality and compliance with healthcare regulations such as HIPAA.
• Organize records in a structured format for easy review by healthcare providers, legal teams, or insurance companies.
• Highlight missing or inconsistent medical information for clarification.
• Use medical terminology, anatomy, physiology, and disease knowledge while summarizing cases.
• Work with EMR/EHR systems and medical documentation software.

MSc - Microbiology - Bharati Vidyapeeth Deemed University (2021-10)

BSc - Microbiology - Shivaji University Kolhapur (2019-04)

H.S.C - H.S.C - Maharashtra State Board (2014-04)