Sushmitha Ky

Dedicated and detail-oriented Senior Process Executive with experience in U.S. healthcare claims processing and medical billing. Skilled in claims handling, insurance verification, denial management, payment posting, and resolving billing issues. Good knowledge of CPT, ICD-10, and HIPAA guidelines.

Experienced in working with Medicare, Medicaid, and commercial insurance claims while ensuring accuracy and timely processing. Strong communication, analytical, and teamwork skills with the ability to meet targets and maintain high-quality standards in a fast-paced work environment.

Senior Process Executive - Infosys BPM Ltd.

Professional with 24 months of experience in claims management. Worked extensively on insurance claims, denial management, and payment posting. Detail-oriented Process Executive with proven experience in claims adjudication and billing support. Experienced in maintaining quality and productivity standards in healthcare operations.

• Monitored daily productivity and ensured timely completion of assigned tasks within TAT.
• Maintained high accuracy and compliance with organizational policies.
• Coordinated with internal teams to resolve process-related issues.
• Prepared and maintained operational reports using Microsoft Excel.
• Supported new team members through knowledge sharing and process guidance.
• Processed customer transactions accurately while adhering to quality standards and service level agreements (SLAs).

B.Sc. - Bangalore North University (2023)

PUC - PU Board (2020)

SSLC - Secondary Board (2018)