Vadra Leela
Insurance Verification SME
Talent
Visakhapatnam, Andhra PradeshMember since August 6, 2026
Insurance Verification (Eligibility & Benefits)Payer Guidelines (Commercial: Aetna, UHG, BCBS, Humana, Cigna)MedicareMedicaidEscalation Handling & Issue ResolutionTeam Support & SME GuidanceQuality Auditing & Compliance (HIPAA)Process Improvement & Productivity Enhancement
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Insurance Verification (Eligibility & Benefits)Payer Guidelines (Commercial: Aetna, UHG, BCBS, Humana, Cigna)MedicareMedicaidEscalation Handling & Issue Resolution
About
Experienced Insurance Verification SME with 4.7+ years in healthcare revenue cycle management. Skilled in eligibility & benefits verification, prior authorization and handling complex insurance cases. Proven ability to support teams, resolve escalations and ensure compliance with payer guidelines.
Experience
Insurance Verification SME - IPMG India LLP
(2021-09)
- Acting as Subject Matter Expert for insurance verification processes
- Handling complex eligibility and benefits verification
- Scheduling and confirming patient appointments, coordinating with insurance providers.
- Handling with Inbound & Outbound calls.
- Supporting team in resolving escalations
- Ensuring accurate verification of co-pay, deductible and out-of-pocket
- Maintaining compliance with HIPAA and payer guidelines
- Performing quality checks and improving team accuracy
- Interact with insurance providers via calls and web portals to obtain accurate information
- Support training and onboarding of new hires and junior team members
- Identify process gaps and suggest improvements to enhance efficiency and reduce errors
- Collaborate with internal teams (billing, AR) to minimize claim denials
Maths & Computer Teacher - Spring dales High School, Visakhapatnam - Visakhapatnam
(2016-12 - 2020-03)
- Meeting parents and school governors and maintain discipline in the classroom; methodically provide resources for lessons; simplify lesson plans in line with curriculum objectives and assist students to prepare for examinations in a 2,500+ student school
- Assess and look after 150+ students progress throughout the term and work closely with other staff to efficiently plan and coordinate work
- Provide informative presentations to students regarding different areas of studies and ensure that all students fully comprehend all aspects.
Education
MBA - Miracle Group of Institutions (2016) Visakhapatnam
B.Sc. - Computers - Andhra University (2014) Visakhapatnam
Inter - MPC - Narayana Junior College (2011) Visakhapatnam
SSC - Port High School (2009) Visakhapatnam
Skills
Insurance Verification SME