Vadra Leela

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.

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.

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