Bengaluru, Karnataka, India
Six Sigma Certified professional with proven leadership in cybersecurity and healthcare operations. At UnitedLex, I lead a team specializing in cyber incident response, providing legal and technical support to clients facing data breaches, ransomware attacks, and other cyber threats. We've successfully managed multiple high-profile, complex cases, delivering timely and effective solutions that minimize risk and operational impact. Previously at AXA Business Services, I handled insurance claim denials and invoice reprocessing, with extensive experience in ICD-10, CPT, and HCPCS codes, claims management, and coordination with third-party billing providers. I focused on identifying claim rejections and reprocessing them to improve recovery rates. I’ve actively supported Revenue Cycle Optimization through process mapping, automation, and Six Sigma methodologies. My responsibilities included: - Leading end-to-end claims management, including denial analysis, appeals, and resolution - Monitoring key performance indicators (KPIs) such as Days in Accounts Receivable (AR), Clean Claim Rate, and Denial Rate - Collaborating with cross-functional teams to ensure timely submission and follow-up on outstanding claims
Specialized in Data Breach, Incident response cyber review.Effectively managing team of more than 20 employees working on the same project led by me. Attending client calls with senior management of the company. Involved in day-to-day communication with client, management and team members to ensure that all client requirements are met, and reports are submitted on time.
Good Knowledge of Medicare/Medical and third party Insurance billing. Doing the Root cause analysis for all the process and giving feedback to the assessors and sharing the reports to the onshore partner to bring the improvement for the errors.Payment run processing/review-creation, Reconciliation & Execution by different methods such as-NEFT, Cheque etc.
Adjudication of US healthcare claims rectifying the auto adjudicated claims and making the necessary corrections. I specialize in various fields, including Healthcare Claims Processing and Financial Accounting Services. I provide clients with effective medical billing solutions.