G Srikanth Puri

G. SRIKANTH ​PURI Banjara Hills | C:--------------------------------------------------------------------------------------------------------------------------Summary: Adaptable healthcare administrator accustomed to the integration of new healthcare delivery systems and restructuring of work in an increasingly complex regulatory environment. Accomplished Claims Associate who proudly maintains a highly productive, efficient and quality- driven environment at all times. Strong background in quality assurance. Experience: C​LAIMS ASSOCIATE ​(R​OSTERS ​O​PERATIONS​) ​| 28/09/2016-04/03/2020 OPTUM GLOBAL SOLUTIONS ​| HYDERABAD, TELANGANA ● ● ● ● ● ● Worked on transactions of End to End Provider Data. Collections of data and entering into the network database. Verify, update and maintain the Provider data as per client requirement. Used to retrieve the missing documents or data via Email or Chat. Worked as both Global auditor and internal auditor by auditing within the TAT. Contribution in reaching goals by expediting reviewing process with a good percentage of accuracy rate • Additional knowledge on Payment posting like posting payments into the Practice management or Billing software • Knowledge on Explanation of benefits (EOB) and Electronic remittance advice (ERA). • Knowledge of terms used on ERA and EOB like Billing amount, Deductible, Coinsurance, Copay, etc. • Knowledge of creating Patients statement after all the insurance and patients payments are posted. MPI (MULTIPLAN CREDENTIALING PROCESS ) SPECIALIST | 04/2014-10/2015 ​SUTHERLAND GLOBAL SERVICES ​| HYDERABAD, TELANGANA ● ● ● ● ● ● ● ● ● Processing initial Provider credentialing and re-credentialing applications. Pre-screening the entire Provider information before updating it into the database system. Responsible for organizing, creating and maintaining all credentialing files and related reports and coordinating the submission of credentialing applications. Reviewing the Information provided by Provider is accurate if not following up through Email or Chat or directly faxing the required information. Work within the credentialing software system and/or Excel for document retention by filing and scanning documents and email correspondence Responsible for the accuracy and integrity of the credentialing database system and related applications Identifies, obtains, verifies and updates database with providers’ credentialing information Updates CAQH database with attestations, updating credentialing documents as needed/required Conducts detailed follow up of credentialing status with the plans and provides monthly progress report. Education: B.TECH graduate from Ayaan college of engineering and technology with 66.4% Jawaharlal Nehru Technological University, Hyderabad, Telangana Electronics and Communication | 2013 Skills: Technical Skills: • ​Operating Systems: Windows( XP, Vista, 7,8.1 &10) • ​Office suite: Microsoft Office . Knowledge on Outlook, Excel and word. Honor: ● Bravo​ Recognition twice for Onshore auditing. Two times internal basketball ball champions. Profile D.O.B : 05-Nov-1990 Languages : English, Hindi & Telugu I hereby declare that the above furnished information is true to the best of my knowledge and beliefs. Date: G. Srikanth Puri