Dr.Shruthi KS

Experience

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  Neuroglia Health Pvt Ltd (Subs of Dailyrounds Inc)

  Mar 2015 - Jun 2015

  Medical Writer

  About Daily rounds: DailyRounds is the largest academic network of Medical DoctorsBuilt by a team of doctors and coders, DailyRounds now has 300,000+ Doctors. 400 new Doctors join our platform everyday. With clinical case focus we are building a free academic network for Doctors. Role- Medical content writer

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  Axa Business Service Private Limited

  Jun 2015 - Jan 2020

  Senior Medical Specialist, Underwriting

  Pre-authorization and Claims assessment.- Played a strategic role in enhancing end customer experience by proactively communicating with onshore stakeholders to bring about improvement in performance of program- Drive high quality execution and operational excellence.- Identifying causes of performance deficiencies and determine appropriate follow upactions- Review and implement Medical protocols for staff oversight and development-Leverage Clinical acumen to provide guidance to staff- Plan/implement/manage medicalprograms 5 years of experience in assessing medical claims from clinical Point of view Oversee ongoing monitoring and internal auditing as against relevant guidelines and standards Periodic knowledge assessments to identify and arrest leakage- Support and formulate Internalmedical Query Management with knowledge base creation- Leverage tools or experience basedlearning methodologies to encourage accelerated learning and knowledge dissemination Develop Training material for new joiners and refresher Build pool of specialists based on top medical conditions among existing paramedic staff Extensive experience in interactions with clients/onshore teamsProactive engagements to review progress of improvement in the program- Compliance withclient/project guidelines, business rules and training provided company's quality system andpolicies.- Communication / Issue escalation to seniors if there is any in a timely manner Keep self-up-to-date on latest developments in the domain with respect to products and servicesoffered in Medical field Trained on underwriting for medical claims and on boarding of the customers. Show less

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  IQVIA

  Jan 2020 - now

  Assoc Medical Data Review Manager