Sadhvi Malli

Experience

• 

  The Times of Mangalore

  May 2018 - Jul 2018

  Intern
• 

  UnitedHealth Group

  Aug 2019 - Dec 2022

  Claims Representative

  Lead coordination with internal teams to manage inventory, consistently ensuring over 85% of workflow items are completed within the set Turnaround Time and within quality benchmarksDeveloped and analyzed inventory weekly reports, providing critical insights to leadership that supported inventory management and contributed to a 15% improvement in operational efficiency.Utilized Microsoft Excel for comprehensive data analysis, efficiently processing and managing an average of the Employee Performance reports weekly with precision and accuracy.Ensured that the assigned tasks and claims were completed by a team of Data entry processors under specified time slots, contributing to achieving departmental targets and objectives by 95% or higher.Handled escalations monthly, resolving client issues and concerns proficiently, ensuring timely resolution with a success rate of over 90%, and communicating them to leadership for further action.Managed accounts receivables aspects of client-focused revenue cycle operations, demonstrating in-depth knowledge of processes and executing all standard operating procedures (SOPs).Conducted thorough reviews and analysis of 1350 complex healthcare claims weekly to identify discrepancies, verify pricing, and confirm prior authorizations. This led to 80% enhancement in the financial settlement process for clients.Worked collaboratively in a team environment, ensuring 98% adherence to quality standards and contributing to the team’s overall performance.Reviewed outstanding insurance balances and successfully identified and resolved issues preventing finalization of claim payment for cases monthly, coordinating with providers, patients, and clients as necessary.Utilized reporting tools and Microsoft Excel to create and manage comprehensive datasets and reports, improving data-driven decision-making and operational efficiencyDeveloped strong communication channels with providers, updating them regularly on the progress of claims. Show less