
Timeline
About me
Healthcare Advantage Pvt LTD
Education
Sikkim manipal university
2010 - 2012High school; g.s.e.b business/commerce, general bActivities and Societies: DEBATE TEAM, GROUP ACTIVITES
R.n. naik high school
2000 - 2004High school; g.s.e.b business administration and management, general bActivities and Societies: DEBATE TEAM Its distance education so don need to mentioned it!!
R.n.naik high school
1999 - 2004Bachelor of business administration (bba) business/commerce, general aActivities and Societies: Independence Day activities I was one of the naughty student in my school also clever in economic and B.A subjects!!
Welingkar institute of management
2014 - 2016Post graduate diploma in business administrator e-busniess bActivities and Societies: I had attended regular class at Matunga mumbai location for 1st semester in PGDBA program. Post Graduate Diploma in Business Managment with specilization in E-Buisness from Weaklingkar University and done my bechlor from Sikkim Manipal University...
Experience
Medusind solutions india pvt ltd
Jun 2010 - Jul 2013CseI had worked as a Client Service Executive where i need to update the insurance form for U.S base Dental Provider. i worked in EV (Eligiabilty & Verification) domine.
Wns global services
Dec 2013 - Apr 2015Senior process associateI worked for the Medical charge entry process, where my role was adjudicating the claims, denying the claims, filling pharmacy forms for Prescriptions benefits, UB-04 for Hospital Claims, CMS-1500 for Medical Benefits
The minacs group
Jul 2015 - Jan 2016CseI had worked for Flipkart Process as Customer Service Executive where my role and responsibility was helping Flipkart Customers to buy products through Flipkart online portal. I also help to customers regarding their post delivery issues and give them end to end solutions...
Health care advantage pvt ltd
Feb 2016 - Jul 2019ExecutiveI worked for U.S Medical Process wherein my role work on denial claims, taking Benefits and Verify Patients Eligibility towards its medical policy.
Omega healthcare management services
Aug 2019 - Dec 2022Senior account executiveI was working for Oncology (Chemotherapy) Prior Authorization Process, Where I take Prior Approval from Respective Insurance companies for patient's Cancer Treatment.
Qualifacts
Mar 2023 - nowSenior insurance authorization specialist
Licenses & Certifications
Msc-it
Smart bitApr 2015Communication skills in english
Ahemdabad management associationJun 2013Certificate program in spanish language
AmaFeb 2013Lean six sigma yellow belt (icyb)
SimplilearnJun 2022- View certificate
Cert prep: scrum master
LinkedinFeb 2022 Champion at work
Fedora solutionsApr 2018- View certificate
Scrum: the basics
LinkedinFeb 2022 - View certificate
Introduction to career skills in data analytics
LinkedinMay 2023 - View certificate
Six sigma foundations
LinkedinFeb 2022 100% certified nlp professional
UdemySept 2015
Volunteer Experience
CSR
Issued by Infibeam.com on Aug 2013Associated with Sanjay Vakhare
Languages
- esEsperanto
- enEnglish
- guGujarati
- hiHindi
- maMarathi
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