Sailaja Neti

Experience

• 

  Bakson Homoeopathic Medical College

  Feb 2007 - Feb 2010

  POPDs, OPDs and IPD’s (Internship)

  • Completed and corrected case documentation of patient files & records.• Collated health records-related data from consenting patients. • Assisted HOD’s in case handling of patients on daily basis (Dept of Surgery and ENT)• Handled patient queries and provided responses based on their symptoms. • Checked and authorized all diagnostic requisition slips.• Monitored the Nursing care Proper Medication.

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  Allergy Centre of Bakson Homoeopathy

  Aug 2009 - Aug 2010

  Medical Practice - Intern

  • Managed patient’s detailed medical history and case reports through Patient Support CRM• Diagnosed the disease conditions of the patients and prescribed medications• Ensured appropriate delivery of medical services by the paramedics and field staff.• Provided ad-hoc general training to the medical staff, in-house and field.• Consulted the patients in Health Camps conducted in Remote location

• 

  Genpact

  Oct 2010 - May 2016

  • Approve claims strategy through documented business processes, regulatory and compliance obligations, and standards.• Maintaining treating physicians, insurers, and rehabilitation providers list.• Work closely with Operations for daily, weekly & monthly reports• Prepare regional/global reports and dashboards using Excel• Work with stakeholders to determine strategies for complex and long-term claims.• Provide insights & analytics on drivers impacting Service Levels & Volume• Providing insights on existing data to internal/external stakeholders• Identifying the process/queue by team/agent wise volume variations and alerting stakeholders.• Successfully completed the pilot phase of a new process meeting 96% SLA Show less • study medical information to establish facts and deliver strategic advice about medical issues/topics in alignment with the claim’s segmentation model.• Performed and supervised underwriting for all health and life insurance applications • Identified, collated, analyzed, and reviewed key medical information of all the clients. • Prepared and maintained monthly and weekly dash boards • Transaction processing for Insurance Claims process• Transaction processing for Claims Support Teams.• Document all adjustments, write-offs, and outstanding balances• Post summarization create a bill log documenting all bills, statements, invoices, charges incurred per the requestor’s instructions • Reconcile the bills as per the service dates to the date of loss and relevancy • Identify the different record types and documents on Excel Spreadsheet along with provider name and date of service• Ensured a high level of client satisfaction index Show less • Review and interpret large client Health quantities of information into a concise format capturing all necessary information accurately• Review typed and/or handwritten medical treatment records and decipher in a streamlined manner targeting specific information• Identify and categorize the information displayed in paragraphs into specified sections defined by the process and procedures• Document the exact record and page for end user to quickly locate the original record• Prepare a living document of all medical records received and reviewed in an effective and efficient manner• Responsible for doing sorting of medical records received and bill/invoice/statement documentation and reconciliation• Pre-summarization, identify medical providers and dates of service. • Open the necessary tools and applications to perform sorting function as defined in the standard procedures • Verify if prior versions exist and update the templates as needed • Complete the required fields on the template as per sorting guidelines. Show less

  • Medical Underwriter -Team Leader

    Feb 2015 - May 2016

  • Medical Underwriter Sr. Associate

    Feb 2012 - Jan 2015

  • Medical Underwriter Associate

    Oct 2010 - Aug 2012
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  Regis Aged Care

  Sept 2019 - Jul 2021

  Medication competent

  • Talking to clients and listening empathetically to their problems.• Making the best use of aids provided to help clients who have limited mobility, or physical / learning difficulties.• Use appropriate infection control procedures to maintain a clean and safe working area.• Recognize, report, and respond appropriately to changes in the condition of residents.

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  QBE Insurance

  Nov 2022 - now

  Case Manager - HealthCare