Summary
Overview
Work History
Education
Skills
Languages
Extra-Curricular Activities
Personal Information
Hobbies and Interests
Certificationprograms
Timeline
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Blessy Rathnam Nethala

Oostkamp,VWV

Summary

Detail-oriented individual with exceptional communication and project management skills, proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking a proactive approach to identifying and addressing issues, with a focus on optimizing processes and supporting team objectives.

Overview

4
4
years of professional experience

Work History

Case Processing Executive

AM INFOWEB Business Process Management
02.2021 - 11.2023
  • Worked as a Case Processing Executive – Records Retrieval Support – act as a mediator between insurance, law firms and hospitals
  • Follow up on medical reports of patients who have been treated and discharged
  • Retrieve medical records of charts and reports within a given TAT
  • Subpoena prep - Drafting of Notice to Consumer (NTC), Proof of Service (POS) and Subpoena specific to provider and as per state specific statutes and based on the type of Records Requested for both Arbitration, Domestication and Civil Cases
  • Check portals and emails and compile them as per the attorney ‘s request and forward it them for their legal purpose
  • We confirm the turnaround time and check if the facility is associated with any Copy Service for future follow ups
  • Custodian Payment - we raise the request for the onshore team to send it out from their end
  • Developed internal requirements and standards to minimize regulatory risks and liability across programs.
  • Collaborated with director on process improvement initiatives to attain goals.
  • Implemented quality control measures that significantly reduced error rates within the department while also decreasing overall turnaround times.
  • Coordinated closely with other departments, facilitating seamless handoffs between processing stages and minimizing delays.
  • Performed wide-ranging administrative, financial and service-related functions.
  • Proofread and edited documents for accuracy and grammar.

Junior Associate – Operations (Medical Review)

WNS Global Services
08.2019 - 12.2020
  • Worked as a Junior Associate in Medical Billing and Coding – Working for Health Insurance for Worker’s Compensation
  • Verifying medical necessity for the patient
  • Responsible for processing Medical Bill Review of Healthcare claims
  • Review of medical bills related to claims
  • Auditing the bills for accuracy, duplication of charges, and reasonableness
  • Good understanding of medical terms and terminologies
  • Ability to support new coders through knowledge sharing and query resolution on floor
  • Understand the client deliveries and complexities
  • Receives, processes, and ensures document classification and elements are completed and transmitted to clients
  • Could also require outbound correspondence from the client to be processed
  • Receives documents from both electronic and hard copy form for processing
  • Sorts, images, documents, files, and archives by form type
  • Identifies documents and their purpose; creating a database of information
  • Classifies documents based on contract requirements
  • Captures information based on client requirements
  • Verifies data from automated data extraction tools
  • Created presentations for stakeholder meetings to provide updates and gather input.
  • Developed reports to present findings on project progress and areas of improvement.

Education

Bachelor of Science - Life Sciences

Gayatri Vidya Parishad, College For Degree And PG Courses (Autonomous)
India
01.2017

High School Diploma -

Sri Chaitanya Junior College
01.2014

Skills

  • Rapid Learner
  • Communication Proficiency
  • Collaborative Team Player
  • Versatile Problem Solver
  • Strong Leadership Skills
  • Practical Problem-Solving
  • Thorough Document Evaluation
  • Time management
  • Excel spreadsheets
  • Conflict resolution
  • Analytical thinking
  • Meeting planning

Languages

English
Hindi
Telugu
Marathi

Extra-Curricular Activities

Participated in many workshops Member at National Service Scheme Member at club – 'BIOHUB – Science Redefined' Participated in inter-school competitions

Personal Information

  • Nationality: Indian
  • Marital Status: Married

Hobbies and Interests

  • Social Service
  • Dancing
  • Photography
  • Music – Singing
  • Sports – Badminton and Throwball
  • Explorer – Trekking, Physical activities and Travelling

Certificationprograms

  • Attended the workshop on 'Techniques in Health, Disease and Environmental Monitoring' organized by School of Life Science, Institute of Science, GITAM UNIVERSITY, Visakhapatnam
  • Training in Desktop Publishing from datapro – NSDC
  • Leadership Training from International Leadership Institute

Timeline

Case Processing Executive

AM INFOWEB Business Process Management
02.2021 - 11.2023

Junior Associate – Operations (Medical Review)

WNS Global Services
08.2019 - 12.2020

Bachelor of Science - Life Sciences

Gayatri Vidya Parishad, College For Degree And PG Courses (Autonomous)

High School Diploma -

Sri Chaitanya Junior College

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Blessy Rathnam Nethala