Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Projects
Disclaimer
Timeline
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MADISHETTY ANAND MADHURI

SME
Hyderabad

Summary

Intend to build a career with committed and dedicated people of a leading corporate, which will help to explore myself fully and desires to be a successful professional. Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals.

Overview

3
3
years of professional experience

Work History

SME in AR caller

Primera healthcare Technologies
07.2022 - Current
  • Worked as Sr Associate as AR caller for Hospital billing (voice Process) till Fed 2024 and got promoted as SME in Feb 2024.
  • Improved user productivity and efficiency through system training and support.
  • Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features.

AR Caller(voice Process)

IKS
Hyderabad
06.2021 - 06.2022
  • Worked as AR caller for physician billing at RCM IKS wherein need to work on denials and ensuring timely payment processing.
  • Maintained strict adherence to HIPAA regulations, ensuring patient privacy and data security during all communication efforts.
  • Facilitated interdepartmental communication, working closely with billing and coding teams for seamless claim processing.
  • Collaborated with team members to identify trends and address recurring billing issues.
  • Demonstrated exceptional attention to detail in reviewing EOBs and identifying errors affecting claim approvals.
  • Contributed to development of more efficient AR Caller strategies, sharing best practices within team.E.g., 'Managed over 35 customer calls per day.'

Pharma Benefit Analyst

UNITED HEALTH GROUPS (OPTUM GLOBAL SOLUTONS)
6 2017 - 12.2019
  • Worked as Pharma Benefit Analyst at Optum Global Solutions wherein we collect the claim data and process the prescription according to medical plan of the patient and also attend client calls for updates and new projects in process.
  • Reduced errors in benefits administration by conducting thorough audits and identifying areas for improvement

Performance Standard:

• Ability to maintain an accuracy rate of 98% or better

• Adherence to company attendance policy

• Able to work independently

• Completes assigned projects on time

Education

Master of Pharmacy -

Malla Reddy College of Pharmacy
Hyderabad, India

Bachelor of Pharmacy - undefined

Sri Venkateshwara College of Pharmacy

Board of Intermediate -

Sri Chaitanya Junior College
Hyderabad

Board of Secondary Education - undefined

ST.Domnics High School

Skills

Comprehensive Problem-solving abilities

Good Communication skills & Hardworking

Creativity & ability to think practically

Good team player and Good listener

Time management abilities

Self Motivation

Adaptability and Flexibility

Personal Information

  • Date of Birth: 02/08/93
  • Gender: Female
  • Nationality: Indian
  • Marital Status: Married

Languages

English, Telugu & Hindi

Projects

A Project on “METHOD DEVELOPMENT AND VALIDATION BY UV SPECTROPHOTOMETRY AND RP-HPLC METHODS FOR THE ESTIMATION OF SOFOSBUVIR IN BULK AND PHARMACEUTICAL DOSAGE FORMS. In this project deals with Method development and validation of Sofosbuvir in bulk and pharmaceutical dosage form by UV Spectrophotometric method and HPLC method by using HPLC grade water and Acetonitrile as the solvents in different parameters and conditions.

Disclaimer

I do hereby declare that the particulars of information and facts stated herein above are true, correct and complete to the best of my knowledge and belief.

Timeline

SME in AR caller

Primera healthcare Technologies
07.2022 - Current

AR Caller(voice Process)

IKS
06.2021 - 06.2022

Pharma Benefit Analyst

UNITED HEALTH GROUPS (OPTUM GLOBAL SOLUTONS)
6 2017 - 12.2019

Master of Pharmacy -

Malla Reddy College of Pharmacy

Bachelor of Pharmacy - undefined

Sri Venkateshwara College of Pharmacy

Board of Intermediate -

Sri Chaitanya Junior College

Board of Secondary Education - undefined

ST.Domnics High School
MADISHETTY ANAND MADHURISME