Adarsh Reddy - Eligibility Verification and Claims Handler - Omega Healthcare | Himalayas
Adarsh ReddyAR
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Adarsh Reddy

@adarshreddy

Experienced Claims Specialist with expertise in medical claims processing.

India
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What I'm looking for

I am looking for a dynamic organization that values operational excellence and offers opportunities for professional growth.

I am a dedicated Claims Specialist with over 5 years of experience in medical claims processing, fraud detection, and documentation review. My journey began at Centxia Health Care, where I honed my skills in analyzing claim statuses and ensuring timely follow-ups with insurance companies. My commitment to operational excellence has consistently driven reductions in claim cycle times, making me a valuable asset to any organization.

Throughout my career, I have developed a strong proficiency in utilizing various web portals, including Availty and Medicare, to streamline claims processing. My role at Omega Health Care further solidified my expertise in eligibility verification and claims handling, where I successfully managed high-value drug authorizations. I am passionate about delivering results and am always eager to learn and adapt to new challenges in the healthcare industry.

Experience

Work history, roles, and key accomplishments

OH

Eligibility Verification and Claims Handler

Omega Healthcare

Sep 2021 - Present (3 years 10 months)

Managed eligibility verification and claims handling, including checking claim statuses and analyzing them for necessary actions. Followed up on incorrectly denied claims for reprocessing and checked eligibility for high-dollar value drugs.

CH

Claims Handler

Centxia Healthcare

Aug 2020 - Present (4 years 11 months)

Handled provider and patient claims with elegance, including calling insurance companies to check claim statuses. Analyzed claim statuses and took necessary actions, following up on incorrectly denied claims for reprocessing.

Education

Degrees, certifications, and relevant coursework

TU

The Oxford University

Diploma, Automobile

2017 - 2020

Grade: 85%

Completed a Diploma in Automobile with an impressive 85%. This program provided a strong foundation in automotive principles and practices.

AS

Acts Of Hope High School

High School Diploma, General Studies

2017 - 2017

Grade: 73%

Successfully completed High School with a 73% achievement. This foundational education provided a broad range of knowledge and skills.

Tech stack

Software and tools used professionally

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