Bhavana Bhat
@bhavanabhat
Healthcare operations process professional specializing in medical claims adjudication, data validation, and denial management.
What I'm looking for
I’m transitioning from the insurance domain into BHAVANA accounting, bringing analytical thinking, attention to detail, and a strong focus on accuracy and compliance. My background is rooted in high-volume claims work, where careful validation directly impacts financial outcomes.
In my current role as a Process Analyst, I handle claims related to compensation, work directly with clients through email, and support operations by managing work allocation and day-to-day reports. I’ve also worked on payments, notices, and compensation claim processing, including allowing/denying claims based on provided data.
I’m known for data accuracy and corrective work—validating payment ledgers, producing day-to-day billing reports, and performing data analysis and correction for proper data release. With experience using Tally ERP 9, MS Excel, and Power BI, I’m eager to contribute to financial and accounting functions in an entry-level accounting role.
Experience
Work history, roles, and key accomplishments
Process Analyst
Ghallagher Centre Of Excellence
Jan 2025 - Present (1 year 7 months)
Handling compensation claims and supporting client communication via email. Managing work allocation and producing day-to-day reports.
Senior Process Executive
Jun 2024 - Present (2 years 2 months)
Manage medical claims processing and adjudication activities, including data validation, newborn claim handling, and resolving operator/duplicate prompts and locks. Work across multiple claim-related applications and supports cost containment and coordination of benefits.
Validated live medical claims and identified reasons for approving requests, including denial management and claim-related program determination. Mentored junior technicians with process-based knowledge and supported claim review and verification activities.
Senior Process Executive
Cognizant Technology Solutions
Jan 2024 - Jan 2024 (0 months)
Supporting claims handling and data management with an emphasis on risk management, adjudication accuracy, and correct billing. Working on claim data checking/prior authorization validation and error correction, using data analysis tools.
Senior Process Consultant
Sagility India Pvt Ltd
Jan 2022 - Jan 2024 (2 years)
Handling workers’ compensation claim adjudication by allowing/denying claims based on provided data, with quality-focused processing and client communication. Managing client billing and payments, validating payment ledgers, and preparing day-to-day billing reports with data analysis and correction.
Education
Degrees, certifications, and relevant coursework
Shree Siddhivinayaka High School, Goli
SSLC, Secondary Education
2022 - 2024
Grade: 91.84%
Completed SSLC at Shree Siddhivinayaka High School, Goli (2022–2024, 91.84%).
MES College of Commerce, Sirsi
Bachelor of Commerce, Commerce
2018 - 2021
Grade: 89%
Completed a B.Com at MES College of Commerce, Sirsi with a grade of 89%.
MES Arts and Science College, Sirsi
PUC, Pre-University (PUC)
Grade: 92.5%
Completed PUC at MES Arts and Science College, Sirsi (92.5%).
MES College, Sirsi
Pre-University Course (PUC), Commerce
2016 - 2018
Grade: 94%
Completed PUC studies at MES College, Sirsi with a grade of 94%.
MES Commerce College, Sirsi
Bachelor of Commerce, Commerce
Completed a Bachelor of Commerce at MES Commerce College, Sirsi.
Sri Siddhivinayaka High School, Goli
Secondary School Leaving Certificate (SSLC), General Education
2014 - 2016
Grade: 91%
Completed SSLC at Sri Siddhivinayaka High School, Goli with a grade of 91%.
Availability
Location
Authorized to work in
Job categories
Skills
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