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kousalya v

@kousalyav

Claims associate specializing in US PPO credentialing and provider enrollment processes.

India
Message

What I'm looking for

I seek roles in healthcare claims or provider enrollment where I can apply credentialing expertise, ensure compliance, and improve operational TATs within a collaborative team.

I am a Claims Associate with over 11 years of experience focused on PPO claims and credentialing for US healthcare providers. I manage end-to-end credentialing, ensuring providers are added to network codes and all documentation is collected and verified.

At Guardian India Operations Pvt Ltd, I oversaw credentialing workflows, verified licenses, certifications, education, work history and references, and maintained compliance with client requirements and state laws. I have strong experience with CAQH, Cactus, and PPO enrollment processes.

Previously, I worked as a Junior Associate at HDB Financial Services, where I validated customer demographics, KYC documents, PAN/Form 60, credit histories, and performed contact point verifications to support lending processes.

I hold an MS/M.Sc in Computers and a BCA from Bharathidasan University, with a track record of maintaining process TATs and facilitating smooth provider integrations across multiple US states.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

Bharathidasan University logoBU

Bharathidasan University

Master of Science, Computers

2011 - 2013

Grade: 84%

Completed Master of Science in Computers with 84% grade from Bharathidasan University, Trichy.

Bharathidasan University logoBU

Bharathidasan University

Bachelor of Computer Applications, Computers

2008 - 2011

Grade: 86%

Completed Bachelor of Computer Applications in Computers with 86% grade from Bharathidasan University, Trichy.

Tech stack

Software and tools used professionally

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kousalya v - Claims Associate - Guardian India Operations Pvt Ltd | Himalayas