LAKSHMI S P
@lakshmisp
Experienced BPO associate specializing in medical claims verification and US healthcare processes.
IndiaWhat I'm looking for
I am a results-driven BPO professional with over five years of experience in medical claims verification, insurance coverage assessment, and quality auditing within the US healthcare sector. I have hands-on experience using ACE software to process claims, identify coding errors, and maintain data accuracy for Medicaid, Medicare, and Common Health projects.
Throughout my career I have managed high-volume caseloads (50–60 claims daily), coordinated team workflows, and implemented quality-audit processes like Audit the Caller (ATC). I hold an MBA in Human Resources and a Lean Six-Sigma Green Belt certification, which reflect my focus on process improvement and operational efficiency.
I am known for strong client service, performance monitoring, and conflict-resolution skills, and have been recognized with Performer of the Month and multiple star/extra-miler awards for outstanding contributions and consistent results.
Experience
Work history, roles, and key accomplishments
NDValidated insurance coverage and processed 50–60 medical claims daily, identifying coding errors and ensuring compliance for Medicaid, Medicare, and Common Health projects while maintaining data integrity in ACE software.
Team Coordinator
Medusind Solutions
Jan 2022 - Aug 2022 (7 months)
Directed workflow and quality auditing (ATC) to improve operational efficiency, conducted performance reviews, assigned tasks and trained staff, and verified dental eligibility for patients.
Client Service Executive
Medusind Solutions
May 2020 - Dec 2021 (1 year 7 months)
Managed escalations and liaised with US insurance providers to verify dental eligibility and coverage, maintaining accurate records and follow-ups to resolve complex issues.
Trainee
Medusind Solutions
Oct 2019 - May 2020 (7 months)
Researched patient claims and eligibility within the US healthcare system and performed outbound calls to verify dental plans while adhering to established policies and procedures.
Education
Degrees, certifications, and relevant coursework
AUAlagappa University
Master of Business Administration, Human Resources Management
Completed an MBA in Human Resources Management, focusing on HR practices and organizational management.
Sri Krishna Arts and Science College
Bachelor of Business Administration, Information Systems and Management
Completed a Bachelor of Business Administration in Information Systems and Management with coursework combining business and information systems.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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