mohita nair
@mohitanair
Claims analyst with 8 years’ insurance experience in medical billing and settlements.
IndiaWhat I'm looking for
I’m a qualified Claims Representative and claims-focused analyst with 8 years of insurance experience, specializing in investigating claims, verifying information, and managing settlements. I bring a friendly, upbeat, and organized approach that helps me deliver accurate work under time pressure.
In my most recent role as a Senior Analyst at R1RCM (Noida), I reviewed patient records, identified medical codes, and created invoices for billing purposes. I also handled follow-ups on claims and rejections, ensuring timely and accurate charge submissions, while filing and updating patient information and medical records.
Previously, as a Claims Associate at Optum (formerly UNITEDHEALTHCARE GROUP) in Noida, I reviewed claims and decided whether to pay or route for further review. I monitored for suspicious billing patterns and worked efficiently with tools such as UNET, DETECTS, PICTS, and ISET, while supporting new hires during ramp sessions.
Experience
Work history, roles, and key accomplishments
Reviewed patient records, identified medical codes, and created invoices for billing. Worked on follow-up claims and rejections and delivered timely, accurate charge submissions.
Reviewed insurance claims and decided whether to pay or send for further review. Checked for suspicious billing patterns and ensured timely claim reviews using claims tools.
Education
Degrees, certifications, and relevant coursework
Jamia Hamdard University
Bachelor of Business Administration, Business Management
2009 - 2012
Earned a BBA in Business Management from Jamia Hamdard University (2009–2012).
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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