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Narendra Nayak

@narendranayak

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Senior Process Associate at OneMed Billing handling U.S. healthcare authorizations, GAP exceptions, and denial appeals.

India

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What I'm looking for

Seeking remote opportunities with U.S. healthcare organizations in RCM, prior authorization, and eligibility & benefits verification. I aim to leverage my experience in insurance verification, denial management, and appeals while developing my skills, contributing to efficient healthcare operations, and building a long-term career with an international team.

At OneMed Billing, I verify insurance eligibility and benefits, process prior authorizations, and follow up with insurance providers. I also handle GAP exceptions and single case agreements for out-of-network services.

I support reconsiderations and appeals for authorization denials, communicate with patients, providers, and payers, and maintain accurate documentation in line with HIPAA requirements.

At Wipro Ltd, I supported providers from U.S. medical facilities with eligibility, coverage, benefits, and member claims. I reviewed medical records for claim discrepancies and analyzed denial causes to process appeals.

Since August 2023 at Wipro Ltd, I was solely responsible for assisting VIP and premium providers. Earlier, as a Marketing Assistant at Wisdom infratech, I conducted market research, supported sales strategies, and managed social media content.

Experience

Work history, roles, and key accomplishments

Current

Senior Process Associate

Current

OneMed Billing

Feb 2025 - Present (1 year 8 months)

Verify insurance eligibility, benefits, and coverage for healthcare services. Process prior authorizations, handle GAP exceptions and single case agreements, and resolve authorization denials through reconsiderations and appeals.

Insurance Eligibility Verification Benefits Verification Prior Authorizations GAP Exceptions Single Case Agreements Denial Management Reconsiderations Appeals HIPAA compliance Revenue Cycle Operations

Process Associate

Wipro Ltd

Nov 2022 - Feb 2025 (2 years 3 months)

Provided guidance to U.S. medical providers on eligibility verification, coverage options, and claims. Reviewed medical records, analyzed claim denials, and processed appeals while maintaining compliance with healthcare regulations.

Eligibility Verification Claims Processing Medical Records Review Denial Analysis Appeals CPT ICD 9 ICD 10 HCPCS HIPAA COBRA EOB COB Medicare Medicaid Customer Service

Process Associate

Kochar Infotech Pvt. Ltd

Nov 2021 - Dec 2021 (1 month)

Worked as a Process Associate in Kolkata, handling process-related tasks.

Marketing Assistant

Wisdom Infratech

Feb 2019 - Oct 2020 (1 year 8 months)

Conducted market research, developed sales strategies, implemented marketing campaigns, and managed social media presence to drive brand visibility and customer engagement.

Market Research Sales Strategy Marketing Campaigns Social Media Management Content Creation Performance Monitoring Digital Outreach