Neethu Lalitha
@neethulalitha
U.S. healthcare payer specialist focused on claims accuracy, compliance, and efficiency.
What I'm looking for
I am a dedicated healthcare operations professional with over six years' experience in the U.S. healthcare payer domain, skilled at end-to-end member enrollment, eligibility verification, benefits administration and claims processing.
I ensure accuracy and regulatory compliance across HIPAA and CMS standards, performing claim adjudication, denial management and EOB interpretation while consistently meeting SLAs, TAT and QA targets.
I partner with onshore teams, auditors and cross-functional stakeholders to conduct root cause analysis and implement process improvements that enhance operational efficiency and payment accuracy.
Technically proficient in advanced MS Excel, SAP, Oracle and Tally ERP 9, I bring strong analytical thinking, communication and collaborative skills and seek roles in healthcare operations, insurance processing or back-office analytics in the UAE.
Experience
Work history, roles, and key accomplishments
Transaction Processing Associate
Conduent Business Services India LLP
Mar 2019 - May 2025 (6 years 2 months)
Managed end-to-end U.S. healthcare payer operations including member enrollment, eligibility verification, claims processing and denial management while meeting SLA, TAT and QA targets.
Articled Assistant
Muralee & Thushar Chartered Accountants
Jun 2016 - Nov 2017 (1 year 5 months)
Performed accounting, bookkeeping, audits and tax return preparation, supported statutory and internal audits and prepared financial reports to aid management decision-making.
Education
Degrees, certifications, and relevant coursework
Christian College, Chengannur
Bachelor of Science, Mathematics
Completed a Bachelor of Science in Mathematics focusing on mathematical concepts and analytical problem solving.
University Institute of Technology, Kollam
Master of Science, Mathematics
Enrolled in a Master of Science in Mathematics via distance education; program not completed.
The Institute of Chartered Accountants of India (ICAI) - Alappuzha
Chartered Accountancy - Intermediate Level, Accounting
Completed studies up to the Intermediate level in the Chartered Accountancy program; course not completed.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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