At Globecentrix, I led healthcare operations for 220+ professionals across Provider RCM and Payer Claims Operations programs. I oversaw claims quality, denials outcomes, and payment integrity.
I owned end-to-end Provider Revenue Cycle Management delivery, from eligibility verification and prior authorization through payment posting, denials management, and revenue recovery. I also handled medical records retrieval, chart preparation, intake, and document verification.
At Sun Knowledge INC, I led the Claims Adjudication team for HCP (Healthcare Partners), using EZCap to process and adjudicate claims. I applied benefit plans, provider contracts, fee schedules, authorizations, medical policies, and COB to resolve claim issues.
Earlier, at Wipro BPO Ltd, I processed and adjudicated inpatient and outpatient medical claims for UnitedHealth Group and other US payers on Comet and UNET. At IBM Daksh, I provided voice-based customer support for international utility clients.
