raghav prasadh
@raghavprasadh
Results-driven professional with expertise in healthcare claims processing.
What I'm looking for
I am a highly skilled professional with extensive experience in patient insurance, customer service, account management, and healthcare claims processing. My proven track record includes fostering strong customer relationships and driving revenue growth, achieving a remarkable 10% annual revenue increase while maintaining a 99.5% account retention rate. I excel in managing complex healthcare claims, ensuring compliance with HIPAA regulations, and resolving disputes efficiently.
Currently, I am in the process of becoming an Accredited Professional Accountant (APA) and have completed the Compliance and Advice module. My expertise in insurance workflows, claims compliance, and denial resolution has equipped me to handle intricate claims processes effectively. I am passionate about delivering exceptional service and ensuring that customer needs are met with the highest standards.
Experience
Work history, roles, and key accomplishments
Customer Assistant / Cashier
Spar
Jan 2024 - Mar 2024 (2 months)
Provided product advice and maintained stock levels while ensuring excellent customer service. Trained new associates on cash register operations and managed customer transactions, refunds, and inquiries.
Customer Assistant
Eurospar
Mar 2023 - Jan 2024 (10 months)
Assisted customers with inquiries and ensured positive experiences by resolving concerns. Managed high-volume queries while maintaining optimal service levels.
Senior Claims Denial Analyst
Apexon
Nov 2021 - Aug 2022 (9 months)
Reviewed member eligibility and benefits, handled disputes regarding claim denials, and drafted appeals for reconsideration. Ensured transparency and proper audit trails for processed claims.
Claims Denial Analyst
Vee Technologies Private Limited
May 2019 - Dec 2020 (1 year 7 months)
Examined healthcare insurance claims for accuracy, verified medical codes, and communicated with providers to resolve discrepancies. Acted as a liaison between patients and insurers.
Education
Degrees, certifications, and relevant coursework
National College of Ireland
Master of Science, International Business
2023 - 2025
Anna University
Bachelor of Engineering, Biomedical Engineering
2014 - 2018
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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