At iMerit Technology, I handle end-to-end insurance verification for US healthcare providers, including benefits, deductibles, copays, coinsurance, out-of-pocket maximums, and COS.
I coordinate prior authorizations through Availity, CoverMyMeds, and payer calls. I also verify specialty drug coverage, clinical criteria, step therapy, and quantity limits while meeting SLA, TAT, and quality targets.
At Sunicnowledge Pvt.Ltd, I managed document intake, order validation, medical necessity checks, and insurance eligibility for AdaptHealth. I verified CPT/HCPCS codes against payer policies, handled COB updates, and identified documentation gaps for prior authorization approvals.
My earlier work included technical and operational case resolution at Concentrix Daksh Services India Private Limited and inbound customer support for Netmeds at Fusion Bpo services. Across these roles, I supported HIPAA compliance, accurate documentation, and efficient case handling.
