Yamini Mundru
@yaminimundru
I’m a BHMS graduate and Claims Doctor specializing in accurate medical claims review for insurance/TPA.
IndiaWhat I'm looking for
I’m a BHMS graduate with 6 months of experience as a Claims Doctor at Health Assist, where I reviewed cashless and reimbursement claims for accuracy and policy compliance. I evaluate diagnoses and treatment plans, perform medical necessity checks, and validate hospital billing details to ensure claims are sound and consistent.
I’m especially strong in pre-authorization (pre-auth) requests and approvals, and I identify overbilling and suspicious claim patterns. I also coordinate with hospitals, TPAs, and internal teams, and my clinical internship experience in OPD/IPD case-taking, documentation, emergency care, wound dressing, and follow-ups keeps me grounded in patient-focused understanding of care delivery.
Experience
Work history, roles, and key accomplishments
District Hospital Intern
District Hospital, Dharwad
Assisted with OPD/IPD case-taking, patient monitoring, documentation, and follow-ups. Supported emergency care activities such as wound dressing and participated in health camps and community screening programs.
Claims Doctor
Health Assist
Reviewed cashless and reimbursement medical claims for accuracy, policy compliance, and medical necessity. Validated diagnoses and treatment plans, analyzed hospital billing for discrepancies, and supported pre-authorization decisions through coordination with hospitals and TPAs.
Education
Degrees, certifications, and relevant coursework
Dr. B.D. Jatti Homeopathic Medical College
BHMS
2019 - 2025
Pursuing a BHMS degree at Dr. B.D. Jatti Homeopathic Medical College from 2019 to 2025.
BSR NEET Academy
Intermediate
Grade: CGPA: 7.94
Completed Intermediate education at BSR NEET Academy with a CGPA of 7.94.
Nagarjuna Public School
SSC
Grade: GPA: 9.7
Completed SSC at Nagarjuna Public School with a GPA of 9.7.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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