Ramya Maganti
Dubai
Summary
Results-oriented Senior Processing Associate with 4 years in US medical claims processing, specializing in HIPAA compliance. Proven track record in efficiently managing insurance claims, and meeting high accuracy standards. Adept at leveraging technology for process optimization.
Experienced leader at Medi Assist, India's largest TPA, showcasing adaptability across diverse healthcare systems. Strong problem-solving skills for complex claims scenarios. Seeking a dynamic role to apply expertise in US medical claims, HIPAA compliance, and insurance claim management for a forward-thinking organization.
Completed Cache Level 2 training with British Orchid with Certification
Overview
11
11
years of professional experience
Work History
Teacher's Assistant
Chubby Cheeks Nursery
03.2024 - Current
- Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
- Maintained safety and security by overseeing students in recess environments.
- Oversaw students in the classroom and common areas to monitor, enforce rules, and support lead teacher.
- Handed out classroom materials, like pencils, paper, and crayons.
- Worked with lead teacher to monitor class schedule and take attendance.
- Supported classroom activities, tutoring, and reviewing work.
Medical Operations Executive
Medi Assist Healthcare Services Limited
05.2018 - 06.2019
- Respond to email inquiries from healthcare providers and policyholders regarding medical claims.
- Resolve claims issues and escalations in a timely and effective manner.
- Forward mails to respective departments for further processing.
- Acted as primary contact for customers to ensure their needs and concerns were addressed promptly thereby enhancing Product reputation.
- Efficiently resolve issues and close tickets promptly for streamlined case management.
Senior Process Associate
DST Worldwide Services
03.2013 - 03.2016
- Efficiently process US insurance claims, segregating them into Bills and Non-Bills categories.
- Verify billing details to ensure adherence to guidelines and regulatory standards.
- Conduct quality inspections to uphold the accuracy and completeness of processed claims.
- Primary point of contact for clients, being accountable for addressing any client-related issues.
- Ensure claims meet Turn Around Time (TAT) targets and adhere to defined standards.
- Share expertise and knowledge with new team members to facilitate their onboarding and performance.
Education
Cache Level 2 -
British Orchard Teacher Training Centre
Dubai03.2024
MCA - Masters of Computer Applications
Andhra University
India06.2011
Skills
- KHDA Cache Level 2 Certified
- Claims Processing
- HIPPA Standards
- Microsoft 365 Product Suite
- Email Support
- Written Communication
- Customer Incident Resolution
- HTML
Additional Information
- Consistently achieved highest productivity with quality, resulting in multiple spot awards.
- Received positive feedback from management for effectively training and onboarding new team members.
Timeline
Teacher's Assistant
Chubby Cheeks Nursery
03.2024 - Current
Medical Operations Executive
Medi Assist Healthcare Services Limited
05.2018 - 06.2019
Senior Process Associate
DST Worldwide Services
03.2013 - 03.2016
Cache Level 2 -
British Orchard Teacher Training Centre
MCA - Masters of Computer Applications
Andhra University
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