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Analyst
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Competencies
Expertise in analyzing complex healthcare and financial data to drive informed decision-making.
Proficient in managing and reviewing healthcare documentation to ensure accuracy and compliance.
Skilled in processing and validating invoices and chargebacks accurately within financial systems.
Proficient in MS Access, Word, Excel, and PowerPoint for data management and reporting.
Education
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Summary
Detail-oriented analyst with extensive experience in healthcare invoicing, rebate processing, and data validation. Adept at optimizing processes and ensuring compliance within healthcare and financial domains.
Key Achievements
- Streamlined rebate and invoice processing, ensuring accurate calculations aligned with contractual agreements.
- Analyzed and validated complex insurance data to optimize billing and rebate adjustments.
- Managed healthcare documentation processes, improving data accuracy and compliance.
- Contributed to contract reviews and rate adjustments, enhancing operational efficiency.
Experience
Analyst
Processing Rebate, Billback, Admin Fee Invoices, chargeback with calculation and validation according to rebate rate as well as contract set up and review agreement.. To make changes in rebate rate as per agreement.. Analyse and validate all chargeback lines for assigned customer, identifying discrepancies and take corrective actions to reduce outstanding wholesaler chargeback deduction balance.. Research chargeback rejection due to invalid data, membership maintenance, pricing and contracts management, calculate, validate, and submit prices.. Mail communication with wholesalers.
KPO Healthcare Associate E2 Level
Designated as Associate KPO Healthcare for American insurance client Humana had authority to analyze insurance plans, Enrollment of members, and modification in data base and term insurance plans if required.
healthcare documentation associate
healthcare documentation