priyadharshini S
Chennai
Summary
Dynamic Senior Executive with a proven track record at EXL Service. Achieved consistent collection targets while enhancing team performance through effective mentorship. Skilled in report preparation and cross-functional coordination, driving revenue opportunities and ensuring compliance in healthcare billing processes.
Overview
4
4
years of professional experience
Work History
Senior Executive
EXL Service
12.2024 - Current
- Contacted insurance companies and healthcare providers to follow up on outstanding claims
- Resolved billing issues, secured claim reimbursements, and negotiated payments
- Reviewed denied claims and escalated complex cases to appropriate teams
- Maintained detailed records of call outcomes and updated claim statuses in billing systems
- Achieved daily and monthly targets for collections and call volumes
Senior Client Partner
Technosoft Global Solutions
03.2023 - 12.2024
- Conducted follow-ups with insurance companies to collect payments on outstanding medical claims
- Analyzed and resolved denied or underpaid claims to ensure timely reimbursement
- Maintained detailed documentation of all communications and claim updates in billing software
- Consistently met performance metrics including collection targets and call quality standards
- Trained and mentored new team members, providing guidance on claim processes, billing systems, and effective call strategies
- Assisted team leads in preparing training materials and conducting knowledge-sharing sessions
Executive and QC
Integra Global Solutions Corp.
10.2021 - 12.2023
- Analyzed healthcare billing and claim data to identify trends, payment discrepancies, and revenue opportunities
- Created detailed reports and dashboards to support management in decision-making
- Promoted to Quality Control (QC) role based on performance and analytical acumen
- Conducted audits of processed claims to ensure compliance with internal standards and client expectations
- Collaborated with operations teams to correct errors and improve process accuracy
- Trained and mentored new team members (newbies) on data tools, quality standards, and process workflows
- Led onboarding sessions and provided ongoing support to help new hires transition successfully
Education
Bachelor of Arts - English Language And Literature
Bharathiyar University
Coimbatore, India03-2024
Diploma - Electronics And Communication Engineering
Sri Ramakrishna Polytechnic College
Coimbatore03-2020
12TH - Computer Science
Vidya Vikasini Matriculation School
Coimbatore03-2017
Skills
- Operations management
- Report preparation
- Cross-functional team coordination
- Staff management
Timeline
Senior Executive
EXL Service
12.2024 - Current
Senior Client Partner
Technosoft Global Solutions
03.2023 - 12.2024
Executive and QC
Integra Global Solutions Corp.
10.2021 - 12.2023
Bachelor of Arts - English Language And Literature
Bharathiyar University
Diploma - Electronics And Communication Engineering
Sri Ramakrishna Polytechnic College
12TH - Computer Science
Vidya Vikasini Matriculation School
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