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Priyanka K.
Provider Appeals Analyst / Searcher Examiner 2 yrs experience
Bengaluru, Karnataka · Profile PBBE0TN8UQJ1
Experience2 yrs experience
EducationB.Sc
LocationBengaluru
Notice period—
Profile summary
Detail-oriented Healthcare Operations Analyst with 2+ years of experience specializing in Provider Complaints & Appeals, Claims Analysis, and Denial Management. Proven track record in complex case investigation, root cause analysis, and regulatory quality compliance. Proficient in healthcare operating systems (CATS, IOP, ECHS, Rumba) and advanced Microsoft Excel. Consistently delivers accurate, timely, and high-quality case resolutions while exceeding performance benchmarks.
Key skills
Claims AnalysisProvider Complaints & Appeals ReviewDenial ManagementRoot CauseAnalysisDocumentation ReviewQuality AssuranceRegulatory ComplianceCATSIOPECHSRumba
Languages
English · Hindi · Kannada · Marathi