Priyadarshini

Priyadarshini

Core Operations Team

Educational Qualification: Graduate degree in Commerce and Accounting.

 

Certification: CPC – P– Certified Professional Coder (American Academy of Professional Coders‐AAPC)
CMBS – Certified Medical Billing Specialist (Professional Healthcare Institute of America – PHIA).

 

Background: 19 years of U.S. Healthcare experience across Payer and Provider segments

Expertise in Provider contract configuration and Benefit configuration of various plans


Good exposure to Medicare Advantage and HMO Medicaid Enrollment


Subject Matter Expert in EDI transactions covering various HIPAA transaction sets

Expertise in ICD-10 Coding and Billing Audit


Data Analyst – Expertise in MS-SQL query and Excel.
Recovery Specialist.