Clinical Reviewer
Name: Nooliveti Teja Sree Noolivetitejasree1995@gmail.com
Mobile: +91- 81429 76262
Over 2 years of experience as a Clinical reviewer and To be associated with a professional organization to
accept challenges and aim towards the attainment of mutual and organization goals.
Over the next five years, aiming to contribute significantly to cutting-edge projects while expanding
leadership responsibilities in the Clinical Reviewer job.
PROFESSIONAL SUMMARY
Worked as a lecturer at Penubala Institute of Medical Sciences. from Nov 2019 to Dec 2021.
Working as an SME at Sagility India Private Limited from Jun 2022 to Present.
EDUCATION
BSc-Nursing from Dr NTR University of Health Sciences. Andhra Pradesh.
Roles & Responsibilities:
Reconciling on Invoice Billing for both Standard Billed and Self Billed.
Have to Investigate Health insurance Claims and find out over and less payments.
Processing Claims according to the process guidelines.
workings as a clinical reviewer for (medical bills), so that client can claim their medical bills
accurately.
I will check the quality of the billing. and ensuring all medical bills are billed as per state schedule.
3. review the final medical record and approve for payment.
4. validate the original and billed payments. and ensure there is no gap. 5. Relatedness and
Compensability validation.
6. body parts validation as per bill.
Have to meet monthly production and quality scores as per SLA.
Maintaining reports like Audit inventory, batch reassign and ending inventory.
Assigning the Complete & Reroutes work item to do Internal/Pre audit.
Monitoring for all the internal audits regarding the process.
Querying & applying the receipts through Customer Address, Customer No & Matching the Invoice
as per Check backup.
Preparing process documents.
Training for new joiners.
Achievements:
Initiated Perfect Service document project (Process Improvement Idea) which saved $1073.00 and
Man-hours and thus was appreciated by clients.
Received the Top Gun Award 4 times for being the outstanding performer of the month.
Received Stardom Award for maintaining 100% quality.
Received the Best Buddy Award 6 times for being the Best Mentor.
Skill Set
Accounting Packages: Tally ERP 9.0
Ex-Cell, word, windows and PPT.
Personal Information
Name : Teja Sree .N
Father’s Name : Thirupathaiah .N
Date of Birth : 03-10-1995
Marital Status : Single
Nationality : Indian
Present Address : # 1-985, Bandlavanka, Piler
Andhra Pradesh.
Declaration:
I hereby declare that all the information furnished above is true to the best of my knowledge.
Date: Signature
Place: Bangalore TejaSree N
