Rukmini Hatkar Email & Phone Number

Experienced Healthcare Claims Specialist with over 5 years and 11 months of dedicated experience in US and global healthcare claims adjudication, enrollment, billing, and payment processes. Skilled in navigating diverse health plans including PPO, HMO, POS, and EPO, with a deep understanding of policy concepts like coinsurance, deductibles, copays, and out-of-pocket maximums.Proven ability to review HCFA/UB claims forms and ensure compliance with complex regulatory frameworks including HIPAA rules, Medicaid, and Medicare regulations. Successfully managed stressful situations while maintaining quality standards and meeting tight deadlines as a Sr. Claims Associate at GBG and previously as a Claims Executive at HGS.Certified Business Analyst proficient in Agile methodologies and Scrum framework, leading successful business analysis efforts in legacy claims migration processes to cloud-based platforms. Strong foundation in preparing BRD, FRD, and NFRD, with experience in managing product backlogs, user stories, and acceptance criteria.Currently enhancing data science skills through an internship at Innomatics Research Lab, contributing to EDA projects using Python's Pandas, Matplotlib, and Seaborn. Developed visually informative dashboards using Power BI for sales data analysis.Proficient in SQL database management and familiar with Python, complemented by tools like Jupyter Notebook, Anaconda, MS Project, JIRA, and Lucidcharts. Bachelor of Commerce in Computers from The University of Telangana at Nizamabad, currently enrolled in a Data Science course at Innomatics Research Lab.Passionate about driving innovation and efficiency in the healthcare industry, eager to contribute skills to a dynamic team focused on delivering impactful solutions.

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  Telangana University

  Computer Science