Saugat Basnet Email & Phone Number

➢ Reviewed the Control Point Documentation for business processes and participated in quality control.➢ Expertise in executing the quality control processes.➢ Participated in authoring some control point documentation and involved in its development.➢ Participate in weekly touch point meetings with the team lead as well as bi-weekly deep-dive meetings with the director of consumer operations.➢ Proven track record of leading change, driving performance, and reducing operational defects through both the daily as well as weekly processes➢ Involved in the defect reporting manually in the absence of fully developed defect tracking device.➢ Involved in the conception phase for the PEGA Tool from the Business Requirements phase as a SME.➢ Involved in creating test cases from the BRDs and executing the test scripts.➢ Performed UAT after the completion of the first phase of development in the production environment and participate in JAD sessions for the second phase.➢ Proven track record of leading change, driving performance, and reducing operational defects.➢ Worked with diverse team both- on site and off site.

Minot, Nd

➢ Validating the information on all medical claims➢ Claims reviewed to ensure no missing or incomplete information➢ Keeping meticulous records of claims and followed up on lapsed cases.➢ Correctly reading and assessing medical documents. ➢ Conversed with doctors' offices or insurance companies if there is a problem with the claim.➢ Validating claims on Patients seeking payments from their insurance company.➢ Providing medical record information by answering questions and requests of patients, hospital staff, law firms, insurance companies, and government agencies.➢ Maintaining patient confidence and protecting hospital operations by keeping information confidential, following release-of-information protocols.➢ Conserved resources by using equipment and supplies as needed to accomplish job results.➢ Contributing to team effort by accomplishing related results as needed.➢ Maintaining historical reference by abstracting and coding clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems, filing documents.

Bachelors, Applied Business Information Technology

Associate Of Science - As, Business Management