Prathatchini M

HYDERABAD, INDIA | 866-771-3509 | prathatchinim2022@outlook.com

SUMMARY
➢ Extensive experience in highly organized and hard-working individual looking for a responsible position to gain
practical experience and secure a challenging position in a reputable organization to expand my learnings,
knowledge, and skills.
➢ Recruiting experience in long term/Contract Consulting positions
➢ Posting the Job description on all job portals like Dice,Monster and social networking portals etc.
➢ Reaching out for the maximum number of open consultants in the market
➢ Expert in Full Cycle of Recruitment and end to end process with handsOn exp with all the visa knowledge
(H1s,GCs,USC, EADs and TNs) as well as Tax Terms C2C,W2(with and without benefits) ,1099
CORE COMPETENCIES
➢ Process Efficiency
➢ Quality Assurance
➢ Relationship
➢ Initiative
➢ Communication
➢ Teamwork
➢ Time management
➢ Confidence
➢ Active listening

PROFESSIONAL EXPERIENCE
Company: Spanco solutions
Sep 2022 -Till date
Designation: Talent Acquisition Specialist (US IT Recruiter)
ROLES AND RESPONSIBILITIES

• Worked with the requirements from the clients like Cigniti,Caspex

• Interacting with Consultant's employer about the rate and getting confirmation.
• Cross checking with resumes and make sure that matching with the requirement
• Submitting the matching resumes according to the client's needs as per desired skill sets
• Submitting the screened resumes to Account Manager / BDM with proper information
• (Contact, Availability, Rate, Experience, Clients details etc) about the consultant.
• Arranging interviews over phone and Face to Face and follow ups.
• In touch with employers and Consultants for future purpose and maintaining good relation for longer time.

Company: NTT DATA Information Processing Services Private Limited

Sep 2020 -Aug 2022.
Designation: Healthcare and Insurance Operations Associate
ROLES AND RESPONSIBILITIES:
• Collect all the data and document required for filing credentialing applications from the physicians
• Maintain current and accurate data for all providers
• Set ups and maintains provider information in online credentialing database and system
• Obtain the enrollment number from the payer and communicate the state of the application of the physician
• Evaluates and processes claims in accordance with company policies and procedures, CMS and DMHC guidelines.
• Responsible for filing additional claims that are in a pending status until all required.
• Conducted claims adjudication of outside area medical claims using research and application of basic math skills;
applied appropriate benefits to patient claims while adhering to HIPAA privacy laws and internal corporate
confidentiality rules.
• Reviews and analyses data for in-process claims in order to identify and resolve errors prior to final adjudication

PROJECTS
Physician Contract and Data Management: (provide enrollment and maintenance). Reviewing the providers information
such as Address, TIN, credentialing, contract paper, approvals and eligibility and providing contracts to the provider. And
maintaining providers’ request like changes in demographic and products adding/removing.

Claims Adjudication: By analyzing patient demographic details, insurance eligibility, details of service rendered, provider’s
eligibility, cross-verifying claim history, checking pre-authorization details, co- ordination of benefits and all the required
information for deciding either payment or denial of claims.

EDUCATION
MBA with specialization in Human Resources Management (pursuing)– Manipal University Jaipur, Directorate of Online
Education.