RATNA S. Mangali

Health Administration Service Associate with over 10 years managing claims processing, auditing, and healthcare operations. Skilled in maintaining compliance, data accuracy, and delivering operational excellence in fast-paced environments. Seeking to leverage expertise in healthcare administration to drive efficiency and quality improvements.

[email protected] 9022135457 Thane
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Languages
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Skills
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Certification
Work Experience
Health Administration Service Associate
Accenture
Jun 2015 — Mar 2026Airoli
  • Processed and reviewed healthcare insurance claims following client guidelines and quality standards
  • Performed claims adjudication and data verification to minimize errors and ensure accuracy
  • Updated and maintained healthcare systems ensuring data accuracy and confidentiality
  • Conducted quality reviews to identify discrepancies for correction
  • Provided claim information and status updates to clients and stakeholders
  • Escalated complex claims to supervisors ensuring SLA and compliance
  • Produced business correspondence and claim documentation using templates
  • Collaborated with cross-functional teams to improve claims efficiency
  • Assisted in training new team members on procedures and quality standards
  • Maintained compliance with policies, client needs, and data privacy regulations
Skills
Health Insurance Claims ProcessingClaims AdjudicationData VerificationHealthcare OperationsMedical Records ManagementQuality AssuranceCustomer ServiceHIPAA ComplianceStakeholder CommunicationAnalytical SkillsMicrosoft Office (MS Word & Excel)Healthcare Administration SystemsMS Office (Excel, word and PowerPoint)Complaint Handling & ResolutionClaims ProcessingData Handling & ConfidentialityAnalytical & Critical ThinkingCustomer Service ExcellenceHIPAA/GDPR AwarenessCross-Functional Team CollaborationVerbal & Written CommunicationRisk Identification
Education
ssc- Mumbai University= 2009
HSC- Mumbai University - 2011
Jun 2014
  • B.COM- Mumbai University- 2014
Certifications
MNCTraining Certificate
Languages
English
Hindi
Marathi
Telugu
Tamil
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