Surbhi Gupta

Digital Marketing Specialist

North Delhi, Delhi, India11 yrs 7 mos experience

Most Likely To SwitchHighly Stable

Key Highlights

Experienced in medical claims processing and auditing.
Proficient in French with DELF B1 certification.
Strong leadership skills in team management.

Stackforce AI infers this person is a Healthcare professional with expertise in claims management and nursing.

Contact

Skills

Core Skills

FrenchClaims HandlingNursingTeam Leadership

Other Skills

Agile MethodologiesClaim InvestigationClaims InvestigationClaims ManagementClaims ReviewClinical DevelopmentCustomer Relationship Management (CRM)DELFDatabasesHTMLInsurance ClaimsJiraManual TestingProvarSalesforce Lightning

About

I am qualified as registered nurse. I have worked as Team Lead - Staff Nurse with India's most prestigious hospital "Medanta - The Medicity (Gurugram)". I have great experience of taking care of the patients. I have worked as Medical staff in other institutions as well. My latest experience is as of Claims Specialist with Optum. I have gained enough experience to lead the team of the Mediclaim settlement for any Insurance Companies. I am also DELF B1 certified and experienced in teaching kids.

Experience

Self-employed

Tutored French

May 2022 – Present · 3 yrs 10 mos · Delhi, India · Remote

FrenchDELF

Optum

Clinical Investigator

Jan 2020 – May 2022 · 2 yrs 4 mos · Noida, Uttar Pradesh, India

1. Process medical claims.
2. Auditing medical records.
3. Prevent the payment of potentially fraudulent and abusive claims utilizing medical expertise.
4. Knowledge of CPT/diagnosis codes , CMS guideline along with referring to client specific guidelines and member policies.
5. Assist the prospective team with special projects and reporting.
6. Coordinate with all team members and share recent process related updates.

NursingClinical DevelopmentClaim InvestigationClaims ManagementsfdcCustomer Relationship Management (CRM)+3