Kareem basha Shaik

Roles & Responsibility

Responsible for reviewing CMS 1500 claims data to identify and analyze anomalies, resolving claim discrepancies, and ensuring data accuracy. Perform thorough cleaning and validation of claims data to maintain integrity and compliance. Collaborate with cross-functional teams to address and rectify claim issues promptly, optimizing reimbursement processes. Utilize strong analytical skills to detect patterns in claim errors and implement corrective actions for continuous improvement. Maintain detailed documentation of claim adjustments and resolutions to support audit readiness and operational efficiency.