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Presentation
Results-oriented Data Steward and Healthcare Operations Professional with 5+ years of experience across Pharmaceutical Data
Management, Medical Billing, Data Annotation, and Healthcare Operations. Demonstrated expertise in HCP/HCO validation, master
data management, data quality assurance, claims processing, insurance verification, and web research. Proven ability to maintain
99% data quality standards in Data Stewardship and achieve 95% quality accuracy in Medical Billing operations. Recognized for
attention to detail, process accuracy, and delivering high-quality business-critical data.
Management, Medical Billing, Data Annotation, and Healthcare Operations. Demonstrated expertise in HCP/HCO validation, master
data management, data quality assurance, claims processing, insurance verification, and web research. Proven ability to maintain
99% data quality standards in Data Stewardship and achieve 95% quality accuracy in Medical Billing operations. Recognized for
attention to detail, process accuracy, and delivering high-quality business-critical data.
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Background
Data Steward
• Maintained high-quality HCP/HCO master data through validation, web research, and record maintenance.
• Performed duplicate identification, analysis, and record consolidation to improve database accuracy and consistency.
• Validated healthcare professional licenses and organizational information using multiple trusted sources.
• Conducted outbound research and verification activities to ensure data completeness and accuracy.
• Reviewed inactive, incomplete, and duplicate records while supporting data quality and governance standards.
• Collaborated with cross-functional teams to maintain accurate and reliable pharmaceutical master data.
• Performed duplicate identification, analysis, and record consolidation to improve database accuracy and consistency.
• Validated healthcare professional licenses and organizational information using multiple trusted sources.
• Conducted outbound research and verification activities to ensure data completeness and accuracy.
• Reviewed inactive, incomplete, and duplicate records while supporting data quality and governance standards.
• Collaborated with cross-functional teams to maintain accurate and reliable pharmaceutical master data.
Senior Medical Billing specialist
• Processed medical billing claims for government and commercial insurance providers.
• Performed insurance verification using Medicare, Medicaid, Availity, Blue Cross Blue Shield, and other payer portals.
• Audited claims and supported quality review activities to improve billing accuracy.
• Conducted demographic verification and charge entry for patient treatment services.
• Applied knowledge of ICD-9, ICD-10, CPT coding, reimbursement processes, and Explanation of Benefits (EOBs).
• Performed insurance verification using Medicare, Medicaid, Availity, Blue Cross Blue Shield, and other payer portals.
• Audited claims and supported quality review activities to improve billing accuracy.
• Conducted demographic verification and charge entry for patient treatment services.
• Applied knowledge of ICD-9, ICD-10, CPT coding, reimbursement processes, and Explanation of Benefits (EOBs).
pharmacy
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Working hours
Monday
From08h00To18h00
Tuesday â–ª Today
From08h00To18h00
Wednesday
From08h00To18h00
Thursday
From08h00To18h00
Friday
From08h00To18h00
Saturday
Closed
Sunday
Closed
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