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Jamila R. — Junior Healthcare Data & Claims Analytics Specialist from India

Jamila R.

Junior Healthcare Data & Claims Analytics Specialist

India 2-3 years
Open to offersNew to Platform
Languages
EnglishHindi
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About

Jamila R. is a B.Pharm graduate specializing in Healthcare Claims & Data Analytics, with extensive experience in remote environments. She has worked as an Rx Payment Accuracy Specialist at Cotiviti, where she audited pharmacy claims for US health plans, ensuring compliance with payer guidelines and maintaining payment integrity. Her role involved identifying discrepancies, overpayments, and inconsistencies in claims, contributing significantly to improving payment accuracy. At Amazon, she managed US and Canada customer queries in a high-pressure, remote international setting, demonstrating excellent communication and multitasking skills. Her technical proficiency includes Microsoft Excel and an evolving expertise in SQL, Power BI, and Python. Jamila is also building competencies in AI for healthcare, signaling her commitment to advancing her skills in the industry. Her aim is to secure remote roles in medical billing, claims analysis, or pharmacovigilance.

Experience

  • Rx Payment Accuracy Specialist

    Cotiviti Pvt Ltd, India · 2024 — 2025
    Conducted reviews and audits of pharmacy claims to ensure payment accuracy for US health plan accounts, adhering to payer guidelines and billing standards. Discovered discrepancies, overpayments, and billing inconsistencies in Rx claims data, aiding in maintaining payment integrity. Upheld accuracy and quality standards in a compliance-driven claims processing setting, collaborating with cross-functional teams to address claim exceptions and promote workflow continuity. Functioned within a HIPAA-compliant environment managing sensitive US healthcare payment data.
  • Pharmacy Intern / Clinical Training Intern

    ECHS Polyclinic, Command Hospital Pune · 2023 — Present
    Acquired practical experience in hospital pharmacy operations, including medication handling systems and patient-care workflows. Gained insights into pharmaceutical dispensing, clinical coordination, and healthcare documentation.
  • Customer Service Executive

    Amazon (Amazon Web Services) · 2020 — 2021
    Oversaw the resolution of customer queries for US and Canada accounts in a fully remote, high-volume international setting. Ensured compliance and quality standards were met while navigating complex escalations under pressure. Developed strong remote work discipline, multitasking skills, and effective written communication within a multinational corporate environment.

Skills & Expertise

Education

  • Bachelor of Pharmacy
    M.C.E. Society's Allana College of Pharmacy, Pune · 2020 — 2024

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