Sirisha Sunkara
Clinical Investigator @Optum
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WORK HISTORY
Clinical Investigator @Optum
IN
Identifying discripecies between medical records and billed services of complex and high value claims by up-coding, unbundling, duplication and misrepresentation of services. Approve/ deny claims and identify provider aberrant behavior patterns using medical expertise, knowledge of CPT/diagnosis codes, CMC guideline, align with reffering to client specific guidelines and member policies. Prevent the payment of potentially fraudulent/abusive claims.
EDUCATION
Sri Sai College of dental Surgery
Master of Dental Surgery, Dentistry Periodontist, MDS
ABOUT SIRISHA SUNKARA
Specialized in prevention diagnosis and treatment of periodontal diseases, good clinical skills in non surgical treatments such as ultrasonic scaling, local drug delivery, curettage and surgical periodontal treatments such as esthetic surgeries, periodontal flap and plastic surgeries using lasers.
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