Durga Prasad Vattikunta
Associate Enrollment Eligibility Representative at Optum | Healthcare Operations | US Claims Processing Specialist
- Role
- Process Associate at Optum
- Location
- Vijayawada, AP, IN
- LinkedIn followers
- 500 followers
About Durga Prasad Vattikunta
I am a results-driven Healthcare Operations professional with a specialized focus on Enrollment Eligibility and US Claims Processing. Currently at Optum Global Solutions, I manage complex member eligibility for Medical and Pharmacy benefits while maintaining a consistent 100% accuracy rate. My expertise lies in navigating the Facets platform (Unison/RV 4.71) and Citrix environments to ensure seamless data integrity. I have a proven track record of handling high-volume workloads, consistently validating and indexing 200-250 members or documents daily while strictly adhering to Turnaround Time (TAT) protocols. Beyond my core operational tasks, I am passionate about leadership and team development. I have served as On-the-Job Training (OJT) support for new hire teams and lead team update meetings to ensure project goals are met. My experience includes working closely with Onshore teams to resolve complex process queries and updating critical member information, such as Primary Care Physician (PCP) details. Core Competencies:Systems: Facets (Unison & RV 4.71, CSP), Citrix, MS Office. Domain: US Healthcare (Medical & Pharmacy Benefits), C-SNP Enrollment. Soft Skills: Team Leadership (OJT), Data Analysis, and Solution-Oriented Problem Solving. I am always looking to connect with professionals in the Healthcare and Operations space. Feel free to reach out!
Experience
Process Associate
May 2025 — Present · Hyderabad, IN
Working knowledge on Platform/ Applications: • Citrix, Facets (Unison Facets 4.71, RV Facets 4.71, CSP) Roles and Responsibilities: • Checking member eligibility for medical and Pharmacy benefits. • Fixing the member Demographic Errors. • Daily tasks will require to input, review, research, verify, update, or correct member information. • Maintaining instructed TAT on timely manner. • 100% accurate in processing claims for various states in United States. • Validation/ Indexing of minimum 250-300 documents per day. • Understanding Issues & Problems of project and Tasks initiative to Resolve. Experience - 2 • Chronic Condition Special Needs Plans (C-SNPs) are that restrict enrolment to special needs individuals with specific severe or disabling chronic conditions like Diabetes, Chronic Heart Failure and Cardiovascular Disease. Member should have at least one chronic disease to enroll in this plan.
Education
The Board of Secondary Education, Andhra Pradesh (BSEAP)
10TH CLASS
Vishista Engineering Incorporation
High School Diploma, MPC
Rishi Degree College
Bachelor of Science, Computational Science
ZPH School
High School Diploma
Board Of Intermediate Education Andhra Pradesh
Intermediate, MPC
Krishna University, Machhlipattanam
Bachelor's degree, Computer Science
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