RESUME

Uzma Salim

Mobile: 991******* Email: acuhhy@r.postjobfree.com

EDUCATION PROFILE

BCA(Pass)

**** ** ****

Correspondence, IGNOU

60%

CAREER OBJECTIVE

To work in a highly Challenging Environment, This could best utilize my capabilities to take me to the heights of

Excellence.

WORK EXPERIENCE

IBM

Sr. Practitioner (Process Associate)

December 2011-July2014

Retain the customer by resolving the issue on calls.

Responsible for all accounts in my Bucket.

Document all call information according to standard operating procedures.

Provide customers with product and service information.

Worked in adjudication process to process the claim for the payment.

Worked on the claim which we received from provide side, analyze the claim and accordingly take action on that.

Send the query to provide for the correct claim information and generated the request.

Handle the provider call related to denial claim.

Pending the claim if information is missing and sent the query to provider to provider the all information.

Handle claims with different Insurances.

Receive the call from Provider office to provide the insured information as per HIPPA guideline.

Accretive Health Group Senior Analyst August 2014-March2015

Processing Denial claims of US clients.

Taking care of all AR denials in Medicare, Medicaid, Commercial &BCBS.

Dealing all types of insurance (Aetna, CIGNA, Humana, Anthem, worker compensation auto claims.

Follow up on unpaid claims as well as old claims.

Knowledge with insurance authorizations and denials.

Correct denial claims with correct information and re-submit claims.

Sovereign Health Insurance Verification Executive(voice) March 15- Feburary16

•Verifying Eligibility for Facility, entering patient information in detailed form.

•Maintained the Recode for all patients on daily basis.

•Do Monthly Eligibility.

•Call Insurance for Re-verification of Critical Patients.

•Checked General Eligibility & Benefits online and revert to respected TCs.

•Revert Mails to Respected TCs for any Enquiry.

•Take Initiatives to come Office on Holidays & Weekends.

•Provide on Floor training to Fresher Joining s.

•Audit the claims done by Fresher & New Joining s.

•Helping with training and development.

•Allocating tasks to staff.

Achievement

Appreciated by client to the perform good and fast delivery of work

Awarded to achieve my 100% target &100% productivity.

Responded to over 85 customer calls daily and solved 90% of their concerns

SKILL SET

Fast learner

Worked well with staff from other departments

Systematic & Organized with interpersonal & Presentation Skills.

Team leading Qualities.

Good in MS. Advanced Excel.

EXTRA CURRICULUM ACTIVITIES

Done Basic computer Course from Institute.

Done Graphic Designing course from International Computer Institute (Flash, Photoshop & Coral Draw)

AWARDS AND ACHIEVEMENTS

Participated in Pre-Senior General Knowledge Test held by United Schools Organization of India and qualified the test by scoring more than 50%.

Participated in Science Exhibition held at school level for model Circulatory System

OTHER INFORMATION

Hobbies & Interest

Swimming

Interacting with people.

Personal Details

Mailing Address: 948, Kucha Rohilla Khan, Darya Ganj, New Delhi-110002

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