Manager Years Experience

CURRICULUM VITAE

Nagendra B. S

Phone# 968-***-****

Email ID: ************@*****.***

Summary

V "7+ years experience in BPO Industry".

V "4+ years experience in Banking Field".

Organizations worked

V Sysinformation Healthcare India Pvt ltd. (May 2006 to Oct'2012)

V Affiliated Computer Services, Bangalore (August 2004 to Jan 2006)

V Bank of India (April 2000 to July 2004)

Experience

Currently working with MDCovered located in CA as RCM - work from home

option.

Worked in SysInformation Healthcare Pvt. Ltd., in Mysore as a Senior Team

Lead.

Roles and responsibility:

V Allocation proper work to appropriate team members.

V Weekly conducting the training for the team members in posting,

charges and demos for the week and providing the cheat sheet after the

training.

V Every month conducting the pre-assessment test for the team members in

posting, charges, AR, Current denials, Rejections and publishing the

marks.

V Monitoring the payments and charges weekly and monthly basis and same

to be updated to client

V Weekly conference calls with client and updating the status.

V Preparing and sending the weekly / fortnight / monthly reports to

clients.

V Preparing the weekly Operational slides and sending to the CEO /

Operations Manager which contains the weekly status of the project.

V Preparing the Health Meter reports and sending to the CEO / Operations

Manager which contains the project monthly information.

V Generating the AR Report for the month, Planning AR activities and

distributing works to the callers and analysts, Daily tracking the

production & calling.

V Handling the issue calls and Tracking & Resolving the EDI & Payer

rejection

V Knowledge of clearing house calling & resolving the Payer id issue and

Knowledge of appealing claims to difference insurance.

V Day to Day Mail communications with Client and handling issues Log in

Demos, Charges and Posting.

Work started in Sysinformation Healthcare Pvt. Ltd., in Mysore as Account

Receivable Follow-up (AR) -2006

V Processing the claims for doctors in states of Arizona.

V Calling insurance company on behalf of Doctor's Office.

V Checking the status of the claim in different insurance companies.

V Knowledge of U.S Insurance regulations and HIPPA compliance.

V Analysis the current denials.

V Assigning the AR from the after Analysis of the current denials.

V Post call AR Analysis

V Calling insurance company on behalf of Doctor's office.

V Knowledge of Billing patient

V Knowledge of posting

V Knowledge of pre & post call Analysis

V Knowledge of refilling claims.

Affiliated Computer Services, Inc. (ACS) : I Worked as an Associate (F&A

Dept) in ACS, an organization which has got CMM Level III Certificate,

fully diversified, end-to-end BPO & IT services, and I am one of the

awarded person from company for production and quality maintaining.

GMACI Request for Quote (RFQ)

V Achieved the quantity targets in RFQ process during the period.

V Maintained consistency in the quality in RFQ Process.

V Due to consistent performance I was transferred to PIP

(Personal Injury Protection)

V Received the Best Performer Award for the month of December 2004.

GMACI Personal Injury Protection (PIP - Semi voice Based Process)

V I was responsible for handling the process as well as assigning works.

V Used to communicate with the customers to obtain the required

information for Payment Processing.

V I was in-charge for requesting documents from clients, which is part

of our processing.

V Learning and implementing new way of Medical Payment process which

increased the quality and quantity.

V Processing claims for the states of Michigan, Florida and New York.

V Received the Best Performer Award for the month of February 2005.

Achievements - I received a couple of Best Performer Award from

Affiliated Computer Services India Pvt. Ltd., GMACI & PIP Department.

Bank of India:

I worked on temporary basis for 3 years. During which period I

performed the duties of collection of cheques through clearing and posting

vouchers receipts as well as payments.

I was an assistant to Managers in general administration. During this

period my job was to maintain stationery & related book/ledgers. Apart from

this I maintained of computers & printers lasion with various software and

hardware vendors.

Education Qualification

General (B.A) Economics in KSOU

Technical ITI in

Data Preparation & Computer Software

English Junior Typewriting

Computer Knowledge:

KEONICS MS-OFFICE

L.V.Compu Graphics Diploma in Computer Application

Windows, MS-Office, PageMaker, Prakashak.

Billing Software knowledge

Office Ally

AdvancedMD.

Medisoft

Billing Specialty

Radiology, Anethesia.

Personal Details

V Father's Name : Srinivasaiah (Late)

V Date of Birth : 15-05-1977

V Marital Status : Married

V Nationality : Indian

Date:

Place: Mysore (Nagendra B S)

# 498, 1st floor,

5th Cross, 15th Main,

Saraswathipuram,

Mysore-570009

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