D.Dharani ac3b4k@r.postjobfree.com

Mobile: 814-***-****

994*******

Career Objective

To find a challenging position in the organization and to meet my competencies, capabilities, skills education and experience in the area of Quality Improvement and Team Management through which I wish

to contribute to the development of the organization.

Areas of Expertise

Good experience in area of Team Handling, Accounts Receivables, Claims Adjudication and Enrollment-Maintenance in Healthcare Bps Industry.

Health Care Experience:

Working as a “Senior AR Analyst” & TTL in AGS Healthcare Pvt ltd. Chennai. From Oct 25 2012….( In Current)

TTL Responsibilities:

Work allocation to users based on priority(based on client expectation)

Doubt clarification and conducting meeting for the hurdles users often come across on a weekly basis.

Preparing and Sending the Daily, Weekly and Monthly Reports on Production of Action Taken Denied Claims to Client.

Attending client calls to maintain the production upto the expectations of the client with good quality.

Conducting one on one sessions every month and maintaining the attendance tracker.

Preparing and Sending the Daily, Weekly and Monthly Reports on Build up Error claims to Client.

Preparing and Sending the High Dollar Denied Accounts Actions Reports to Client.

Updating the Team Members according to the Client Mail for New Updates.

Handling the Client Mails on Daily Basis.

Communicating with the client through Mail In case of any Issues and Emergencies.

Accounts Receivables

Working on Provider side (Physician side) – as a AR Analyst.

Action on Olden days Bucket Denied Claims – Collecting Payment from Insurance Company.

Analyzing on Fresh Denial Claims – to make payment from Insurance Company- Daily Basis.

Working on Coding Response claims received from Coding Department.

Monitored client follow up High Dollar value accounts for payment receivables from Insurance Company.

Action – Clearing on Daily Build up Error Queue from Clearing House.

Working on Special Projects according to the client specifications.

Claims Adjudication & Enrollment and maintenance:

Adjudicated complex medical benefits claims

Reviewed medical reports related to disability claims

Consult through mail for medical professional regarding claims results

Review customer medical benefits and plan

Made final determinations of eligibility

Working on Payer side (Insurance side) – Enrollment, Maintenance – Manual Enrollment processing

Analysis on Lack of Information of Enrollment claims

Maintenance support – If in case of any missing info in enrollment – Resolve the missing issue for completion.

Sending letters to the customer or broker (Prior coverage and Address issue).

Auditing on Manual Enrollment processing

Daily follow up to the client for Issue log accts

Preparing Daily reports on Production and Quality for client needs

Preparing Consolidated reports on monthly basis for client needs.

Educational Qualification:

Bachelor of Computer Application (B.C.A) - Apr 2012

Quaide Milleth college for men, Chennai. (Affiliated to University of Madras)

Language Skills:

English – Read/Write

Tamil – Read/Write

Additional Skills:

Typing skills

Computer skills – MS Office

Sports Skills:

Chess game.

Cricket

Personal Details

Name : D.Dharani

Father’s Name : B.Devenderan (late)

Date of Birth : 02/28/1992

Marital Status : Married

Address : No.45, karunanithi 3rd street,

TP nagar, Tharamani,

Chennai-600113

Declaration:

I hereby declare that the particulars mentioned above are true to the best of my knowledge and belief.

(D.Dharani)

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