Manager Medical

PERSONAL INFORMATION

Abhijeet Das

Cell: +91-928*******

E-mail: *******.*****@*****.***

OBJECTIVE

Experience of more than 2 years in the field of Inbound call handling in Medical Claims, Coding & Insurance Billing/Management under Healthcare sector. Looking for position with reputable organization where my communication skills will be assets.

CARRIER SUMMARY

Exceptionally good at dealing the customer's queries and complaints with the strong power to resolve the problems.

Experienced in US Medical Billing

Experienced in Medical Coding

Knowledge in Linkage & PQRS

Excellent verbal & written communication skills

WORK EXPERIENCE

Omega Healthcare Management Services, Bangalore May 2016 – May 2018

Sr. Associate

Handling Inbound & Outbound calls with the end customer for eligibility verification & query solving.

Comprehensive knowledge of medical coding terminologies, guidelines & billing standards, procedures and practices.

Intimate knowledge of HMO, PPO, commercial insurance, workman's 'comp', Medicare, Medicaid, BCBS, Cigna & United Healthcare.

Helping the team in auditing the charts.

Prepare daily work reports and present the same to manager.

Participate in weekly & monthly calibration conducted with the client.

Maintain the confidentiality of the patients according to HIPPA.

All other duties as assigned.

WNS Global Services Pvt. Ltd, Nasik May 2013 – May 2016 Associate – Quality

Good knowledge in US Healthcare Billing & Coding

Attend and participate in daily team briefings and promote prompt resolution of issues

Prepare daily & weekly performance reports and present the same during team meetings

Responsible for in depth investigation & identifying the root cause for issues

Participate in monthly calibration conducted with the client

Successfully attend the super audit (audit the auditor) & Process knowledge test (PKT) on monthly basis

Vast working experience with ITeS software

Responsible for reporting on-going issues to Direct Manager

Maintain the confidentiality of the patients according to HIPPA

All other duties as assigned

TRAININGS

Attended “Lean & Basic Six Sigma” Training

Trained on ICD-10

ACADEMIC QUALIFICATIONS

2013, BSC (Computer Science), G. D. Sawant College, Nasik

2007, H.S.C, G. D. Sawant College, Nasik

2005, S.S.C, St. Lawrence High School, Nasik

PERSONAL SKILLS

Self confident

Trustworthy

Multi-tasking

Can Handle stress

Can work on Deadlines

Extensive PC skills in the use of Microsoft Office Suite. (Word, Excel & Power Point)

REFERENCES – Will be furnished upon request

Place:

Date:

ABHIJEET DAS

Contact this candidate