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Engineer Medical Billing

Location:
Chennai, Tamil Nadu, India
Posted:
April 27, 2019

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Resume:

MOHAMMED HALITH A

Comprehensive problem solving capabilities including abilities to interact with people with varying personalities, willingness to learn, team facilitator and an excellent verbal communicator.

PERSONAL DETAILS

Mobile : +91-988*-***-***

E-Mail : ac879z@r.postjobfree.com

Date of Birth : 18-June-1984

CERTIFICATION COURSE

Domain Name : Software Testing

Institute : Accord info matrix

PROFICIENT SUMMARY

•Adequate knowledge in preparing test cases and test scripts.

•Sound knowledge in SDLC and STLC.

•Involvement in test execution, results analyzing and defect reporting.

•Good understand of review process & Involvement in RTM preparation.

•Extensive exposure in black box testing and well versed with defect life cycle.

•Exposure in Defect Tracking and Reporting Systems.

•Raising the Bugs in the Bug Reporting tool.

•Log files checking and reporting.

PROJECT DETAILS

Domain : Work shop management system

Environment : Net/SQL 2005

Project : Integrated Automobile System

DESCRIPTION

The part master screen provides the information about the available spare parts/oils/accessories. The screen provides option to the end user to create a new part/modify the details of existing part and to delete a part (if no transaction available). The current stock position of the particular part will be available for the user at any point of time.

ACADEMIC CHRONICLE

•BCA Annamalai University Chennai (2012).

•DECE – 81% (First Class with Honors) in the year 2005 - Sri Sai Ram Polytechnic College, Chennai.

TECHNICAL SKILLS

Functional Testing Tool : QTP, Load Runner

Query Language : SQL Server 2008

Operating System : Windows 98, 2000, 2003, Xp &

Win7

Application : MS Office, AutoCAD

PROFESSIONAL EXPERIENCE

CONCERN 1: TEKESSENCE SOFTWARE SOLUTIONS PVT LTD

Worked as a Senior Process Associate for 7 months from the period May 2014 to Nov 2014.

•Doing Quality check for the payment poster batches.

•Month closing with checking the monthly summary and yearly summary.

•Uploading the batches to the branch & allocating it. Keep follow-up to complete it within the time frame.

•Uploading and downloading the batches from client portal in the corresponding software.

•Intimate the error details to the branches with screenshot and maintaining the control log for billing the clients.

•Responsible to keep logs up to date and help others needed.

CONCERN 2: OMEGA HEALTHCARE MANAGEMENT PVT LTD

Worked as a Senior Process Executive for 2 years 11 months from the period April 2011 to Feb 2014.

•Worked in US Medical billing in the process for correspondence.

•Capture the Denial reason with ANSI Code As per EOB and Knowledge about payment posting & correspondence (Capturing denials).

•Clearing the clarifications for the client queries.

•Allocating batches to the colleagues & auditing (QA) the correspondence batches.

•Responsible to keep logs up to date and help others needed.

•Deliver the batches within the timeframe.

CONCERN 3: ACURUS SOLUTION PVT LTD

Worked as a Knowledge Associate Trainee for 1 year 2 months, from the period of Feb 2010 to March 2011.

•Responsible for daily batch posting, requesting insurance to be billed, weekly cycle closures, and monthly closures of hospitals

•Responsible to keep logs up to date and help others needed.

•Knowledge about EV (Eligibility Verification), Demographics and Payment Posting.

•Satisfying the Client’s requirement with quality and Time factor.

•Handling the Image management through the internal application for the projects.

•Taking the inventory for all the batches. Allocating Charge entry encounter forms as per the process

•Downloading the Explanation of Benefits from the insurance websites/clearing houses.

CONCERN 4: WIPRO INFOTECH FRANCHISE (CARE IT SOLUTIONS)

Worked as Customer Support Execute Engineer (Technical Support) for 2 years and 7 months, from the period of Sep 2006 to March 2009.

•Assembling, Installation, Configuration of the following OS’s Windows 95, 98, 2000, Xp, Window Server 2003 and MS-Office package.

•Checking the Quality of computer internal parts (MBD, Processor, ODD, Memory, KBD, SMPS, Mouse, CRT Monitor, TFT, FDD, DAT Drive & Speaker).

•Checking the functionality of all materials and observe the CID (Customer induced damage), VID (Vendor induced damage) and observe the NDF (No defect found).

•Servicing the DAT drives & assembling personal computer as per customer requirements.

•Data Recovery, Maintaining, Taking Backup, Trouble Shooting.

•Update & maintaining the data’s in Excel Sheet.

CONCERN 5: HCL INFOSYSTEMS

Worked as a Customer Support Execute Engineer, for 1 Year 2 months, from the period of Jun 2005 to July 2006.

•Knowledgeable experience on Assembling, Installation and Trouble Shooting.

•Experience in maintenance of PCs.

•Servicing the hard disk (IDE, SATA, SCSI), CD-Rom, CD-Writer & DVD-Writer.

ACHIEVEMENTS

•Omega Certificate of Recognition – Excellence award for the month of February 2012.

•Omega Certificate of Recognition- Season’s Champ for the months of January to March 2012.

•Wipro Certified Desktop Engineer – Wipro Info Tech in the year 2007.

Place : Chennai

Date :

[ A. Mohammed Halith ]



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