Medical Billing Process Associate

DEEPA C

Mobile: +91-866**-*****

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

PROFESSIONAL SUMMARY:

As a Process Associate with overall 2+ years of Experience in IT Service Management Group with special emphasis skills on the ITIL concept which includes Incident Management, Service Request Management, Service Level management, Service monitoring, Service reporting and Knowledge Management.

Worked in a professional IT Management Services for the various clients belonging to Financial, Telecom & IT Services industries for their Business operations and ITSM Processes.

EMPLOYMENT SUMMARY:

TECHNICAL SKILLS:

EDUCATION:

Working for the client Wind Stream as a Process Associate deputed from Prodapt Solutions Private Limited, Chennai. Dec 2021 to till date. Worked for the client M6 Patec as a Medical Billing Process through Accenture, Chennai. Jun 2021 to Nov 2021. Tools: Knowledge on the applications like ITSM tools – Citrix Receiver, Oracle, Ngmss, Cams and Dcris also MS Office package applications. Messengers Used: CISCO WebEx. Microsoft Teams, Zoom meetings. MS invoice online tool / CRM

B.Com- Corporate Secretaryship, Madras University (Passed out in 2019) ANNA ADARSH COLLEGE FOR WOMEN (Regular with 69%). M.Com- Corporate Secretaryship, Madras University (Passed out in 2021) ANNA ADARSH COLLEGE FOR WOMEN (Regular with 84%). WORK EXPERINCE:

Prodapt Solutions :

Migration (December 2021 - present)

Accenture:

Medical Billing (Jun 2021 - November 2021)

PERSONAL STRENGTH:

Our scope of work is to clean up the accounts in the paetec application that have been incorrectly placed in automation. Adding missed products & disconnecting incorrect products. Updating label and rate plan & Assigning TN.

Rebridging products & Disconnecting TN.

Disconnecting level 1 product with inactive level 2 product. Ensure and maintain the Dashboards, reporting, governance, monitoring and follow up the SMG process. Generate, create, and schedule the service reports as per the needs. Ensure performance dashboards are up to date as per the client’s requirement for all the ITSM process, which shows the status, ageing and up to date information. Manage, monitor, follow up, delivered, governance and close the tickets on up to date also generate the reports to the respective team.

Create, generate, maintain and responsible for all the report, dashboard, audits, analyse the service credits (SLA), and generate the KPI/PI reports on daily/Monthly basis as per requirements. Ensure that Incidents/Service Request fulfilment/ change tickets assigned to their Support Groups are resolved the incidents and that service is restored

Creating, managing, and analysing the incident and making a breach report also reviewing ageing reports and following up with backlog tickets for ensuring the status of the tickets getting resolved/closed by the concerned team. Reviewing the request as created by the Clients. As TAM worked on the instance as per Hours/day with calculated hours mentioned. For any completed contracts as raised by customers. As per SLA. Managing the billing service centre bill to the customer with appropriate Currency, Time and Management. Account for coding and abstracting of patient encounters Research and analyze data needs for reimbursement

Make sure that codes are sequenced according to government and insurance regulations Ensure all medical records are filed and processed correctly Analyze medical records and identify documentation deficiencies Serve as resource and subject matter expert to other coding staff Review and verify documentation for diagnoses, procedures and treatment results Identify diagnostic and procedural information

Ensuring the quality and accuracy of incident information, as appropriate. Monitoring the process. Identifying areas for improvement using key measurements. Positive Attitude, Preplanning, Self -confident.

Willingness to learn new things,

Flexible to work with others.

Ability to grasp and analyse concepts quickly.

PERSONAL DETAILS:

DECLARATION:

I hereby declare that above mentioned details are correct and genuine up to my best of knowledge. Signature

(DEEPA.C)

Father Name- Chokkalingam

Date of Birth- 16.12.1998.

Languages Known- English and Tamil

Extra-Curricular Activities- Music and Sports.

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