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Client Partner Analysis Process

Location:
Mumbai, Maharashtra, India
Posted:
May 27, 2024

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Resume:

Professional Experience

730**-***** **********@*****.***

A 501, Riddhi Siddhi, Sector 21, Kharghar, Navi Mumbai, 410210 Professional Profile Education

Passionate working professional with 4 + years of experience driving excellence in various fields. In depth experience working in healthcare industry, seeking a dynamic role in an organization to further explore myself and grow my potential. Calm and thoughtful, open to feedback.

Xth 2009 – 2010

Maharashtra State Board

XIIth 20 21 – 2022

Maharashtra State Board

Sep 2023 till current Sr. AR Oncospark pvt ltd

• Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

• Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

• Communicate any insurance changes or trends among team.

• Specialized in Oncology & Urology

• Prepare call notes, Initiate or execute the corrective measures

• Train new joiners about how to obtain authorization and use different portals.

• Audit new joiners file and give them appropriate feedback Sep 2021 – Apr 2023 Sr. AR Omega Healthcare

• Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

• Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

• Communicate any insurance changes or trends among team.

• Specialized in Oncology & Urology

• Prepare call notes, Initiate or execute the corrective measures Aug 2020 – Jul 2021 KYC Verifier Namr Infotech pvt ltd.

• Updated customer databases with relevant new information.

• Assisted KYC professionals in all aspects of the customer analysis process. Mar 2019 – Feb 2020 Sr Client Partner Access Healthcare,

• Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

• Request, track and obtain pre-authorization from insurance carriers within time allotted for medical.

• Prepare call notes, Initiate or execute the corrective measures. May 2018 – Feb 2019 • Mediserve solutions pvt ltd AR associate Provide accurate, valid and complete information by using the right methods/tools to the providers.

• Handle customer complaints and provide alternatives and/or solutions to ensure MAHENDRA DATTANI

resolution of complaints.

• Managing the customer complaint database.

• Providing customers with detailed information about policies and products. Additional Skills

• Proficiency in Excel

• Proficiency in Centricity and Onco emr, Centricity g4 & Greenway (CRM)

• Insurance Portals ex- Availity, Evicore & Carelon rx etc

• Good listener

• Adaptability

• Team worker



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