Pavan Kumar Nallolla

Senior Reimbursement Specialist

adcuwt@r.postjobfree.com

+91-903*******

Kadiri, Andhra Pradesh, India

Career Objective: To make use of my interpersonal skills to achieve goals of a company that focuses on client satisfaction and client experience.

● Worked as, Senior Specialist at LogixHealth Care from more than July 2017 to February 2020.

● Worked as, Senior Reimbursement Specialist at Pradot Technologies from May 2016 to July 2017.

● Worked as, RCM Associate at Futuristic Giga Tech Pvt Ltd from July 2015 to April 2016. Professional Summary

Overall 4 years 3 months of experience in KPO industry that includes Demo entry, Charge entry, Payment Posting, EDI Rejection, Insurance and Benefit Verification, AR Calling, AR analysis, Provider Enrollment, Denial Management, Appeals etc.

Enrolling the providers profile in CAQH to get payment without fail from commercial payers.

Enrolling the providers profile with Medicare Railroad to get payment without fail.

Expertise in achieving the target by acknowledging the pending claims within the stipulated timeline.

Expertise in Appealing for denied claims.

Expertise in working on Denial management system.

A good team member with planning, analytical and monitoring skills.

Good communication skills, organizational skills and positive attitude.

Ability to work independently or co-operatively and to learn & adapt new technologies quickly and efficiently.

Educational Qualification:

Qualification

University/Board

Institution

Year of

Passing

Percentage

B.Tech Jawaharlal Nehru

Technological University,

Anantapur

SISTK,

Puttur

2013 59.43 %

.

Work History:

Provider Enrollment (July 2017 – February 2020) Logix Health Introduction: Enrolling the Providers to Commercial Insurance and Medicare Deactivation Client: Provider Enrollment

Role: Senior AR-Executive.

Responsibilities:

o Attesting the provider on TAT

o Ensuring the Providers should receive payments

o Interacting with Process Manager when required on process improvement plans. o Provider License, DEA CSR and State license should be up to date without fail. o Term the providers from CAQH as per Bedford instruction. o Medicare Deactivation process.

Software: CAQH, E-vips, All Scripts and PRM, CRM, ECW, Advanced MD. ECW (Dec 2015 – Jun 2017) Pradot Technologies

Introduction: It is an end-to-end process where we use to work on Denial Management, AR follow up, Appeals and EDI Rejection.

Role: AR-Executive.

Responsibilities:

o AR-Follow up, Analyzing, Handling denials, and Appeals o Ensuring the weekly logs is completed within T.A.T. o EDI Rejections.

Personal Information:

Date of Birth : 14/07/1992

Marital Status : Single

Nationality : Indian

Languages Known : English, Telugu and Hindi

Hobbies : Travelling, Reading

Declaration:

I hereby declare that the information furnished above is true to the best of my knowledge. Date: Yours Sincerely

Place: Bangalore Pavan Kumar Nallolla

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