Manikandan.M
E-mail: ************@*****.*** ©: +*1 –904-***-****
CAREER OBJECTIVE
Desirous of having a career oriented job where I am able to give my full Contribution towards the growth of the organization.
PROFESSIONAL EXPERIENCE
Company : Dell Services (Jun’10 to Sep’12)
Designation : Data Analyst / Auditor - Senior Representative. Company : AGS Health ( Oct’12 to Jun'18)
Designation : Senior Process Representative
Work Profile
TTotal Exp: 7+ years
Dedicated Payment Poster with 7 years of experience of analysing and posting health insurance Payment. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service. Company : Dell Services
Designation : Data Analyst / Auditor - Senior Representative.
Act as carrier between the provider and member. Posting payment or denials to Providers by the insurance policies..
Performed audits for Training Associates.
Re-searches claim overpayments and requests Re-funds.
Followed Guideline policies and procedures to make sure proper payment Posting of Claims.
Provided timely customer service to members, providers, billing departments. Company : AGS Health
Designation : Senior Process Representative.
Preparation of Cashsheet with help of Bank Websites.
Retrieving the Supporting documents from WebSource.
Posting Payment & Denials.
Tracking Secondary reports & Forwarding to Claims Dept.
Working on AR reports, Charges, & Claim accounts.
Identifying the Overpayment claims and Preparing Re-Funds Packet.
Conducting Project Trainings & Q.A for Training Associates.
Involved in Weekly, Monthly report generation as per the client requirement. Key skills:
Good knowledge in claims life cycle and denial management (RCM)
End to End experience in Healthcare payer and provider operations. Educational Qualification:
Qualification Board/University
Year of
Completion
Percentage
B.C.A Madras University 2010 58
HSC State board 2007 67
SSLC Matriculation 2005 67
PERSONAL PROFILE
Father’s Name : Muthu.P
Date of Birth : 25.10.1989
Gender : Male
Religion : Hindu
Nationality : Indian
Languages Known : English and Tamil.
Address of Residence : 39A, Nerkundram Pathai, Vadapalani, Chennai – 600026.
DECLARATION
I hereby declare that all the above mentioned details are true to the best of my knowledge and belief.
Date : Yours Sincerely,
Place : Manikandan.M