CURRICULUM VITAE

SULAIHA BANU.S Email. adnn1b@r.postjobfree.com

W/O Nizar Ahamed.M Mobile: +91-908*******

R.Pudukottai,

Vedasandur (T.K)

Dindigul (D.T).

Career Objective:

Looking for a long term association with an organization having dynamic work environment where my skills could be enhanced and grow in the hierarchy of the company.

Professional Summary:

5+yrs. of experience in Medical Billing, Adjudication Process and Gamma application.

Experience in Handling HDC (High Dollar Claims).

Conducted Test on Project related queries.

Adapting expertise with the changing environment.

Diligent, target-centric and result-oriented.

Attend Experience in SGA (Small Group Activity).

Ability to modify a Training resources performance equals to live resources.

Educational Qualifications:

Degree

University / Board

Year

Percentage

B.E (CSE)

P.G.P College of Engineering & Technology,Namakkal.(Anna University)

2008 – 2012

73.2%

12th

GOVT HIGHER SECONDARY SCHOOL. K.Ramanathapuram

March 2008

68.9%

10th

GOVT HIGHER SECONDARY SCHOOL. K.Ramanathapuram

March 2006

71%

Technical Skills:

Operating systems : Windows 2000, Windows Xp, Windows 7.

Network Management : Ms - Office - Ms Word, Excel, PowerPoint

Achievements:

Got Client appreciation for Consecutive 1 year without any defect about project.

Got the “Best Performer awards & Certificates” received from management at many times.

Professional Experience:

Source HOV, Chennai - Senior Processor (ATL-Acting team lead) (OCT 2012 to MAR 2015)

DDC is one of the systems in Anthem Edit resolution project. It deals with Medicare claims processing. After completing the Data entry team, Claim will receive with some edits (Member edit, Provider edit, Medicare payment edit) for payment. Receive 3 types of claims (HCFA, UB, Non-standard forms)

Project Name : Anthem DDC (Direct Data Capture), HIX, PEX.

Team Size : 25 Members

Roles & Responsibilities:

Processing Facility, Medicaid and Medicare claims.

Team handling

Exception report daily basis sent to customer

Reporting line level Status to Project coordinator

Error report analysis

Customer mails handling

Report consolidation

Troubleshooting to team member and get update to training to and convey to the team members

Handling Respective LOB’s (Line of Business).

Buddy Audit Process

Presentation(Team Production efficiency report, Internal audit report, CQR report & Site Dashboard)

Handling & planning the team in delivering the required production as per customer requirement

Circulating monthly Audit reports to team and management

Conducting the regular feedback sessions to team based on Internal and customer audit error claims

Cognizant Technology Solutions, Chennai - Senior Processor (SEP 2015 to NOV 2017)

Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy.

Project Name : Credentialing

Team Size : 25 Members

Roles & Responsibilities:

Processing Facility, Medicaid and Medicare claims.

Team handling

Exception report daily basis sent to customer

Mirna Technologies, Chennai - Team Leader/Project Coordinator ( DEC 2017 to OCT 2019)

Project #3

Conversion of scanned images to a particular format of client choice.

Project Name : Image Data Entry/ Newspaper Zoning

Team Size : 20

Roles & Responsibilities:

Team handling

Exception report daily basis sent to customer

Error report analysis

Customer mails handling

Report consolidation

Troubleshooting to team member and get update to training to and convey to the team members

Handling & planning the team in delivering the required production as per customer requirement

Organizational Skills:

Good decision maker.

Ability to manage small team of people and motivate them for successful completion of projects.

Ability to work hard and grasp things effectively and quickly.

Self Confidence Adaptability.

Always trying to be innovative and active in any pursuit.

Good team worker with strong quickly initiative and ability to learn.

Willing to work in new Environment with new technology

Personal Profile :

Name : S.Sulaiha Banu

Date of birth : 21.05.1991

Husband’s name : M. Nizar Ahamed

Gender : Female

Languages known : Tamil, English and Arabic

Nationality : Indian

Permanent address : R.Pudukottai (P.O),

Vedasandur (T.K),

Dindigul (D.T),

Pin code - 624706

Declaration:

I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars.

Date:

Place: Chennai. SULAIHA BANU .S

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