Specialist in AR REIMBURSEMENT

KALYANI.A

Phone : 861*******

E-mail id : ***********@*****.***

OBJECTIVES:

To work as a key factor in challenging environment that provides opportunities for personal and professional development which will help me to explore myself fully and realize my potential as well as to contribute to the organization's effectiveness in order to take the company to the top position wherever I work.

Qualification

Institute

Year of Passing

Aggregate %

BCA

Nehru arts and science college, CBE

2013 – 2016

70%

HSC

Corporation girl's higher secondary school, CBE

2012 – 2013

58%

SSLC

RKV CBSE school, CBE

2010 – 2011

68%

ACADEMICS:

EXPERIENCE

Company : LOGIX HEALTH SOLUTION

Designation : SPECIALIST PROVIDER REIMBURSEMENT

Duration : From 31 Oct to Till now

Responsibilities

Work for the provider under multiple clients & followup the update for the particular client.

Gather & analyzing data for the claim submission.

Performing verification details,patient issues under rejection and denial & run payment analysis report & verify the provider issue to make resolve.

Updating and uploading the necessary document as per the rejection & denial requirement.

Other Responsibilities

Allocate the cliam for the employees.

Mentoring the New employees & collecting data to submit to my superior.

Updating EOD & Weekly tracker.

Sharing the new findings for the co-workers.

Achievement

Got Award for maintaining quality & production twice.

PREVIOUS COMPANY EXPERIENCE

Company : ACCESS HEALTHCARE

Designation : SR.CLIENT PARTNER

Duration : From 18 July 2016 to 28 Oct 2018

Responsibilities

·Handled patient claims individually

·Gathering, compiling and analyzing data necessary for claims submission.

·Handling claims procedures for clients and guiding them on submitting additional documents.

·Performing eligibility check, reviewing and submitting health claims.

·Review Patient bills for accuracy and completeness and obtain any missing information.

·Check each insurance payment for accuracy and compliance with contract discount.

·Identified issues that may affect billing and determined the proper course of action.

·Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

·Identify and bill secondary or tertiary insurance .

·Research and appeal denial claims

Other Responsibilities

Mentoring the New employees & collecting data to submit to my superior

Sharing the new findings for the co-workers.

Achievement

Got Award for maintaining quality & production.

COMPUTER SKILLS

·MS Word, Excel, Power Point

·HTML

·C++

·Dot Net

CO – CURRICULAR ACTIVITIES

·Participated in National leve l technical seminar on Technology Transfer “SIGN-IN SHINE-OUT” (SISO).

·Participated in “HEP 2013 – Attempt to Guinness Record Event”.

·Participated in “Wall magazine” by CAA events.

EXTRA CURRICULAR ACTIVITIES

·An active SCOUTS member and have attended many camps and won prizes.

·Won prizes and certificate in Kho – Kho, Volley ball, Running race.

PERSONAL DETAILS

Name : Kalyani.A

Father's Name : Arumugam.C.M

D.O.B : 09.12.1995

Gender : Female

Nationality : Indian

Address : No:4 Ayyappa Nagar 2, Mahalaxmi temple opp,

Eachanari, Coimbatore-641021.

DECLARATION:

I here by declare that the details furnished above are true to the best of my knowledge and belief.

Place : Coimbatore Your Sincerely,

Date : (KALYANI.A)

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