Amit Kumar

RZ-***B, Z Block Gopal Nagar

PH-II, Surakhpur Road,

Near ShivMandirNajafGarh

New Delhi-110043

Mobile:-+919*********

E-mail- adqmrt@r.postjobfree.com

Career Objective:

Looking for a position where I can acquire experience and build up a long term career by investing best of my professional knowledge and skills to serve the organization.

To gain progressive experience and work for result oriented challenging assignments, which allow me to utilize my administrative.

Educational Qualifications:

E x am P a s s e d Year of Passing Name of Institution B . A ( P a s s ) 2009 W i l l i a m C a r e y U n i v e r s i t y Intermediate (12th)

High School (10th)

2002

1995

N I O S B o a r d

C B S E B o a r d

Work Experience:

1. Bignaz Infotech Pvt. Ltd

Industry : Service Industry

Duration : Feb 2015 to Aug 2020

Designation : Claim Processor

KEY RESPONSIBILITY AREA:

Processed incoming Medicare claims in a timely manner while meeting quality guidelines.

Maintained knowledge on policies and procedures of processing on daily basis.

Worked with team members to ensure consistency among all staff in procedures used.

Detection of suspected fraud and referral for verification of claims

Maintain TATs for Medical Assessment.

Process reimbursement claims following SOPs, applying sound medical judgment based on best practice and in accordance with the conditions & terms of the policies.

Determined if claim submission was completed correctly, verified data and entered into system for adjudication.

Worked directly with beneficiaries to resolve any errors and answer any questions regarding eligibility status.

Reviewed payments history to determine final payment amount, if any

Processed claims adjustments when applicable

Provided independent decision making skills and demonstrated initiatives to resolve issues for internal and external customers

Assists with the training of new hires

Knowledge and use of ICD-9, ICD-10 and CPT coding 2. Bignaz Infotech Pvt. Ltd

Industry : Service Company

Duration : Feb 2012 to Jan 2015

Designation : Back Office Assistant

KEY RESPONSIBILITY AREA:

Supporting the Managers in drafting the periodical Insurance reports, to be presented to the Management by running information system queries.

Producing reports accurately and in a timely fashion

Supporting the Claims Manager in the process of drafting the periodical Claims reports

Responsible for back office functions include clearances, record maintenance, process data as per mapping sheets provided by clients.

3. Bignaz Infotech Pvt. Ltd

Industry : Service Company

Duration : Oct 2009 to Jan 2012

Designation : Data Entry Operator

KEY RESPONSIBILITY AREA:

Responsible for entering customer and account data from source document within time limits.

Compiling verifying accuracy and sorting information to prepare source data for computer entry.

Reviewing data for deficiencies or errors, correcting any incompatibilities and checking output. Computer Proficiency:

Completed One year Diploma in Computer Application (Course contents - Ms Word, Ms Excel, Ms Power Point). And other claim processing related software. Personal Information:

Name : Amit Kumar

Date of birth : 09thNov 1981

Nationality : Indian

Marital Status : Married

Father’s Name : Jagpal Singh

Languages Known : English, Hindi

Hobbies : Exploring Internet

Key Strengths : Team-work, Keen learner and ability to do new things. Delhi Amit Kumar

Dated:

Contact this candidate