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Work Background
Starmark SoftwareSr. Analyst
Jan. 2024Bengaluru, Karnataka, IndiaPatient financial services
OptumSr. Clinical admin coordinator
Jun. 2021 - Sep. 2022Bengaluru, Karnataka, IndiaPositions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.
LogixHealthSr. Provider Reimbursement Specialist
Oct. 2019 - Jan. 2021Bengaluru, Karnataka, India{Doctorpayments.com©®™}
Billing & Helpdesk medical proceedings.
Patient Pre-Authorization and Advanced Patient Eligibility Verification.
Claim Denial Management
Medical Coding Review by Certified Coders
Charge Entry Scrub and Claims Submission
Payment Posting
Patient Statements Processing
Aggressive Claim Follow-up
Regular Patient AR Follow-up
Patient Call Inquiries
Secondary Claims Processing
Regular Customized Reports
MACRA compliance
Denial Management, claim appeal, and credit balance resolution
Generate Reports- daily, weekly and monthly reports based on requirement and lots more.
UnitedHealth GroupBenefits & Configuration (CSR)
Sep. 2013 - Nov. 2017Bengaluru, Karnataka, IndiaMedicare, HIPPA, CMS, HEDIS, DME,Claims, denial, PCP Specialist, Utility management, AARP, Enrollment, Audits, QC, QA, Behavioural health, indexing,abstraction, EOB, etc
AOLCustomer Service Executive
May. 2011 - Jul. 2013Bengaluru, Karnataka, IndiaAOL.com Aim Messanger AOL Desktop Dial Up AOL Kids Aol security and other services. Password reset for Aol email account holder across the globe and assisting Aol dial-up premium users with billing and escalation, helping to download and install applications included with the subscription such as Mcafee Antivirus, Lifelock Identity protection, AOL computer check Up, System mechanics, Hyatt legal services, and pitching for additional security software for their computers also assisting members to get started with AOL Desktop software Dial up internet connectivity setting basic trouble shooting also assisting withAOL email interface and advanced control setting with multi Screen names for home and enterprises with advance security and parental controls. assisting paid aswell as free stakeholders of both AOL & Aim messengers.
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