Abhinav Tyagi

Project:- Asset Management

• Preparing Quotes in JD of SalaryPlan, Easy Plan and Full-Service corporate Clients.
• Dealer Change in JD.
• Color Change in JD after receiving confirmation from Users.
• Knowledge of Order Cancellations in JD
• Knowledge of SalaryPlan Portal.
• Checking orders and processing the orders received from SalaryPlan users received through online portal, after checking signed OC and PI received from dealer.
• Username creation and amendments in Address book in JD.
• Maintaining and Saving all signed Order confirmations received from Users on SharePoint.
• Amendments in Order as per invoice receiving from dealer.
• Processing the orders after receiving vetting email from Purchase team.
• Revisions in orders as per PI received and according to the Account Manager advise.
• Sending daily orders report and pending orders details to All team.
• Preparation of various Marketing reports (MIS) Monthly, Weekly.
• Co-ordination between sales team and internal department regarding sales till dispatch.
• Also Communicate the Client everyday.

Project:- Credentialing Specialist

. Highly organized and detail-oriented Credentialing Specialist with 3 Year experience in verifying and processing provider credentials for Healthcare Company. Possesses in-depth knowledge of relevant regulations, accreditation standards, and credentialing procedures. Proven ability to manage multiple tasks efficiently, communicate effectively with providers and internal stakeholders, and ensure all credentialing files are complete and accurate.

• Processing initial credentialing and re - credentialing applications.

• Screening Practitioner's applications and supporting documentation to determine eligibility.

• Collecting information from the National Practitioner Data Bank (NPDB) , Malpractice Insurer , PRMS , Medicare Opt-Out , National Student Clearing House (NSCH) and other relevant resources.

• Present applications to the facility's Credentialing Committee.

• Capture primary source documentation in computer databases.

Medical Underwriting:-

• Prepare member information in census along with dependent given.

• Log the plan medical information and claim summary in medical templates.

• Run different tools like ARME, DEBIT TOOL, CURV to perform critical calculation. • Perform Internal audits to ensure better project quality in stake.

• Helps in facilitating Project training to new team Member