Hi, I’m
Abhishek D
Healthcare Professional
Bangalore
Summary
Highly efficient, well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency.
Overview
3
years of professional experience
3
years of post-secondary education
Work History
R1RCMBangalore
Associate
03.2022 - Current
Job overview
- Analyzed the reasons for the credit imbalance and resolved the credit.
- Contacted Health Insurance Companies to check on the denials, excess payments and took necessary steps to resolve the credit.
- Created Insurance and patient refund letter for refunding the excess payments received from both Insurance companies and patients.
- Conducted presentations to upper management to resolve aged credit.
- Led projects and analyzed data to identify opportunities for minimizing the credit imbalance.
HGS Pvt LtdBangalore
Claim Process Consultant
06.2017 - 12.2019
Job overview
- Processed insurance claims based upon established claim processing criteria.
- Followed up on potentially fraudulent claims and denied them as duplicate.
- Evaluated and settled complex insurance claims within timeframe.
- Worked on correspondence letters for reimbursement on excessive paid claims.
- Handled escalation emails.
- Provided training for the new joiners.
Education
Bapu Degree CollegeBangalore
Bachelor of Commerce from Accounting
06.2013 - 04.2016
Skills
Documentation abilities
MS Office
Flexible and Adaptable
Good Telephone Etiquette
Multitasking Abilities
Timeline
Associate
R1RCM
03.2022 - Current
Claim Process Consultant
HGS Pvt Ltd
06.2017 - 12.2019
Bapu Degree College
Bachelor of Commerce from Accounting
06.2013 - 04.2016