Abishek Shaji
Trivandrum
Summary
I'm a motivated and enthusiastic individual with a strong interest in the business and management sector. I have worked under Care Revenue an RCM-based operations company in dental insurance.
I'm a Proficient dental Insurance Coordinator with a strong background in Medicare, Medicaid, HMO, and PPO insurance processing. Highly organized and adept at streamlining claims and ensuring insurance eligibility. Ready to bring talent and expertise to a growing organization.
I have outstanding communication skills and can communicate effectively with a wide range of people. I'm looking for a job position to utilize my knowledge and experience.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Junior Insurance Claims Specialist
Good Methods Software Solutions
Trivandrum
03.2023 - 02.2024
- Verified patient insurance coverage and eligibility for dental services.
- Created and maintained accurate electronic records of all insurance claims and payments.
- Corresponded with providers, and insurance companies to ensure timely processing of claims.
- Updated patient records when necessary due to changes in coverage or benefit levels.
- Processed requests for pre-authorization of treatments from providers on behalf of patients.
- Reviewed the accuracy of data entered into a variety of computer systems and databases.
- Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided.
- Complied with insurance regulations dictated by local, state and federal agencies.
- Performed insurance verification, pre-certification and pre-authorization.
Education
Bachelor of Business Administration -
Christ Nagar College
04.2022
Higher Secondary, CBSE ( Commerce ) -
Christ Nagar Senior Secondary School
03.2019
High School, CBSE -
Christ Nagar Senior Secondary School
03.2017
Skills
- Problem-solving
- Insurance claims processing
- Customer service and assistance
- Communication Skills
- Decision Maker
- Coverage assessments
- Revenue Cycle Management
- Dental insurance experience
- Excellent Use of Microsoft Word, Excel, and PowerPoint
Personal Information
- Date of Birth: 05/09/2001
- Nationality: INDIAN
Languages
- English
- Hindi
- Malayalam
Hobbies
- Driving (Passionate About Cars)
- Outdoor Games (To spend quality free time)
- Hiking (Recently completed hiking to Agasthyamalai)
Projects
A Study On Dealership Service Quality With Special Reference To EVM Passenger Cars India Pvt Ltd
Affiliations
- I am also an adventure seeker and also have a great interest in traveling and experiencing the different cultures around the world
- I find a great affection towards football which i enjoy playing regularly
Certification
- HIPPA Certification.
References
- Parvathy G.S, Professor, Christ Nagar College, parvathy1013@gmail.com
- Neethu Lekshmi G.V, Professor, Christ Nagar College, neethuvasudevan13@gmail.com
Disclaimer
I hereby declare that all the details provided above are true to the best of my knowledge.
Timeline
Junior Insurance Claims Specialist
Good Methods Software Solutions
03.2023 - 02.2024
Bachelor of Business Administration -
Christ Nagar College
Higher Secondary, CBSE ( Commerce ) -
Christ Nagar Senior Secondary School
High School, CBSE -
Christ Nagar Senior Secondary School
- HIPPA Certification.
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