Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amar R

Bengaluru

Summary

With two years of comprehensive experience in healthcare claim processing, I am a dedicated and detail-oriented professional currently holding the position of Senior Associate. My background includes a significant tenure at Remedinet Technologies Pvt Ltd, where I honed my skills in managing healthcare claims for one year. Additionally, I have accrued over a year of experience at Arffy Technologies Pvt Ltd, further solidifying my expertise in the field. My current role involves meticulous handling of claim documents, efficient utilization of TPA portals, and ensuring timely communication and updates to hospitals. I excel in providing clear explanations regarding claims, advocating on behalf of patients or hospitals, and maintaining a high standard of service within strict timeframes. My commitment to accuracy and customer satisfaction drives my performance and contributions to the healthcare sector

Overview

5
5
years of professional experience

Work History

Senior Associate

ABI-Health Technologies Private Limited
05.2024 - Current
  • Receiving the documents from the hospital end.
  • Upload the documents to TPA Portal.
  • Generate the Preauth and Claims numbers, and follow those cases; check additional details like sum insured, room eligibility, etc.
  • Update letters on time to the hospitals.
  • Escalation the submitting cashless claims the online software application.
  • Clear explanation of the reasons about the claims and queries.
  • A time limit TAT that not less than 4hrs within which the claim status updating to the providers.
  • Advocated on behalf of a patient or hospital.
  • Provided information or filed a report to provider (Hospital) with appropriate claim regarding the Information and actions.
  • Provided direction and guidance to junior associates on complex tasks.

Senior Associate

Arffy Technologies Pvt Ltd
01.2021 - 04.2024
  • 1.4 year of Experience in Health care Claim processing

CRM Executive

Remedinet Technologies Pvt. Ltd
01.2022 - 01.2023
  • 1 year of Experience in Health care Claim processing

Education

P.U. COLLEGE -

LOYOLO P.U. COLLEGE
01.2017

Bachelor of Commerce - commerce

LOYOLA DEGREE COLLEGE
01.2020

Skills

  • Time management
  • Claim processing
  • TPA portal navigation
  • Cashless claims handling
  • Preauth generation
  • Healthcare regulations knowledge
  • Claims analysis
  • Problem solving
  • Training guidance
  • Customer relationship management
  • Team Leadership
  • Problem Solving
  • Documentation management

Timeline

Senior Associate

ABI-Health Technologies Private Limited
05.2024 - Current

CRM Executive

Remedinet Technologies Pvt. Ltd
01.2022 - 01.2023

Senior Associate

Arffy Technologies Pvt Ltd
01.2021 - 04.2024

P.U. COLLEGE -

LOYOLO P.U. COLLEGE

Bachelor of Commerce - commerce

LOYOLA DEGREE COLLEGE
Amar R