SWAN medical Billing
ANIMA KUMARI
SENIOR PROCESS DEVELOPER
Noida,UP
Summary
Experienced Senior Process Developer with over 9 years of experience in Medical Billing. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
4
4
years of post-secondary education
10
10
years of professional experience
Work History
SENIOR PROCESS DEVELOPER
GENPACT PVT. LTD
Noida, Uttar Pradesh
01.2015 - Current
- Tools used : SWAN
- Responsibilities:.
- Assessing medical claims with proper diagnosis and benefit heads.
- Handle responsibilities of reviewing remits from payers for secondary billing to ensure correct total charges and patient liability are being billed.
- Highly skilled in processing claims forms for payment ensuring all information is supplied previous to eligible payments are made.
- Thorough understanding of medical terminology in relation to diagnoses and procedures.
- Detecting potential frauds in claims processing.
- Knowledge of ICD 9 codes while processing claims.
- Training and mentoring new joiners.
- Auditing claims and helping team to mate quality.
- Maintaining Quality Data and cascading to team and FLMs.
- Handling a team of 10 people as solving their issues.
- Maintaining their attendance and ensuring they met their SLAs within timeframe.
- Identified issues, analyzed information and provided solutions to problems.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Developed team communications and information for meetings.
- Used Microsoft Word and other software tools to create documents and other communications.
- Maintained energy and enthusiasm in fast-paced environment.
Senior Process Associate
Genpact
Delhi, Delhi
11.2013 - 12.2014
- Met all deadlines, including month-end reporting objectives.
- Processed payments promptly and sent to appropriate entities to avoid delays.
- Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes.
Process Associate
Genpact
Delhi, Delhi
11.2011 - 11.2013
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
- Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes.
- Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.
Education
BSc. - Biotechnology
CCS UNIVERSITY
Greater Noida 06.2007 - 06.2010
12th - BIHAR
10th - undefined
C.B.S.E
DIPLOMA - Clinical Research
VIMHANS
New Delhi 12.2010 - 12.2011
Skills
Process improvements
Accomplishments
- Bronze Award for Meeting SLA by client in 2012.
- Annual Award for 96.1% quality Accuracy by client in 2013.
- Silver Award for to meet SLA and query resolution in 2017
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Maintain Support Point Document which led to resolve day to day query.
- Supervised team of 10 staff member.
Software
Interests
Internet Surfing, Cooking
Timeline
SENIOR PROCESS DEVELOPER
GENPACT PVT. LTD
01.2015 - Current
Senior Process Associate
Genpact
11.2013 - 12.2014
Process Associate
Genpact
11.2011 - 11.2013
DIPLOMA - Clinical Research
VIMHANS
12.2010 - 12.2011
BSc. - Biotechnology
CCS UNIVERSITY
06.2007 - 06.2010
10th - undefined
C.B.S.E
12th - BIHAR
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