ASHISH KUMAR SRIVASTAVA
NOIDA
Summary
Highly productive Subject Matter Expert with expertise in claims processing, payment posting, and denial management. Known for efficient task completion and clear communication skills. Adept at working with insurance companies to ensure timely payments. Strong team player with adaptability and a passion for growth.
Overview
7
7
years of professional experience
Work History
Subject Matter Expert
Technocraze Solutions Pvt Ltd
01.2022 - Current
- In US Healthcare to work on the payments Received from various insurances to post in patient's account.
- Provided subject matter expertise and guidance to cross-functional teams in the development of new software's.
- To follow up on claims submitted to insurances and take info about paid and unpaid claims and denials and request the EOB for reference and post the payments for the claims as per the info received against the services via EFT or check.
- To enter the Charges to the services rendered and update the Demographics details and Diagnosis done as per the place of service.
Sr. Associate/Subject Matter Expert
Capline services Pvt Ltd
03.2019 - 12.2021
- To check the services rendered by Providers and audit the same considering the eligibility, remaining benefits, age limitation, frequency check and other factors responsible in getting the claim being paid in full by insurance company.
- To check the Credentialing status of Providers with insurances and get the pending status of the providers to get them on board with insurances by filling the applications as per the insurance requirements.
- To follow up on claims submitted to insurances and take info about paid and unpaid claims and denials and request the EOB for reference and post the payments for the claims as per the info received against the services via EFT or check.
- In 6 Months of SME, Mentored junior staff members on best practices related to various software's and how to work on denials..
Sr. Associate
I Energizer
01.2018 - 12.2018
- The responsibilities include placing the orders for the customers to domino's and able to provide them all the customer level support in order to give them a better experience while placing orders.
- Provided direction and guidance to junior associates on complex tasks.
Education
MBA - Information Technology
D.Y. Patil Viyapeeth
Pune07-2023
B.C.A. - Information Technology
IGNOU
01.2019
Skills
- Leadership Quality
- Communicating Skills
- Training and Mentoring
- Strong analytical skills
- Quantitative skills
- Performance Management
- Key Performance Indicators
- Multitasking
Personal Information
- Father's Name: Mr. Vinay Kumar Srivastava
- Date of Birth: 11/09/98
- Nationality: Indian
- Marital Status: Unmarried
Timeline
Subject Matter Expert
Technocraze Solutions Pvt Ltd
01.2022 - Current
Sr. Associate/Subject Matter Expert
Capline services Pvt Ltd
03.2019 - 12.2021
Sr. Associate
I Energizer
01.2018 - 12.2018
MBA - Information Technology
D.Y. Patil Viyapeeth
B.C.A. - Information Technology
IGNOU
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