BHARANI G
Mogappair East
Summary
To get a growth oriented position in a reputed organization where my skills can be utilized for improvement and success of the organization.
Overview
7
7
years of professional experience
2
2
Languages
4
4
years of post-secondary education
Work History
HC & Insurance Operations Senior Associate
NTT Data
06.2022 - Current
- Proficient in claim processing tools( cenpas, Amisys, PSI, Trucare, DST pricing, cenprov, Icertics and pre auth.
- Processing experience with pay for performance and prepay audit for all lobs in Amisys .
- Member, Provider, Authorization, Encounter, manual pricing, COB , Duplicate and Highdollar.
- Review and analyze the history to pay or deny the claim with high quality.
- To ensure that transaction are completed accurately and on time in order to meet or exceed client SLAs.
Claims Processor
SOURCE HOV PVT LTD
08.2018 - 09.2021
- ROLES AND RESPONSIBILITIES:
- Project 1: B Blue Shield Of California (MEDSUPP INSTALLATION AND BILLING)
- I have been Worked for Blue Shield Of California which is a Health Insurance Company. We Actually Work in the Application called Citrix.
- We can Maintaining and Handling the Member and House Hold indicator which as the entire details about class plan contact information and Subscriber and Member Coverage
- Project 1: B Blue Shield Blue cross of Arizona (Claim adjudication)
- Works on Medicare Supplement claims.
- Claims loaded via access application and processed in Amisys application.
- Claim should be completed in both application in orderto pay/deny.∙
- This adjudication process is purely based on Medicare EOB (Explanation of benefits).
- All claims should be received with an EOB in order to process, claims without EOB can berejected directly without any inquiry.
- There is no timely filing limit for Medicare Supplement claims once the EOB is received.
- The claim should be processed based on the guideline provided by the client.
Education
B.Com -
Sindhi College of Arts And Science
07.2015 - 04.2018
12th State Board -
ST Paul’s Higher Secondary school
06.2014 - 03.2015
10th State Board -
ST Paul’s Higher Secondary school
06.2012 - 03.2013
Skills
Impressive Team Management Skills backed by an ability to get the best out of my Team
Interests
Watching Movies, Listening Music and Playing Games
DECLARATION
I do here by declare that the information furnished above is true to the best of my knowledge and belief. Place: Chennai Date: (Signature) (Bharani G)
CUST
- Father’s Name: GAENDRAN M
- Mother’s Name: AMUDHA G
- Date of Birth: 1998-03-02
- Age: 22
- Marital Status: Single
- Nationality: Indian
- Religion: Hindu
- Gender: Male
Timeline
HC & Insurance Operations Senior Associate
NTT Data
06.2022 - Current
Claims Processor
SOURCE HOV PVT LTD
08.2018 - 09.2021
B.Com -
Sindhi College of Arts And Science
07.2015 - 04.2018
12th State Board -
ST Paul’s Higher Secondary school
06.2014 - 03.2015
10th State Board -
ST Paul’s Higher Secondary school
06.2012 - 03.2013