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
Critical thinking ability and problem solving skills
Excellent Communication skills ambition to grow both Professionally and Personally
IT PROFICIENCY
Internet Browsing
Microsoft Word
Microsoft PowerPoint
Microsoft Excel
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