CLEMENT PAUL
Secunderabad
Summary
Throughout my career, I have demonstrated proficiency in medical coding systems such as ICD-10, CPT, and HCPCS, translating medical services and procedures into billable codes with precision. I have a proven track record of maximizing revenue through diligent claim submission, meticulous follow-up on unpaid claims, and proactive resolution of claim denials and rejections.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Senior Associate
Martin Knowledge Solutions Healthcare
Hyderabad
01.2023 - 04.2024
- Organized meetings between staff members to discuss the Work and Trained them with the work given to them.
- Worked closely with providers to resolve any billing disputes or errors.
- Analyzing denied claims to identify root causes and Resubmitting denied claims with necessary corrections.
- Communicating with payers to resolve denial issues.
- Identified and resolved payment discrepancies, reducing outstanding balances by 0%.
- Processing and submitting medical claims to insurance companies and Verifying patient insurance coverage and eligibility.
- Tally the Monthly Payments and give the accurate Payment amount to the Provider.
- Medicare and Commerical Insurance Auditing.
- Created required Excel Report, Word Files and PPTs.
Associate
EPHY Healthcare
Hyderabad
01.2022 - 01.2023
- Developed and maintained billing system procedures to ensure accuracy of invoices.
- Entered patient information into computer systems for accurate record keeping.
- Processed insurance claims electronically using approved software applications.
- Prepared documents for filing appeals with insurance companies when necessary.
- Worked closely with providers to resolve any billing disputes or errors.
Education
Bachelor of Science - Electronics Technology
Loyola Academy
Secunderabad03-2019
Associate of Science - MPC
Bhavan's Sri Aurobindo Junior College
Secunderabad03-2016
High School Diploma -
St Joseph's High School
Secunderabad03-2014
Skills
- Performance monitoring
- Timeline estimates
- Team Leadership
- Complaint Management
- Proficient in [Billing Software]
- Data Analytics
- Team Supervision
- Preparing reports
- Issue Resolution
- Computer Skills
- Client Engagement
- MS Office
- Excel spreadsheets
- AI Tools
Accomplishments
- Won the 1st place in sports (basketball and volley ball)
- Won a certificate of sports (hand ball) in State sports festival
Certification
- AI Workshop Tools.
- Advance Excel.
- MS Office.
Languages
English
First Language
Tamil
Intermediate (B1)
B1
Telugu
Elementary (A2)
A2
Hindi
Elementary (A2)
A2
Timeline
Senior Associate
Martin Knowledge Solutions Healthcare
01.2023 - 04.2024
Associate
EPHY Healthcare
01.2022 - 01.2023
Bachelor of Science - Electronics Technology
Loyola Academy
Associate of Science - MPC
Bhavan's Sri Aurobindo Junior College
High School Diploma -
St Joseph's High School
Similar Profiles
WENDI MARTINWENDI MARTIN
Project Manager at AKH Inc, Advancing Knowledge In HealthcareProject Manager at AKH Inc, Advancing Knowledge In Healthcare
ELIZABETH ASAMOAHELIZABETH ASAMOAH
Home Healthcare Nurse at Pairs Knowledge HealthcareHome Healthcare Nurse at Pairs Knowledge Healthcare
Shubhanshi PandeyShubhanshi Pandey
Contract Analyst at Pramata Knowledge Solutions PrivateContract Analyst at Pramata Knowledge Solutions Private