Dhivya Ficorence
Puducherry
Summary
Detail-oriented professional with expertise in claim resolution and insurance verification. Skilled in analyzing denials and coordinating with payers to ensure timely resolutions.
Overview
7
7
years of professional experience
Work History
Specialist
Health Prime
puducherry
09.2024 - 07.2025
- Experience in insurance denials analysis and follow up.
- Skilled in identifying denial reasons, coordinating with insurance payers, and initiating appeals and reprocessing to ensure timely claim resolution
- Specializing in insurance denials follow-up, appeals submission, and payer communication. Proficient in handling authorization, eligibility and timely filing denials.
Insurance Verification Specialist
AGS Health
chennai
08.2023 - 07.2024
- Performed insurance verification by contacting payers to confirm patient eligibility, coverage details, effective dates, deductible, copay, and coinsurance.
- Ensured accuracy of insurance information prior to claim submission to reduce denials and delays.
Client Partner
Access health care
chennai
03.2022 - 07.2023
- AR calling professional experienced in overpayment resolution follow-ups, payer communication to support timely reimbursement.
- Hands-on experience in overpayment recovery credit balance analysis.
- Proficient in insurance guidelines, documentation, and follow-up strategies to secure refunds and adjustments.
Backend banking process
Goodwill financial services
puducherry
02.2018 - 01.2021
- Assisted customers with inquiries and resolved issues effectively.
- Documented customer interactions in the company database for future reference.
- Developed strong customer relationships to encourage repeat business.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
Education
Bachelor of Science -
MATS UNIVERSITY
RAIPUR06-2019
High School Diploma -
Aditya Vidhyashram Higher Secondary School
03-2014
Immaculate Heart of Higher Secondary School
Puducherry03-2013
Skills
- Denial management
- Claim resolution
- Customer relationship management
- Payer communication
- Insurance verification
- Appeals processing
- Data entry accuracy
Languages
English
Intermediate (B1)
B1
Tamil
Upper Intermediate (B2)
B2
French
Intermediate (B1)
B1
Affiliations
COOKING
Timeline
Specialist
Health Prime
09.2024 - 07.2025
Insurance Verification Specialist
AGS Health
08.2023 - 07.2024
Client Partner
Access health care
03.2022 - 07.2023
Backend banking process
Goodwill financial services
02.2018 - 01.2021
Bachelor of Science -
MATS UNIVERSITY
High School Diploma -
Aditya Vidhyashram Higher Secondary School
Immaculate Heart of Higher Secondary School