DINESH H
Thandrampet
Summary
Experienced professional with a strong background in effectively managing patient payment and adjustment queries, client escalations, quality management, and process improvement. Proven ability to navigate complex healthcare systems and provide exceptional customer service while ensuring accuracy and efficiency. Skilled in identifying areas for improvement and implementing strategic solutions to enhance overall operations. Adept at collaborating with cross-functional teams to achieve organizational goals and deliver optimal outcomes.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Associate of Adjustment of Claims
Carelon Global Solutions PVT LTD
11.2023 - 10.2024
- Improved reporting accuracy, implementing new data management system.
- Streamlined project workflows for enhanced efficiency, adopting agile methodologies.
- Improved team collaboration by initiating regular coordination meetings.
Transaction Processing Associate
Accenture Solutions PVT LTD
03.2022 - 10.2023
- Performed quality assurance checks and reported issues to management to discuss solutions.
- Maintained a high degree of accuracy in all transaction processes, minimizing discrepancies and potential issues.
Education
B. Sc in Chemistry -
Sri Vidya Mandir Arts and Science College
HSC -
Govt Higher Secondary School, Tiruvannamalai
SSLC -
Govt Higher Secondary School, Tiruvannamalai
Skills
- 28 years of experience in US Healthcare which deals with Membership (Enrollment), Reconciliation, Billing adjustments, Enrollment / Payment Disputes, Claims adjustments
- US Healthcare, Time management, Communication
- Flexible Schedule
- MS Office
- Performance Improvement
- Management Support
Systems
- Membership (Enrollment)
- Reconciliation
- Billing adjustments
- Enrollment / Payment Disputes
- Claims adjustments
- Excel 365
Teamwork
Strong team player with a proven ability to work effectively under pressure.
Personalprofile
Harikrishnan. N, 07/10/2000, Indian, English & Tamil
Appreciations
Awarded "Star of Business" for the year 2023 in achieving the production and quality performance.
Certification
Managing data in Excel
365 (2024)
Languages
English
Upper intermediate (B2)
Tamil
Bilingual or Proficient (C2)
Timeline
Associate of Adjustment of Claims
Carelon Global Solutions PVT LTD
11.2023 - 10.2024
Transaction Processing Associate
Accenture Solutions PVT LTD
03.2022 - 10.2023
HSC -
Govt Higher Secondary School, Tiruvannamalai
SSLC -
Govt Higher Secondary School, Tiruvannamalai
B. Sc in Chemistry -
Sri Vidya Mandir Arts and Science College
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