Summary
Overview
Work History
Education
Skills
Activities
Personal Information
Achievementsawards
Projects
Timeline
Generic

E.CLINTON PAUL

Quality Analyst Medical billing
Coimbatore,Tamil nadu

Summary

To secure a challenging position in a reputable organization to expand learnings, knowledge, and skills. Secure a responsible career opportunity to fully utilize training and skills, while making a significant contribution to the success of the company. Innovative quality control excels at non-conformance investigations. Exercises judgment within defined procedures to determine action needed to resolve problems. Leverages strong communication and technical writing skills to achieve appropriate outcomes.

Overview

3
3
years of professional experience
17
17
years of post-secondary education
2
2
Languages

Work History

Front Office Supervisor

Aloft Hotel Coimbatore
1 2017 - 3 2018
  • Front desk operations and responsibilities, handling calls, guest Check-in and Checkout on daily basis, cash posting, daily revenue management and night audit, billing and audit check, day to day to in house guest lists, email writing on all aspects about hotel revenue and events on daily basis, work with rotational work timings.
  • Managed group bookings effectively to optimize room allocation while accommodating individual preferences
  • Coordinated with other departments to resolve any guest issues promptly, ensuring a seamless guest experience from arrival to departure

Senior Customer Service Representative

Medusind IT Solutions Pvt Ltd
01.2021 - 06.2022
  • Handled international outbound calls, dental billing, and worked with eligibility verifications to confirm patients' insurance eligibility and record that precise amount, percentage, frequency, and service history. Also consolidate work completed, handling priority work, and assigned quick work to meet the turnaround time.
  • Team members will be assigned a task order at beginning of each day, and team will send daily email with end-of-day report.
  • Oversaw verification of US Dental eligibility at three locations.

Quality Control Analyst

Solid Practice Service
08.2022 - 05.2024
  • Worked in quality control for eligibility, authorization, auth requirements & approval.
  • Determining insurance-based eligibility and obtaining authorization in advance of Date of service for specific radiography, orthopedic, joint, and cardiology procedures. Retroactively obtaining auth for treatment that was finished but not obtained in time. verifying daily flow's authorization and quality control information.
  • I will make sure manager receive daily reports on production and quality, and team will meet once a week to discuss changes and requirements.
  • Improved overall production efficiency by identifying and resolving quality control issues.
  • Administered 300 to 400 claims internal quality audits and assessed results to inform corrective action measures to team on daily basis.

Education

SSLC - 10th Grade

REX SENIOR SECONDARY SCHOOL
OOTY
06.2001 - 04.2013

High School -

ST JOSEPH HIGHER SECONDARY SCHOOL
OOTY
06.2013 - 04.2015

Bachelor of Arts - Hotel Management

PSG COLLEGE OF ARTS AND SCIENCE
COIMBATORE
06.2015 - 04.2018

Skills

Communication using a global voice

Problem solving

  • Time management
  • Leadership & Team handling

    Software Handling & swift learner on updates

  • Voice with genuine US accent
  • Allocations of work on daily basis

  • Ability to develop and implement quality control plans
  • Ability to monitor and assess product quality
  • Ability to identify quality issues
  • Activities

    • Multitasking
    • Communication
    • Sports
    • Public speaking
    • Time management
    • Teamwork
    • Problem-solving
    • Photography
    • Learning ability

    Personal Information

    Date of Birth: 08/12/1997

    Achievementsawards

    • Best Employee for the year 2019 to 2020 with Aloft hotel Coimbatore, guest recognition throughout all the months worked.
    • I became a medical billing best performer in Solid Practice Service and increased my daily productivity and job quality in order to expand the process as a pilot batch in th start up company .

    Projects

    • dental medical billing for eligibility verification with insurances.
    • cardiology radiology authorization and eligibility.
    • worked with Debra , Eclinicalworks for certain projects regarding eligibility and authorizations
    • muscular skeletal authorization eligibility and insurance verifications
    • Coordinated with EHR practice fusion for auth and Eligibility verifications.

    Timeline

    Quality Control Analyst

    Solid Practice Service
    08.2022 - 05.2024

    Senior Customer Service Representative

    Medusind IT Solutions Pvt Ltd
    01.2021 - 06.2022

    Bachelor of Arts - Hotel Management

    PSG COLLEGE OF ARTS AND SCIENCE
    06.2015 - 04.2018

    High School -

    ST JOSEPH HIGHER SECONDARY SCHOOL
    06.2013 - 04.2015

    SSLC - 10th Grade

    REX SENIOR SECONDARY SCHOOL
    06.2001 - 04.2013

    Front Office Supervisor

    Aloft Hotel Coimbatore
    1 2017 - 3 2018
    E.CLINTON PAULQuality Analyst Medical billing