Kabil Sekar
9A, Samandhi Street, Chakrapani Nagar, Gerugambakkam, Chennai
Summary
Dynamic professional with a proven track record in claims management and denial resolution, honed at AGS Health Pvt Ltd. Excelled in enhancing quality assurance and fostering team collaboration. Skilled in Electronic Health Records (EHR) Systems and adept at training and mentoring, significantly improving operational efficiency.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Quality Analyst
AGS Health Pvt Ltd
Chennai
06.2023 - Current
- Ensure the quality of work as per the client SLA.
- Assign rework to the appropriate associate to ensure that the claim/account was worked correctly
- Provide instant feedback and weekly feedback to improve the quality
- Provide training in the area where improvisation is needed
- Conduct meeting on daily basis to share the overall team score and feedback
Senior Client Partner
CMPMS Global Pvt Ltd
Chennai
01.2023 - 06.2023
- Co-ordinate with Account Managers to meet the client metric in terms of collection
- Check payer portal for claim status and working on clearing house rejection
- Follow up the old claims on regular basis to get them resolved
- Handled outbound calls to insurance companies and requested payment for claims
- Working on claim submission with the help of predefined rules in internal software
Senior Client Partner
ACCESS HEALTHCARE
01.2022 - 08.2022
- Call payers to check out claim status as well as worked on denials towards their resolution
- Appealing claims and taking action on claims according to denial
- Follow up the old claims on regular basis to get them resolved
Reimbursement Specialist
NMDD United States
Connecticut
07.2021 - 12.2021
- Worked with clients to review denied claims, offering guidance on how to resolve issues, and advocating for claims appeals.
- Responsible for monitoring and responding to client emails, following up on unresolved issues, and escalating to the appropriate departments for resolution.
- Collecting the EOBs and being responsible for posting the payments, deductibles.
Sr. Process Associate
ADVANTUM HEALTH
Chennai
06.2019 - 05.2021
- Called payers and checked on claim status as well as worked on denials and their resolution
- Appealed claims and took action on claims according to denial
- Worked on denial management
Sr. Process Associate (Accounts Receivable, Front-
PROCHANT INDIA PVT LTD
Chennai
12.2016 - 06.2019
- Responsible for demo and charges entry.
- Responsible for order creation and order confirmation.
- Checked claim status over the web portal and through outbound calls.
- Tracked and reported on key denial metrics, identifying patterns, and root causes. Collaborated with cross-functional teams to address recurring issues.
- Handled client emails, addressing both routine inquiries and complex issues.
Education
Bachelor of Engineering - Computer Science & Engineering
Krishnasamy College of Engineering and Technology
01.2016
Higher Secondary Education -
St.Joseph’s Higher Secondary School
Cuddalore01.2012
High School Education -
Saminatha Vidhyalaya Higher Secondary School
Keezhputhupet01.2010
Skills
- Electronic Health Records (EHR) Systems
- Claims Management and Denial Resolution
- Accounts Receivable (AR) Management
- Revenue Cycle Analytics and Reporting
- Claims auditing and quality assurance
- Root Cause Analysis and Corrective Actions
- Collaboration and teamwork
- Training and mentoring
- Attention to detail
Accomplishments
- Recognized as best POD among the POD’s for achieving the huge numbers with quality
- Awarded for worked claims with excellent quality
- Awarded for resolving client issues in new client within a short span
- Awarded as best performer for the quarterly performance
Languages
- Tamil
- English
Hobbies and Interests
- Cricket
- Gardening
Billingsoftwareskills
- HDMS
- Brightree
- Criterions
- Kareo
- ECW
- Intergy
- Clinicient
Personal Information
- Place of Birth: Cuddalore
- Father's Name: Sekar K
- Blood Group: O+
- Date of Birth: 07/15/94
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Certification
- Certified CCNA Administrator
Languages
Tamil
First Language
English
Proficient (C2)
C2
Declaration
I hereby affirm that the information provided in this resume is true to the best of my knowledge.
Timeline
Quality Analyst
AGS Health Pvt Ltd
06.2023 - Current
Senior Client Partner
CMPMS Global Pvt Ltd
01.2023 - 06.2023
Senior Client Partner
ACCESS HEALTHCARE
01.2022 - 08.2022
Reimbursement Specialist
NMDD United States
07.2021 - 12.2021
Sr. Process Associate
ADVANTUM HEALTH
06.2019 - 05.2021
Sr. Process Associate (Accounts Receivable, Front-
PROCHANT INDIA PVT LTD
12.2016 - 06.2019
Bachelor of Engineering - Computer Science & Engineering
Krishnasamy College of Engineering and Technology
Higher Secondary Education -
St.Joseph’s Higher Secondary School
High School Education -
Saminatha Vidhyalaya Higher Secondary School
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