Kalaiselvi Prakash
Chennai
Summary
Dynamic professional with a proven track record at Accenture, excelling in claims processing and healthcare operations. Expert in document control and adept at leveraging healthcare analytics to enhance patient expense management. Passionate about delivering exceptional results in fast-paced environments.
Overview
3
3
years of professional experience
Work History
Accenture
Transaction Processing Associate
Chennai
06.2023 - 12.2024
- Collaborate with the claims department to price pended claims correctly.
- Document, track and resolve all plan providers claims projects.
- Handling authorization, COB, Duplicate, Pricing and corrected claims process.
- Process adjudication claims and resolve for payment and denials.
- Tools used:
- Secure Message: Secure message application is work as capability to submit the provider maintenance form electronically.
- Blue square 2, WGS mainframe, CS90 Legacy.
- ISIS Letter.
Accenture
Healthcare operational Associate
Chennai
05.2022 - 06.2023
- Maintained databases of patient histories, medications, laboratory results, insurance claims.
- Collaborated with stakeholders across multiple departments to develop strategies that leverage existing healthcare analytics resources.
- Ensured accurate record-keeping of patient medical expenses using bids application.
- client can view their entire expenses data in Benefit Access.
- Document Medical coverage.
- Determined better insurance coverage options by thoroughly documenting medical expenses.
- Tools used:
- Bids
- Facets
- Vista
- Epro
- B & C Leg tool.
Education
Bachelor of Arts - Sanskrit, aggregate - 78%
Queen Mary's College
04-2021
HSC -
Aggregate - 56%
04-2016
SSLC -
Aggregate - 74 %
04-2014
Skills
- Strong Organizational and time management skills
- Ability to Work Independently and as a part of a team
- Document Control
- Inventory Purchasing
- Mail Distribution
Declaration
I hereby declare the above mentioned details are true and correct of the best of my knowledge.
Place: Chennai
Date:
Timeline
Accenture
Transaction Processing Associate
06.2023 - 12.2024
Accenture
Healthcare operational Associate
05.2022 - 06.2023
Bachelor of Arts - Sanskrit, aggregate - 78%
Queen Mary's College
HSC -
Aggregate - 56%
SSLC -
Aggregate - 74 %