KARTHICK SIVAKUMAR
Chennai
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Dedicated Medical Billing professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
9
9
years of professional experience
Work History
Senior Cilent Partner -AR
Access healthcare
Chennai
02.2025 - 07.2026
- Identified and resolved process issues to enhance workflow efficiency.
- Eligibility verification is the process of checking a patient's active coverage with the insurance company and verifying the authenticity of his or her claims.
- Identified medical codes and created invoices for billing purposes.
- Trained new employees on multiple medical billing program and data entry software.
- Precisely evaluated and verified benefits and eligibility.
- Managed prior authorization process, accurately completing and identifying prior and retro authorization requests to payors; updated patient and claim information while tracking trends causing delayed claims processing.
- Verified patient insurance eligibility to ensure proper coverage, coordinated information supply to review organization, and clarified inpatient Medicare coverage.
Senior Cilent Partner -AR
AGS Healthcare
Chennai
12.2022 - 10.2024
- Processed and accurately identified prior and retro authorization requests; updated patient and claim information while tracking trends that contributed to delayed claims processing.
- Verified patient insurance eligibility to ensure accurate billing, coordinated information for review organization, and determined inpatient Medicare coverage.
- Precisely evaluated and verified benefits and eligibility.
- Identified medical codes and created invoices for billing purposes.
- Eligibility verification is the process of checking a patient's active coverage with the insurance company and verifying the authenticity of his or her claims.
- Trained new employees on multiple medical billing program and data entry software.
- Identified and resolved process issues to streamline operations.
System Analyst
INFO SEARCH BPO PVT LTD
07.2017 - 11.2017
Education
BCA - COMPUTER SCIENCE
Himalayan University
01-2020
DIPLOMA - HSE
Sirram polytechnic
01-2017
Govt open school -
01-2014
SSLC SCHOOL -
Santhiniketan High school
01-2012
Skills
- Adaptability
- Computer Proficiency
- Planning and Coordination
- Cultural Awareness
- Multitasking Abilities
- Critical Thinking
Custom Section
Photo editing is an art and passion that gives aesthetic pleasure. You can transform captured moments from still into video form. This is the best way of treasuring one's memories intact and treasured. Moreover, it gives a nostalgic feeling when you look back at photos and videos taken a long time ago.
Timeline
Senior Cilent Partner -AR
Access healthcare
02.2025 - 07.2026
Senior Cilent Partner -AR
AGS Healthcare
12.2022 - 10.2024
System Analyst
INFO SEARCH BPO PVT LTD
07.2017 - 11.2017
BCA - COMPUTER SCIENCE
Himalayan University
DIPLOMA - HSE
Sirram polytechnic
Govt open school -
SSLC SCHOOL -
Santhiniketan High school