Kaviarasu K
US Healthcare Associate
Tenkasi
Summary
Dynamic Process Associate with a proven track record at Accenture Solutions Pvt.Ltd, excelling in claims processing and decision-making. Expert in handling HCFA-1500 forms and ensuring 100% quality in US healthcare claims adjudication. Skilled in MS Office, with a knack for managing time effectively and delivering exceptional client service through analytical prowess.
Overview
4
4
years of professional experience
Work History
Process Associate
Accenture Solutions Pvt.Ltd
10.2020 - Current
We analyze the document sent by the Hospital.
We classify the needs of members, whether they are asking for treatment.
Ensure documentation of all deviation processes is in place.
Reviewed and Validating Accuracy of Charges.
We verify the claim forms as per the project guidelines and pay the eligible claim.
Handling HCFA-1500 Forms and familiar with Medicare claims.
Managing service level agreement and 100% quality.
Data Transaction Management (Client Database Structure)
Handle Client Enquiry Via Emails & Chats to provide Appropriate Information.
Education
Master of Arts - English Literature
Nehru Arts And Science College
04.2001 -
Skills
Claims Adjudication
Claims Processing
HCFA 1500
US Healthcare
Decision Making
MS Office
Time Management
Analytical Skills
Roles and Responsibility
Managing Claim Processing
Payment Posting (Pay/Deny)
Manage Excel related Query
Generating Innovating process Improvement Ideas
Languages
Tamil
Upper intermediate (B2)
English
Intermediate (B1)
Declaration
I hereby declare that the above-mentioned information is True up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars.
Place: Tenkasi Kaviarasu K
Timeline
Process Associate
Accenture Solutions Pvt.Ltd
10.2020 - Current
Master of Arts - English Literature
Nehru Arts And Science College
04.2001 -
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