Mohammed Sharuk Basha. S
Chennai
Summary
Results-driven professional with 2 years of experience in the healthcare industry, specializing in claims processing and provider support. Proven ability to handle complex claim inquiries, resolve provider issues efficiently, and ensure compliance with healthcare regulations. Strong communication skills and a commitment to delivering high-quality service in a fast-paced environment.
Overview
2
2
years of professional experience
Work History
Provider support. Claims Processing
Cognizant technology solutions Pvt ltd
01.2024 - 01.2025
- Hands-on experience in end-to-end healthcare claims handling.
- Proficient in using QNXT for claim analysis and validation.
- Skilled in verifying provider details through NPPES.
- Accurately processes claims using claims workflow application.
- Strong understanding of Medicare and Medicaid guidelines.
- Ensured accurate provider data and prevented incorrect entries.
- Maintained compliance with payer regulations and client standards.
- Demonstrated attention to detail and analytical thinking on reviewing complex claim scenarios.
Enrollment
TRC
01.2023 - 08.2023
- Managed data processing tasks across multiple tools to support the TRC's, CEV project.
- Monitored and updated member workflows related to insurance processes.
- Played a key role in maintaining data Integrity, contributing to smoother Insurance Issuance and patient record management.
Education
Master of Business Administration - Financial management
01.2025
Bachelor of Commerce -
University of madras
01.2022
SSLC -
Dhanalakshmi, hr, sec, school
01.2019
HSC -
Dhanalakshmi, hr, sec, school
01.2017
Skills
- Issue Resolution & Escalation
- Data Quality & Documentation
- Issue resolution & Escalation
- Accounts payable & Receivable (AP/AR)
- General Accounting principles (GAAP)
- Taxation basics (GST/TDS)
- Invoice Processing
- Critical Thinking
- HIPPA Compliance
- Power BI, PowerPoint, Excel, Outlook, Word
- Provider Credentialing
- Customer Relationship Management (CRM)
- Data Analysis & Reporting
- Business Communication & Critical Thinking
Hobbies and Interests
Drawing (Creative arts)
Timeline
Provider support. Claims Processing
Cognizant technology solutions Pvt ltd
01.2024 - 01.2025
Enrollment
TRC
01.2023 - 08.2023
Master of Business Administration - Financial management
Bachelor of Commerce -
University of madras
SSLC -
Dhanalakshmi, hr, sec, school
HSC -
Dhanalakshmi, hr, sec, school
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