MOHAN T
Chennai
Summary
Reliable Medical Claims Processor with expertise checking the inbox consistently to ensure claims are handled quickly. Multilingual individual with a pleasant attitude and to juggle multiple tasks successfully. Ready to tackle new challenges in an office-based environment.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Officer
vidal health insurance TPA
CHENNAI
11.2023 - 03.2024
- Ensured compliance with insurance company policies and procedures related to the processing of claims.
- Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
- Processed a high volume of claims on a daily basis using established time frames.
- Analyzed physician's reports, hospital records, laboratory results, operative reports, diagnostic tests. to assess medical necessity of services rendered.
- Updated system records with payment information received from insurance companies or patients directly.
- Prepared documents for submission to insurance companies for review and approval for payment of claims.
- Examined claims, records and procedures to grant approval of coverage.
Intern
SRM KATTANKULATHUR DENTAL COLLEGE AND HOSPITAL
KANCHEEPURAM
03.2021 - 05.2022
- Provided patient education regarding oral hygiene and preventive dentistry.
- Performed dental prophylaxis on patients with periodontal disease.
- Obtained and recorded medical histories of patients.
- Assisted dentist during various dental procedures including fillings, extractions, and root canals.
- Maintained charts of patient visits, treatments performed, medications prescribed.
- Participated in continuing education courses related to dentistry.
- Provided dental materials for dentist by selecting, mixing and placing materials on instruments and in patient's mouth.
- Assisted during crown, bridge and teeth realignment procedures.
- Educated patients on proper oral hygiene to promote oral health and disease prevention.
- Followed up with patients after procedures for proper pain management.
- Participated in dental health programs to educate community.
- Completed basic and specialized dental procedures across diverse client base.
- Reviewed x-rays to identify cavities and other issues.
Education
BDS - DENTISTRY
SRM Kattankulathur Dental College And Hospital
KANCHEEPURAM05-2022
Skills
- Insurance Claims
- Medical Terminology
- Insurance claims processing
- Claim validity determination
- Critical Decision-Making
Certification
- basic life support
- Advanced Cardiovascular Life Support (ACLS)
- DENTAL LICENSE
Languages
Telugu
First Language
English
Advanced (C1)
C1
Tamil
Upper Intermediate (B2)
B2
Timeline
Medical Officer
vidal health insurance TPA
11.2023 - 03.2024
Intern
SRM KATTANKULATHUR DENTAL COLLEGE AND HOSPITAL
03.2021 - 05.2022
BDS - DENTISTRY
SRM Kattankulathur Dental College And Hospital
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