Morsu Bharat

• Identified opportunities for process improvements and developed action plans accordingly.
• Worked with teams to support goals and build experience.
• Audited company's legal documents to verify compliant policies and procedures.
• Implemented strategies to take advantage of new opportunities.
• Oversaw quality control to identify inconsistencies and malfunctions.
• Maintained records of all activities related to various projects.

• Developed and implemented business strategies to increase sales and profits.

DST World Wide Services is an IT and Business Process Outsourcing Solutions Company serving Fortune 1000 companies in healthcare, technology.

• Have more than 600 employees working clients worldwide
• Receiving Nursing Home & Home Health Care bills (Scanned Images) from Insured/Provider, examined it and Pay/Denied according to the plan description
• Verifies the accuracy and receipt of all required documentation for each claim submitted
• Collaborates with providers& insured, plan descriptions or any other party necessary to obtain information to accurately process a claims
• Analysis information for the claims processing
• This includes provider information, diagnosis Codes, dates, Place, type of service, and submitted charges
• Assures that the system process the claim correctly and determines payments according to the plan written
• Resolves problematic/over authority claims with the assistance of the SMEs/Team Leads and Claims Managers
• Assists other examiners as needed due to work load requirements, including assigned back-up when examiners are on leave/absent
• Contributes to the daily work flow with regular and punctual attendance for meet with in the client SLAs
• Following the HIPAA (Health Insurance Portability and Accountability(Act) rules while processing the documents
• DST World Wide Services is an IT and Business Process Outsourcing Solutions Company serving fortune 1000 companies in Healthcare, technology
• Have more than 600 employees working clients worldwide
• Received Certificate for Top – 3 Performer for the month of Mar’2015
• Received Certificate for Top – 2 Performer for the Month Of Apr’2016
• Received SOM (Star of the Month) Award for the month of July’ 2018
• Received Star of the Quarter for the month of April 2019