Nagabhushan C
Bangalore
Summary
To work in an organization where I can contribute the best of my abilities and talent to the development of the company where I can put my skills of efficient grasp of technical knowledge to effective use.
Overview
17
17
years of professional experience
Work History
Senior Specialist - Insurance Follow up
Advantedge Healthcare Solutions Pvt Ltd
12.2021 - Current
- Working on End to End process of Accounts Receivable (AR) in US Healthcare (RCM).
- Working on denials, rejected claims & aged claims which are pending for payment.
- Analyzing claims & finding the errors, rectifying the errors with correct data & resubmission of claims for processing.
- Collecting Medical Records, EOB, HCFA and other important documents of the patient/customer and sending the same insurance companies as an Appeal for payment processing.
- Creating and submitting appeals for the denied claims and following up on the appeal status.
- Following up on claims which are billed to insurance company for payment.
- Following up on the credentialing/provider enrollment issues and resubmission of claims.
- Resolving bulk denials into payments by finding trends on various denials with root cause analysis.
- Sending the details of accounts worked and revenue collected on the worked invoices on quarterly basis to the reporting manager.
Analyst
Getix Health India Pvt Ltd
12.2019 - 01.2021
Senior Process Executive
Cognizant Technology Solutions India Pvt Ltd
12.2015 - 12.2017
Senior A R Caller
Acrologic Business Solutions Pvt Ltd
05.2019 - 11.2019
A R Associate
Omega Health Care Management Services Pvt Ltd
02.2015 - 11.2015
Quality Engineer
Teamlease Services
04.2012 - 12.2013
- For the client company VMware Software India Pvt Ltd in QE operations team.
Quality Engineer
Tech Bridge Networks
09.2011 - 03.2012
- For the client company VMware Software India Pvt Ltd in QE operations team which involved build acceptance testing of the VMware ESX server and VMware Virtual Center.
Technical Support Engineer
American Power Conversions Ind Pvt Ltd
05.2008 - 06.2009
- Which involved troubleshooting of the customer issues.
Education
BE - CS & E
U.B.D.T.C.E
Davangere01.2007
PUC -
Govt. Independent PU College
Gulbarga01.2002
SSLC -
The Noble High School
Gulbarga01.2000
Skills
- C
- Java
- UNIX
- Visual Basic
- Bash Shell
- Operating Systems
- Networking
- Windows
- Linux
Languages
- English
- Hindi
- Kannada
Projects
ONLINE CLAIM PROCESSING SYSTEM, Using jsp as the front end and ms-access as the back end., 8th MINESWEEPER GAME, Using C-Graphics under windows platform., 6th DBMS Project-BUS RESERVATION SYSTEM, Using visual basic and oracle-8i under windows platform., 6th FULL SCREEN TEXT EDITOR, Using C and ncurses library under Linux platform., 5th
Disclaimer
I hereby declare that the information furnished above is true to the best of my knowledge.
Personal Information
- Date of Birth: 10/29/84
- Nationality: Indian
- Marital Status: Married
Conceptual Knowledge
- Operating System Concepts
- Object Oriented Programming
- UNIX and Shell Programming
- Java Programming
Languages
English
Beginner
A1
Hindi
Advanced
C1
Timeline
Senior Specialist - Insurance Follow up
Advantedge Healthcare Solutions Pvt Ltd
12.2021 - Current
Analyst
Getix Health India Pvt Ltd
12.2019 - 01.2021
Senior A R Caller
Acrologic Business Solutions Pvt Ltd
05.2019 - 11.2019
Senior Process Executive
Cognizant Technology Solutions India Pvt Ltd
12.2015 - 12.2017
A R Associate
Omega Health Care Management Services Pvt Ltd
02.2015 - 11.2015
Quality Engineer
Teamlease Services
04.2012 - 12.2013
Quality Engineer
Tech Bridge Networks
09.2011 - 03.2012
Technical Support Engineer
American Power Conversions Ind Pvt Ltd
05.2008 - 06.2009
BE - CS & E
U.B.D.T.C.E
PUC -
Govt. Independent PU College
SSLC -
The Noble High School
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