Medical Manager (MM)
N Chandru
Health Care
Chennai
Summary
- Resolved billing issues to identify by insurance carriers and patient’s .
- Maintaining the complete track of client information as knowledge documents.
- 3.5 years Experience working in an accounts receivable capacity, denial management.
- Knows how to check the relevance of insurance info offered by the patient
- Review the EOB and knows how to take appropriate action on the denials.
- 7 months AR Caller experience (Authorization and Insurance Verification)
Overview
7
7
years of professional experience
4
4
years of post-secondary education
3
3
Languages
Work History
Process Associate
Acurus Solution Pvt Ltd
Chennai
02.2016 - 04.2018
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Verified insurance of patients to determine eligibility.
AR Analyst
Novigo Integrated Service Private Limited
Chennai
05.2018 - 01.2021
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Leveraged accounting and finance experiences and expertise to identify, propose and implement automated solutions and reduce manual processes.
Senior AR Analyst
Fidelitas RCM Pvt Ltd
Chennai
12.2021 - 08.2022
- Documented medical claim actions by completing forms, reports, logs and records.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Verified client information by analyzing existing evidence on file.
- Matched purchase orders with invoices and recorded necessary information.
AR Caller
Radical Health
Chennai
02.2022 - 07.2023
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Pre Authorisation calling and Insurance verification
Education
Bachelor Of Computer Science -
Guru Nanak College
Chennai 06.2012 - 04.2015
HSC -
A.J.S Nidhi,Hr,SecSchool
Chennai 06.2011 - 04.2012
SSLC -
Govt,Hr,Sec,School
Chennai 07.2009 - 04.2010
Skills
Ability to self-manage and self-motivated Enjoys sharing knowledge to others Passionate in learning new technologies Good at decision making and decision analytics
Software
Docutap
Kareo
E-Clinical Works (ECW)
Advance (MD)
Office Ally
EPIC
Collaborate MD
Timeline
AR Caller
Radical Health
02.2022 - 07.2023
Senior AR Analyst
Fidelitas RCM Pvt Ltd
12.2021 - 08.2022
AR Analyst
Novigo Integrated Service Private Limited
05.2018 - 01.2021
Process Associate
Acurus Solution Pvt Ltd
02.2016 - 04.2018
Bachelor Of Computer Science -
Guru Nanak College
06.2012 - 04.2015
HSC -
A.J.S Nidhi,Hr,SecSchool
06.2011 - 04.2012
SSLC -
Govt,Hr,Sec,School
07.2009 - 04.2010
Spcialty
- Urgent Care
- Long-term care
- Neurology
- Psychology
- Emergency
Declaration
- I hereby declare that the above-mentioned information is correct to the best of my knowledge and belief and in the event of any information being found false or incorrect; my candidature will be liable to be cancelled.
Signature:
N Chandru
Spcialty
- Urgent Care
- Long-term care
- Neurology
- Psychology
- Emergency
Declaration
- I hereby declare that the above-mentioned information is correct to the best of my knowledge and belief and in the event of any information being found false or incorrect; my candidature will be liable to be cancelled.
Signature:
N Chandru
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