Padma Janakiraman
Chennai
Summary
To be a successful professional in a globally respected company and to achieve the objectives of the company with honesty and fairness and to continuously upgrade my knowledge.
Overview
1
1
year of professional experience
Work History
Tr. Financial Transaction Analyst
S10 Healthcare Solutions
Chennai
11.2023 - Current
- Direct client interactions expertise in working under different sub-projects at the same time like AR (Denials/correspondence/Rejection), PT calling, Prior-Authorization and Benefits and eligibility Verification.
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post call analysis for the claim follow-up.
- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
- Patient Appointment Scheduling, Account Transaction Review, Helping patients on their outstanding accounts, Assisting patients with retrieval of medical records, Resolving general patient queries.
- Contact patients via phone calls to address billing inquiries, clarify billing statements, and provide explanations of charges and insurance payments.
- Obtain insurance prior authorizations by assessing patient needs, collecting required information, submitting requests, and ensuring follow-up for authorization details.
- Handle multiple prior authorizations efficiently during one interaction with insurance providers, focusing on urgent patient needs and proactively gathering essential data.
AR Executive
Omega Healthcare Solutions
Chennai
05.2023 - 08.2023
- Check eligibility and benefit verification.
- Review patient bills for accuracy and completeness and obtain any missing information.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing, Research and appeal denied claims.
- Follow- up on unpaid claims within standard billing cycle timeframe.
- Check each insurance payment for accuracy and compliance with contract discount.
- Call insurance companies regarding any discrepancy in payments if necessary.
- Identify and bill secondary or tertiary insurances.
- All accounts are to be reviewed for insurance or patient follow-up.
- Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
- Update billing software with rate changes
Education
BA Tourism and Travelling Management -
Ethiraj College For Women
01.2023
12th -
St Anne's Girls' Higher Secondary School
01.2020
10th -
St Anne's Girls' Higher Secondary School
01.2018
Skills
- Software: Microsoft Office applications
- Photoshop
- Time management
- Flexibility
- Patience
- Adaptability
Personal Information
- Age: 21
- Father's Name: Janakiraman P
- Mother's Name: Lakshmi J
- Date of Birth: 08/11/2002
- Gender: Female
- Marital Status: Single
Languages
- Tamil (Highly proficiency)
- English (Highly proficiency)
Awards
- Reading proficiency in Tamil language.
- Hockey winner (Zonal level).
- Awarded "Cleanliness Ministry of the Year" at school for the year 2018-2019.
Extracurricular Activities
Kizomba. Event organizer.
Hobbies and Interests
- Cycling.
- Photography.
- Cooking.
Projects
Schengen Visa and types of visa, 07/07/22, 13/07/2022
Timeline
Tr. Financial Transaction Analyst
S10 Healthcare Solutions
11.2023 - Current
AR Executive
Omega Healthcare Solutions
05.2023 - 08.2023
BA Tourism and Travelling Management -
Ethiraj College For Women
12th -
St Anne's Girls' Higher Secondary School
10th -
St Anne's Girls' Higher Secondary School
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