S ARJUN
Chennai
Summary
To enhance my skills in the best possible way, to achieve the company goal and to stabilize my future career.
Overview
7
7
years of professional experience
Work History
AR Associate Level2
AGS Health private
10.2021 - Current
- Performed Medicare – Claim processing of Payment & Denials
- Performed authorization checking and contract level payments
- Checking Timely Filing limits, Member Eligibility
- Performed Adjustment Process
- Correcting electronic rejected claims and working on denied claims which sometimes involved calling insurance companies to find out why claims were denied
- Medical records/notes, appropriate forms/documents, statements and/or certificates needed for proper claim adjudication
- Research pending claims and resolve issues regarding contracts, fees, authorizations, billing/co-pay issues
- Possess the knowledge to read claims of CPT, ICD-9 some 10 codes with more training and medical terminology
- Production tracking system called Prism and maintain production per standard
- Appeal the claim with online and paper.
Senior Process Associate
Cognizant technology
07.2019 - 05.2021
- Claim Processing and audit Batching as HCFA, UB
- Performed Medicare HCFA & UB claim process
- Performed Medicare – Claim processing of Payment & Denials
- Performed authorization checking and contract level payments
- Checking Timely Filing limits, Member Eligibility
- Performed Adjustment Process
- Handel with HMO & PPO claims
Process Associate
Accenture Private Ltd.
02.2018 - 05.2019
- Claim Processing and audit Batching as HCFA, UB
- Performed Medicare HCFA & UB claim process
- Performed Medicare – Claim processing of Payment & Denials
- Performed authorization checking and contract level payments
- Checking Timely Filing limits, Member Eligibility
- Performed Adjustment Process
- Followed adjudication policies and procedures to make sure proper payment of claims.
Delivery Boy
Delhivery Couriers
- Worked as a delivery boy, in Delhivery Couriers - to support my family and saved money for my graduation.
Education
B.COM -
Meenakshi college of Arts & Science
01.2017
H.S.C -
Govt. Higher Secondary School
01.2010
S.S.L.C -
Govt. Higher Secondary School
01.2008
Skills
- Type writing
- MS office
- Data Analysis
- Document validation
- Accounts audit
- Problem - solving abilities
Personal Information
- Father's Name: G. Selvaraj
- Date of Birth: 07/20/93
- Gender: Male
- Nationality: Indian-Hindu
Alternativenumber
9941855988
Languages
- English
- Tamil
Disclaimer
I hereby declare that all the above-mentioned details are accurate and true to my knowledge.
Timeline
AR Associate Level2
AGS Health private
10.2021 - Current
Senior Process Associate
Cognizant technology
07.2019 - 05.2021
Process Associate
Accenture Private Ltd.
02.2018 - 05.2019
Delivery Boy
Delhivery Couriers
B.COM -
Meenakshi college of Arts & Science
H.S.C -
Govt. Higher Secondary School
S.S.L.C -
Govt. Higher Secondary School