Summary
Overview
Work History
Education
Skills
Rewards
Roles And Responsibilities
Disclaimer
Timeline
Generic

Sathishkumar S

Ranipet

Summary

Hardworking and detail-orientated professional with extensive experience in medical billing with three years of experience and strong medical insurance knowledge and communication skills.

Overview

4
4
years of professional experience

Work History

Senior Executive

OMEGA HEALTHCAR-BANGALORE
Bengaluru
01.2023 - 01.2024
  • Having 3.5 years of experienced in Charges/Rejections. Review and work all unpaid and denied insurance.
  • Confirm patient demographic and insurance is current and up to date.
  • Add new insurance and delete termed insurance.
  • Daily follow up with update tracker.

Client Partner

ACCESS HEALTHCARE-CHENNAI
Chennai
01.2023 - 06.2023
  • Demographic
  • Eligibility Verification
  • Scheduling
  • Rejections

Process Associate

AGS HEALTH
Vellore
01.2020 - 11.2021
  • Demographic
  • Eligibility Verification

Education

Bachelor of Business Administration -

Manonmaniam Sundaranar University
01.2019

Marine Engineering -

Indian Maritime University
01.2015

Higher Secondary Certificate (HSC) -

G.V.C Hr.Sec.School
01.2013

Skills

  • Management Skills
  • Critical Thinking
  • Communication Skills
  • Team work

Rewards

  • 2021, AGS HEALTH, The Best Employee of the Year
  • 06/23, OMEGA HEALTHCARE, Star Performer

Roles And Responsibilities

  • Centricity/Allscripts
  • Preparing the patient details.
  • Checking the accounts, MRN numbers, Insurance and Relationship details.
  • Doing the quality check for the agent case to avoid future errors.
  • Finding the providers details.
  • Validating the codes depending upon the facilities.
  • Update Demographics with charts provided by the clients.
  • Checking the non-billable reason, deficiencies, depending on the patients
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling
  • Updated patient and insurance data and input changes into company system.
  • Performed verification of Medicare Coverage (ESDR, above 65, Disability)
  • Verifying Insurance eligibility, (active or inactive status) checking with Proper Insurance Websites.
  • Worked by Major Insurance like (Medicare, Medicaid, BCBS, Aetna, UHC, UMR, Devoted, Optum)

Disclaimer

I hereby declare that the details and information given above are complete and true to the best of my knowledge.

Timeline

Client Partner

ACCESS HEALTHCARE-CHENNAI
01.2023 - 06.2023

Senior Executive

OMEGA HEALTHCAR-BANGALORE
01.2023 - 01.2024

Process Associate

AGS HEALTH
01.2020 - 11.2021

Bachelor of Business Administration -

Manonmaniam Sundaranar University

Marine Engineering -

Indian Maritime University

Higher Secondary Certificate (HSC) -

G.V.C Hr.Sec.School
Sathishkumar S