Summary
Overview
Work History
Education
Skills
Languages
Personal Details
Declaration
Timeline
Generic

SHEEBA RANI M

Chennai

Summary

Over 10 years of experience working in the healthcare industry Experience with Medical billing. I have built an excellent reputation for resolving issues and enhancing customer satisfaction. My goal is to continue growing professionally while contributing to the success of the organization I work for. I am an organized team leader who can establish positive relationships, gain trust and guide team towards achieving common goals. I am skilled at collaborating with different departments and working with co-management and top-level leadership. I excel in training and mentoring others and strive to produce the best possible results for both the team and the organization.

Overview

11
11
years of professional experience

Work History

Lead Provider Enrollment

Coronas Ajuba pvt ltd
Chennai
06.2020 - 05.2024
  • E-mailing clients, providers and payers on a daily basis trying to make sure the enrolment process completed on time
  • Created detailed reports outlining updates made to provider profiles as well as any issues or errors encountered during processing activities.
  • Monitored daily workflow activity related to provider enrollments and identified areas for improvement.
  • Maintained positive working relationship with fellow staff and management.

Senior Client Partner

Access healthcare
Chennai
05.2019 - 05.2020
  • Verified accuracy of billing information prior to submitting invoices for payment.
  • Researched and resolved discrepancies between patient accounts and third-party payers.
  • Participated in team meetings to discuss best practices for AR calling strategies.
  • Wrote appeal letters to insurance companies for denial of claims.

Senior AR Caller

Global Healthcare pvt ltd
Chennai
12.2016 - 04.2019
  • Performed calls to payers regarding outstanding claims and resolving denials.
  • Facilitated communication between providers, payers and health plans regarding prior authorization processes.
  • Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
  • Processed appeals in a timely manner as per policy guidelines.

AR Executive

Omega Healthcare
Trichy
09.2013 - 11.2016
  • Verified accuracy of billing information prior to submitting invoices for payment.
  • Contacted insurance companies to check status of claim payments.
  • Participated in team meetings to discuss best practices for AR calling strategies.
  • Performed administrative functions of assigning accounts, assisting new joiners.

Education

Bachelor of Engineering - Computer Science

Pavender Bharathidasan College of Engineering
Trichy, India
11-2010

Higher Secondary - Biological and Physical Sciences

Seva Sangam Girls Higher Secondary School
Trichy, India
03-2005

Matriculation -

Seventh-day Adventist Higher Secondary School
Trichy, India
03-2003

Skills

  • Adaptability and Flexibility
  • Problem-solving abilities
  • Allocating claims
  • Reporting skills
  • Teamwork and Collaboration
  • Enrollment Verification
  • Credentialing knowledge
  • Provider Relations

Languages

Tamil
First Language
English
Proficient (C2)
C2

Personal Details

  • Date of Birth: 09/06/1988
  • Father's name : Milton Raj
  • Nationality : Indian
  • Marital status : Married

Declaration

I hereby declare that all the above information are in accordance with the truth and the fact as per my knowledge and I hold the responsibility for the correctness of the mentioned particulars.

Timeline

Lead Provider Enrollment

Coronas Ajuba pvt ltd
06.2020 - 05.2024

Senior Client Partner

Access healthcare
05.2019 - 05.2020

Senior AR Caller

Global Healthcare pvt ltd
12.2016 - 04.2019

AR Executive

Omega Healthcare
09.2013 - 11.2016

Bachelor of Engineering - Computer Science

Pavender Bharathidasan College of Engineering

Higher Secondary - Biological and Physical Sciences

Seva Sangam Girls Higher Secondary School

Matriculation -

Seventh-day Adventist Higher Secondary School
SHEEBA RANI M