Silambarasan G
4 Ganapthy servai street K. Pudur Madurai 625007
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
12
12
years of professional experience
Work History
Admin
Fan Hospitality Services Pvt Ltd
01.2023 - Current
- Maintained personnel records and updated internal databases to support document management.
- Generated reports detailing findings and recommendations.
- Educated staff on organizational mission and goals to help employees achieve success.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Collected and returned unpurchased or returned items to correct shelf locations and arranged displays to promote sales.
Process Executive
Glen wood system private limited
01.2019 - 12.2022
- Manage appeals and authorizations by examining information and performing necessary adjustments
- Handle claims processing utilizing knowledge of medical coding standards, including HCPCS, CPT, and ICD-9
- Calculate refunds or credit balances involving reprocessing for partial adjustments and correct the CPT and ICD-9 codes
- Maintain compliance with HIPAA guidelines and regulations
- Adjudicate claims for Medicaid, Medicare, and ambulance billing
- Interpret and processes routine and complex claims per Medicaid industry standards
- Monitor, research and respond to member's appeals and grievances
Processor
SourceHov India Private Limited
02.2015 - 12.2018
- Health insurance specialists are primarily responsible for utilizing patients' electronic health records to code medical procedures and examine insurance claims
- Health insurance specialists maintain meticulous records of medical costs, adjustments, co-payments, and other billing details
Jr. Processor
Diacritech Technologies Pvt Ltd
07.2013 - 01.2015
- Electronic publishing digital publishing, or online publishing includes the digital publication of e-books, digital magazines
- Layout design and desktop publishing using software is Adobe InDesign
- Veriers is just to check whether the work done by the designer is correct or not
Education
B.SC - undefined
THIAGARAJAR COLLEGE
01.2013
HSC - undefined
M.A.V.M.M Hr. Sec. School
01.2019
SSLC - undefined
M.A.V.M.M Hr. Sec. School
01.2007
Skills
- Resource optimization
- User access control
- Business development
- Operations management
- Technical documentation
- Executive support
- Risk management
Languages
Tamil
English
Hobbies and Interests
- Cricket
- Hearing Song
Achievements And Awards
- Participated in District level Cultural Competition in Inter College.
- Organized the Inter-College level cultural festival conducted by our college during 2010-2011.
Disclaimer
I hereby declare that the above mentioned information is true up to my knowledge.
Timeline
Admin
Fan Hospitality Services Pvt Ltd
01.2023 - Current
Process Executive
Glen wood system private limited
01.2019 - 12.2022
Processor
SourceHov India Private Limited
02.2015 - 12.2018
Jr. Processor
Diacritech Technologies Pvt Ltd
07.2013 - 01.2015
B.SC - undefined
THIAGARAJAR COLLEGE
HSC - undefined
M.A.V.M.M Hr. Sec. School
SSLC - undefined
M.A.V.M.M Hr. Sec. School
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