Sujith KS
Chikkamagalore
Summary
To have a growth oriented and challenging career, to contribute my knowledge and skills to the organization and enhance through continuous learning and teamwork.
Overview
3
3
years of professional experience
Work History
Senior Process Consultant
Sagility healthcare Private Limited
Bangalore
07.2022 - 06.2025
- Reaching a high level of productivity and meeting or exceeding performance targets for claims processing.
- Followed adjudicating policies and procedures to ensure proper payment of claims.
- Processed the TVS and rework claims payments according to CSR guidelines and policy guidelines.
- Excellent knowledge of medical billing codes (CPT, ICD-10, HCPCS), and insurance policies.
- Working knowledge of commercial, Medicaid, and Medicare plans.
- Processed claims in compliance with FIFO guidelines.
- Refer the claims to the PM and CCR review if necessary.
- Checking the medical records to determine whether the records are valid or not.
- Before referring the claims for review, check all exceptions to avoid escalation.
Education
B.COM - Finance
Kuvempu University
koppa03-2021
PUC -
Department of Pre University Education
Koppa03-2018
SSLC -
Karnataka Secondary Education Board
N.R Pura01-2016
Skills
- Ms-Excel ,outlook , Ms-Word , MS-PowerPointExcel
- Making a Macro for Internal Use
Languages
- Kannada
- English
- malayalam
- tamil
Hobbies and Interests
- watching movies
- Dancing
- Listening to Music
- Travelling
Disclaimer
I hereby declare that the above information furnished particulars are true to the best of my knowledge and believe.
Personal Information
- Date of Birth: 18/02/2001
- Gender: male
- Nationality: Indian
- Marital Status: Single
Personal Evaluation
- Goal-oriented
- Active Listening
- Ability to multitask
- Flexible and Hardworking with Sincerity & Honesty
- quick learner and positive thinking
Languages
kannada
First Language
Timeline
Senior Process Consultant
Sagility healthcare Private Limited
07.2022 - 06.2025
B.COM - Finance
Kuvempu University
PUC -
Department of Pre University Education
SSLC -
Karnataka Secondary Education Board
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