Sushil Sharma

• This is a consultancy firm that provides service like – Travel management.
• I am responsible for lead follow ups, client conversion, query handling, chat support, email
• I assist clients in preparing documentation travel visa application.
• Facilitating clients for buying holiday packages, flight, hotel, travel insurance service.
• Addressed and resolved customer complaints and issues to improve satisfaction.
• Demonstrated products to show potential customers benefits and advantages and encourage purchases.

• I worked successfully as CRM with for the website development team.
• Responsible for coordination with clients based in the USA and UK for the website development projects and meeting client’s expectations
• Improve client’s satisfaction level by regular follow ups with developer’s team. Reputation building by using content management for websites
• Also responsible for website promotion activities using Google ads and online marketing

I worked in dental claim management team for MetLife dental insurance. Responsible for analysis of the dental claims filed to MetLife by customers based in the USA.

• Investigated high volume of insurance claims to determine validity and coverage eligibility.
• Determined claim status and negotiated to reach reasonable settlements or denials.
• Collaborated with team members and management to meet goals.
• Communicated with clients to explain policy coverage and regulations to achieve 100% accuracy in claim filling.
• Promoted as senior Dental Quality Reviewer in 6 months on the based on the performance
• Got certification in Dental insurance claims adjudication.

I worked with a Medical billing team for a USA healthcare client based in NY.

• Responsible for medical billing entry job.
• Generated and submitted invoices based upon established accounts receivable schedules and terms.
• Denial management, identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Calls follow ups with clients (doctor’s office) for missing info (Call coordination) Random quality checking of claims filled.
• Researched and resolved billing discrepancies to enable accurate billing as a result achieved 95% accuracy as per quality target.
• Worked as process trainer for new team members, -USA office for 6 months under an OJT (On Job Training) for GE company for auto insurance claim filling process (Data entry)
• Promoted as a claim auditor- Responsible for audits of electronic denials team

I worked for a USA based healthcare process for doctor's office. Responsible for claim billing using online billing software.

• Worked in day and night shifts and can work in UK or USA timings willing.
• Responsible for medical billing process- (data entry) payment posting, denial management (quality analyst) Call follow ups (call support service)