Vinoth Kumar Chinnaiah
Summary
Accomplished Senior Analyst with a proven track record at Huron Eurasia India Pvt Ltd, showcasing expertise in medical claims processing and appeals. Leveraging strong research and analysis skills alongside effective teamwork, consistently improved claim resolution efficiency. Excelled in organizing work and prioritizing tasks, significantly enhancing operational workflows.
Overview
9
9
years of professional experience
Work History
Senior Analyst
Huron Eurasia India pvt ltd
Chennai
02.2024 - Current
- Analyze and resolve issues related to unpaid medical claims and denied claims.
- Follow up with insurance companies to inquire about the claim status, and resolve issues.
- Document all activities related to accounts receivable follow-up in a consistent and comprehensive manner.
- Review and appeal unpaid and denied claims.
- Interpret the Explanation of Benefits (EOB) to ensure correct payment, adjustments, and patient responsibilities.
- Maintain patient confidentiality and adhere to HIPAA regulations.
Senior Associate
Cognizant pvt ltd
Chennai
04.2023 - 02.2024
- Used contract notes and processing manual to correctly apply group-specific classifications to claims.
- Verified insurance coverage and eligibility for services provided.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Analyzed data from previous payments made by the insurer in order to set appropriate payment rates.
Specialist Payer Auditor
Technosoft Global Service Pvt Ltd
Chennai
08.2020 - 04.2023
- Maintained knowledge of policies and procedures and insurance coverage benefit level
- Comparing requests with benefit offered under an insurance policy
- Precisely calculated refunds, premiums and adjustments.
- Reviewing medical records and other sensitive information
- Communicated with other departments to establish action plans and manage open claims to closure.
- Served as subject matter expert for non-standard coverage questions, property damage and collision.
- Organized information by using spreadsheets, databases or word processing applications.
Senior Associate
Accentre solution Pvt Ltd
Chennai
12.2015 - 12.2019
- Verified claim data correctness in preparation for processing.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Reviewed history records to determine benefit eligibility for services.
- Researched medical claims for validity to resolve discrepancies.
- Coordinated benefits with medical insurance plans and Medicare providers.
- Maintained comprehensive database for enrollment data, claim submission and payment information.
Education
Bachelor of Science - Computer Science
Saint Thomas College of Arts And Science
Koyambedu, Chennai04.2015
Govt Hr Sec School
Chennai03-2012
Skills
- Detail-oriented
- Medical terminology
- Claims processing
- Teamwork and collaboration
- Reporting abilities
- Organizing and prioritizing work
- Research and analysis
- Works well independently
Timeline
Senior Analyst
Huron Eurasia India pvt ltd
02.2024 - Current
Senior Associate
Cognizant pvt ltd
04.2023 - 02.2024
Specialist Payer Auditor
Technosoft Global Service Pvt Ltd
08.2020 - 04.2023
Senior Associate
Accentre solution Pvt Ltd
12.2015 - 12.2019
Bachelor of Science - Computer Science
Saint Thomas College of Arts And Science
Govt Hr Sec School
Languages
Tamil
First Language
English
Proficient (C2)
C2
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