Merlin Mercy
Sr. Process Consultant
Talent
ChennaiMember since August 5, 2026
Leadership QualitiesMS – OFFICEMedical BillingCitrixcis proe-hubcasGood communication and presentation skillsProblem Solving
·
Hire this person
Send a job offer directly to this candidate
Leadership QualitiesMS – OFFICEMedical BillingCitrixcis pro
About
I am currently looking for a full-time position in an environment that offers a greater challenge, increased benefits for my family, and the opportunity to help the company advance efficiently and productively.
Experience
Sr. Process Consultant at SAGILITY INDIA LIMITED (2021-05 – 2026-08)
- Medical billing Payment posting, Denials, Claim Administration
- Take action against denied claims, partial claims & paid claims for review and process the claim then finalize
- Processing Physician, Facility and Speciality Projects like DME, SNF, Home health & Dual demo claims
- Knowledge in EOB story, CAS Denials, CIS, Vendor Mentor, Problem Solving, Doubt Clarifying
- Maintained Quality and Achieving targets on day-to-day operation
- Knowledge in Clinical guidance exchange, Claims administration system
- Working knowledge in software applications like Citrix, cis pro, e-hub, cas
- Review and finalize claims for Humana insurance company
Education
Bachelor of Computer Applications in Computer Applications – St Joseph's College (Arts & Science) in Kovur (2020)
Higher Secondary Certificate (HSC) – Govt Girls Higher Secondary School in Porur (2017)
Secondary School Leaving Certificate (SSLC) – Govt Girls Higher Secondary School in Porur (2015)
Skills
Sr. Process Consultant