Merlin Mercy

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.

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

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)