Quality Analyst (Posting & Credit balance) - Legacy Healthcare Services - Saligramam
(2019-08 - 2023-11)
- Quality checking for new trainees.
- Proactively address to issues that tend to remain unresolved for a certain period and assist those to a resolution
- Work as the Backup for the Team Leads for their needs
- Giving proper training to the FTE and make them to get good knowledge about the process
- Any Escalation regarding Excess or Not Posted need to address to AM'S.
- Resolving problem logs which is entered by the FTE associate with the proper solutions given by the clients
- Reviewing the Patient Unapplied and Mail Return Project.
- File log and Production number report will be taken on Biweekly basis.
Senior Executive in Financial Transaction - E-Care - Chennai
(2016-07 - 2018-07)
- Downloading the Lockbox batches from Payment app.
- Making determination on claim accuracy and issuing payments and making decision on claim disputes.
- Updating payment details to the client applications.
- On a weekly basis need to verify on the pending item by referring the log response.
- Process of evaluating and processing insurance claims.
Medical Billing Process - Ceequence Technologies - Chennai
(2015-01 - 2016-01)
- Verifying the batches from client web site with the received excel file from the client.
- Correct denial claims with correct information and re-submit claims..
- On every month end need to verify whether any Dummy code has been entered in CPS and pending logs has been resolved before closing the month end.
- Need to share the report for "Not added CPTs", "Insurance to be added" for all client by biweekly basis.
KPO Process in Associate - HOV - Chennai
(2012-08 - 2013-09)
- Based on the claim form payment will be entered in the application.
- Each claim form will be handle for Adjudication process.
