Vigneshwaran M

US Healthcare BPO professional with 2 years of experience in provider enrollment, credentialing, and demographic data management. Strong in data validation, documentation, payer coordination, and Excel. Detail-oriented with excellent communication and compliance knowledge.

Senior Process Associate at First Source Solutions Limited (2024-01 – Present)

• Maintain and update provider demographic information including NPI, taxonomy, CAQH, licenses, and TIN details.
• Support provider enrollment and credentialing with insurance payers.
• Handle Excel reports and daily productivity trackers for status update.
• Ensured compliance with HIPAA, PHI, and information security policies while handling sensitive provider data.
• Adhered to customer SLAs for accuracy and productivity, consistently meeting or exceeding targets.
• Conducted data analysis and report generation to identify discrepancies, improve claim accuracy, and reduce denials.
• Supported quality and training initiatives to enhance team performance and maintain high service standards.
• Collaborated with cross-functional teams to streamline processes and ensure smooth claim cycle operations.
• Demonstrated strong communication and analytical skills, ensuring minimal errors and improved efficiency.

M.Sc. in Computer Science – Dr. M.G.R Educational & Research Institute, Chennai (2021-01 – 2023-12)

B.Sc. in Computer Science – Sacred Heart College (Autonomous), Tirupathur (2018-01 – 2021-12)