Magesh Kumar Sudharsan

Clients Relation ManagerFull Time

• Job Details:Working as a Clients Relation Manager handling both Technical Support (Voice process) and Billing for End to End process. Responsible for the reports and acting as a bridge between my team members and management. Work involves calling for insurance verification and for checking claim status etc., to get the end result of getting the claims paid. Interacting with client for any updates for the projects. Updating my team member’s for new updates. Conducting meetings with the team leads and members.

Assistant ManagerFull Time

• Job Details:Claims Adjudication (Hospital & Medical), Claims Review examination, Quality audit and maintaining the WSR and MSR Responsible for timely tracking and reporting of Service level performance Medical Billing Part of Compliance Team (HIPAA) Assisting Management in recruitment process Creating Ramp- up Plan for New Hire and up-training batches in US health insurance process and routing the client updates to the end users Managing the team with high standards Project transition and client interaction Evaluating the examiners skills in various parameters Attrition analysis and creating attrition control plan Forecasting & Training

Claims ExaminerFull Time

• Job Details:Validating the claims acording to the US Health Insurance Terms and Condition Validating the claims for Payments and denials Resolving pended claims using Insurance, State and federal regulations, and using Specific health plan criteria