KB
Kavi Bharathi
Senior Process Analyst at Huron Eurasia Pvt Ltd
Sharjah, United Arab EmiratesWork Experience
Huron Eurasia Pvt Ltd
Nov 2020 - Present -4 yrs, 6 months
India
- Job Details:Ensured proper coding on provider documentation and maintained compliance with claim procedures. Oversaw insurance claim submission, follow-up, and resolution with third-party payers. Conducted reconciliations for claim accounting and premium accounting. Facilitated training on denial management processes, appeals, and documentation best practices. Updated and posted insurance checks (paper and electronic) on patient accounts daily and responded to financial inquiries. Created and managed detailed claim records and reports. Managed approximately 30 incoming calls, emails and faxes per day from customers and clients. Facilitated knowledge sharing sessions among peers to promote best practices and enhance team collaboration. Managed communication with insurance providers for claim authorization and adjudication. Handled documentation and submission of insurance claims, ensuring accuracy and timeliness. Oversaw collection of outstanding balances and aged receivables.
Omega Healthcare
Oct 2016 - Apr 2019 -2 yrs, 6 months
India
- Job Details:Maintained comprehensive records of claims and communicated with relevant departments for follow-up. Verified insurance eligibility, coordinated with insurers, and processed medical claims. Maintained up-to-date patient data and ensured timely claim submission. Addressed claim follow-up and maintained records for policy lines. Processed patient enrollments, renewals, and terminations accurately.
Education
Bachelor's Degree in Computer Science
T J Institute of TechnologyJan 2015
Skills
- Expert in claims processing accuracy
- Proficient in analytical thinking
- Proficient in managing interpersonal conflicts
- Experience in claims follow-up and coordination with internal and external departments
- Strong organizational abilities
- Detail-oriented reporting expertise
- Proficient in maintaining records and producing reports
- Encourages customer-focused environment
Languages
English
AdvancedTamil
AdvancedHindi
Beginner