Profilbillede af kavipramu
@kavipramu
Flag for Ireland Tralee, Ireland
Medlem siden 1. oktober 2018
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kavipramu

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Experienced as Obstetrics & gynecology (OB-GYN) Medical Admin. Qualified Insurance Claims Technician & member of Institute of Claims Technicians (ICT). Attained Claims Technician course at Singapore Insurance Institute (SII) - Australasian Institute of Chartered Loss Adjusters (AICLA). Demonstrated experience as Insurance claims Operations Associate. Prior contributions as Nursing In-charge, Senior Staff Nurse and Staff Nurse. Totally more than 7 years’ in Healthcare and Health Insurance domain. Post Graduate Diploma in Hospital Administration with A Grade. CGFNS & NCLEX-RN certified Expertise in MS Windows, MS Office, CITRIX, CIRIS, Emails & Internet usage Know-how in medical terminology, procedures, CPT Codes & ICD-9 Codes, knowledge of the Insurance terms & policies
$15 USD/hr
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Portfolio

Nylige bedømmelser

Ingen bedømmelser.

Erfaring

Medical Secretary

Dec 2015 - Dec 2016 (1 year)

Resolved patient inquiries with prompt service and advice, asking questions to determine, verify and solve problems. Satisfaction on the quality with adherence to safety regulations and standards. Achieved approx. 50 ~ 60 patients’ appointment management, intake & admission per day. Patient education, such as lab results review, basic instructions & procedures. Demonstrated capability of gathering vital signs & numbers, patient’s medical history record

Associate Operations (Direct billing insurance claims)

Jun 2009 - Jun 2010 (1 year)

Prepare & processed (at least 100 ~ 120 claims per day on an average) Medical Insurance Claims Accurate assessment, auditing invoices & managing the claims & to settle them in accordance to liability, including communicating all decisions to the insured, or their representatives Provided timely customer service to members, providers, billing departments and other insurance companies Performed audit of randomly claims to ensure quality processing Detected potential problems in claims processing

Uddannelse

Diploma in Nursing & Midwifery

2001 - 2004 (3 years)

Post-Graduate Diploma in Hospital Administration

2008 - 2009 (1 year)

Insurance Claims Technician

2014 - 2014 (1 month)

Certificate in Insurance Claims Management

2014 - 2014 (1 month)

Kvalifikationer

Best Employee of the department (2009)

AXA Business Services, Bangalore, India

• Nominated as the Best Employee of the department at AXA, for the year 2009

IELTS English - Academic (2016)

British Council

British Council - IELTS English (Academic) Test - Overall 7.0/9

Publikationer

Resource Utilization in Intensive Care Unit (ICU)

Project work and paper on "Resource Utilization in Intensive Care Unit (ICU)" as part of Post Graduate Diploma in Hospital Administration

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