KANTIMAHANTI NAGA KALKI MANOHAR
New haven,Connecticut
Summary
Seeking a challenging growth-oriented position where my technical skills and knowledge can be effectively utilized and improved eventually leading to the growth of the organization
Overview
4
4
years of professional experience
Work History
Senior Analyst - US Healthcare
R1RCM Global Private limited
09.2022 - 08.2023
- Denial Management
- Calling insurance companies and resolving claims
- Working on Payer edits and Claim edits
- Charge entry and Payment posting of fresh claims
- Preparing and maintaining Production reports on daily and monthly basis
Senior Claims Examiner - US Healthcare
AMPS HEALTHCARE(INDIA) PRIVATE LIMITED
11.2020 - 07.2022
- Charge entry in various claims forms (UB, HCFA and Manual).
- Payment Posting includes EOBs and ERAs
- Verifying the errors in claims and resubmit them for processing.
- Regular audits of work done by other team members and Quality Analysis.
- Trainings and mentorship for new joiners.
- Attending regular client calls and sending out MOMs to team.
- Power Point Presentations and preparation of process manuals.
Medical Billing Executive - US Healthcare
UNISLINK PRIVATE LIMITED
02.2019 - 11.2020
- Verifying patient demographics and insurance coverage.
- Demographic entry for new patients and charge posting (both inpatient and outpatient).
- Payment posting that includes both EOBs and ERAs.
- Denial management and resubmission of claims through various insurance portals.
- Working on rejections (Payer edits and Claim edits)
- Downloading EOBs from insurance portals.
Education
BTech (Civil) -
Vignan's Institute of Information Technology, Visakhapatnam
Intermediate (M.P.C) -
Sri Chaitanya Junior Kalasala, Visakhapatnam
SSC -
Vivekavardhani School, Srikakulam
Skills
- Knowledge on Advanced Excel, Power Query, Power BI
- Hands on experience on MS office applications
- Self-Motivated, Hardworking nature and determined
- Excellent Presentation skills & interpersonal skills
- Good Training and mentorship skills
- Interest in updating my skills
- Good team player with sound oral and written communication skills
Phone No
+1 312 877 9656
Hobbies and Interests
- Painting
- Reading books
Languages
- English
- Telugu
- Hindi
Timeline
Senior Analyst - US Healthcare
R1RCM Global Private limited
09.2022 - 08.2023
Senior Claims Examiner - US Healthcare
AMPS HEALTHCARE(INDIA) PRIVATE LIMITED
11.2020 - 07.2022
Medical Billing Executive - US Healthcare
UNISLINK PRIVATE LIMITED
02.2019 - 11.2020
BTech (Civil) -
Vignan's Institute of Information Technology, Visakhapatnam
Intermediate (M.P.C) -
Sri Chaitanya Junior Kalasala, Visakhapatnam
SSC -
Vivekavardhani School, Srikakulam
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