Senior Database Developer
2bvision Technologies
Total years of experience :9 years, 9 Months
Developed RBS (Rule Base System) rules trough SQL Queries
Developed RBS (Rule Base System) build in SQL Queries
SQA of RBS rules
Developed Stores procedures
Analyze special instruction received from provider and developed rules to follow its.
Analysis on claims for submission.
Improving process to resolve issues related to Finance Department.
Formulate the Daily Data Sheet, Rejection Report etc.
Keep inform all changes in the rules and regulation of insurance carriers and regularly update to team lead and manager.
Analyze Insurance policies and developed RBS (Rule Base System) rules for practices to minimize error rate in claim.
Performs Medical billing of practices for off shore doctors (USA).
Tele conversation with insurance companies for claim follow-up of the practices Account Receivable.
Payment posting received from insurance for Doctors.
Performs the audit of practices/user and analysis of work done by user.
Calculate the error rate and give suggestion to improve health of the practice and performance of the user.
Keep inform all changes in the rules and regulation of insurance carriers and regularly update to team lead and manager.
Research /Analyze and prepare appeals when claims are rejected
Performs the audit of practices/user and analysis of work done by user.
Calculate the error rate and give suggestion to improve health of the practice and performance of the user.
Keep inform all changes in the rules and regulation of insurance carriers and regularly update to team lead and manager.
Research /Analyze and prepare appeals when claims are rejected.
Analysis on claims for submission.
Completed Master in computer Science with final years project Hazir Services
