Medical Insurance Coding Specialist
Suryana Medical Center
Total years of experience :16 years, 1 Months
Process insurance pre-approvals, billings and claim settlements.
Accountable for billing transactions and medical record keeping.
Case handler of Savings and Investment Servicing of a UK-based bank which is a client of Concentrix.
Process customer's requests regarding their investments.
Inspects and repairs all kinds of defects found in BM and RGB pixels of Color filters for LCD.
Executes process and administer a broad range of financial transactions for Manulife Canada.
Maintains accurate record of business transactions and document analysis.
Adjudicate and process Claims within the agreed company SLA, clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target.
Ensure correct adjudication of claims thus allowing accurate reporting on claims data.
Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
Process medical claims for a US - based Healthcare provider that is handled by Accenture. It involves analytical skills and good decision making on whether to submit or deny payments based on contracts and rules provided by the client for their subscribers.
The Bachelor of Science in Electronics and Communications Engineering is a 5-year college program which focuses on the conceptualization, design and development of electronic, computer and communication products, systems, services and processes. The BS ECE curriculum, built around a strong basic core of mathematics, physics and engineering, provides teaching and training activities in the classroom and in laboratory exercises. Subjects covered include communications device and networks systems, audio and video processing, radio and TV broadcasting, industrial electronics and instrumentation, integrated circuits design and more.It needs Analytical, Mathematical and Technical skills to succeed in these course.