Кладовщик-упаковщик

Описание

Experience

October 2020 - Present Operations Analyst - Medical Billing
HealthRecon Connect (Pvt) Ltd – Colombo, Sri Lanka

Key Duties Involved
• Solely responsible for managing billing and claims department at medical billing company.
• Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials
• Precisely completing appropriate claims paperwork, documentation, and system entry.
• Verifyin g patients' eligibility, pre -authorization, and claims status with insurance agencies.
• Submitting electronic and paper insurance claims within 24 hours of patient appointment.
• Experience with Medicare, Medicaid, Medicare replacement plans, and commercial insurance.
• Performed professional and facility billing and UB -04

April 2018 - July 2020 Account Manager
RCM Medigain (Pvt) Ltd – Colombo, Sri Lanka Key Duties Involved
• Producing AR plan and work allocation to the AR team.
• Assisting the onshore & offshore operation team on Rejections, AR follow -up, and email escalation related to claims from clients.
• Responding to clients queries and concerns on a timely manner.
• Directing the AR team on follow -up work to determine unpaid claims status and taking appropriate actions to ensure prompt payment.
• Managing Clients accounts receivable, including analyzing by category and by payer and offering strategic solutions to reduce time in aging.
• Identifying the root cause of issues impacting proper and timely first pass paym ent results and working with the AR team and clinic resources to implement process and system
changes to drive results.
• Assisting billing team on errors to make sure they are not repeated on workflow and providing necessary training on VOB process.
• Communi cation with onshore team to maintain the providers accounts are healthy.
• Monitoring/Assisting AR teams collections to ensure the work process is being driven properly according to the monthly plan.

Reamesh Kamalanathan
Operations Analyst - Medical Billing
Detail -oriented Medical Billing and Collections Specialist with 4+ years of experience managing medical
insurance claims. Investigates and resolves insurance company disputes. Specialize in filing accurate claims,
adjusting rejected claims, and understanding insurance contracts, appeals, and EOBs. Additional expertise in
quality control, reimbursements, and implementing improved processes to enhance accuracy of business and
billing .

Email : reamesh2max@gmai.com
Address : 6/1, Vijitha Road, Nedimala, Dehiwala
Phone : 0094720104303
Date of birth : 07-15-1988
Country : Sri Lanka

September 2016 - April 2018 Senior Col lections Executive
RCM Medigain (Pvt) Ltd – Colombo, Sri Lanka

Key Duties Involved
• Follow up with insurance companies to understand the status of the claims. Based on the information received, necessary corrections are done on the claims and resubmitted to the insurance for payments.
• Prioritizing the claims as 60, 90 and120+ and follow -ups on high dollar claim on each bucket.
• Reporting dai ly AR summary of respective clients to the Manager, Team Lead and Assistant Team Lead.
• Responding to DCI escalations.
• Checking on payer rejections, posting, and billing escalation and fixing those claims.
• Training and assisting new recruits .


December 2013 - December 2014 Secretary cum Office Assistant
AL Zaabi Garment & Tex tile Trading. L.L.C - Ajman, U.A.E Key Duties Involved
• Answering phone calls.
• Customer feedback via email.
• Handling and preparing Purchase Orders.
• Data Entry.
• Preparing Quotation.
• Sending fax, email, and photocopy.
• Calling clients to give detail of their order.
• Following up payments.
• Maintaining and ensure the availability of office stationery items and purchase them when required.
April 2009 - June 2013 Pc Technician
Icore Pc Solution Pvt Ltd - Badulla, Sri Lanka
Key Duties Involved
• Pc repairing.
• Pc assembling.
• Pc error fixing.
• Selling hardware items.
• Ensure warranty of the products by home visiting every month.
February 2006 - July 2008 Office Assistant
Maersk Lanka (Pvt) Ltd - Colombo, Sri Lanka
• Collecting documents (Bill of landings) from reputed shipping companies and hand over
them to office staffs.
• Deposit cheques to relevant banks and making payment.
• Printing documents, photocopies and all other office work when required.
• Updating day work profile to the computer.
• Maintain files and ensure cleanliness of the workplace .

Education Qualification
Successfully completed General Certificate of Education (Ordinary Level) Examination, Ministry of Education in Sri Lanka (2004) with 1B,
CB, 3S’s which includes Good (B) in English and Credit Pass (C) in Tamil and Simple Pass (S) in Mathematics.

Professional Qualification
Successfully completed The Diploma in Information Technology with Distinction pass @ EWIS Career Training (PVT) Ltd Badulla Sri Lanka.
Course Contents
• Introduction to Computer System
• Microsoft Office
• Programming Techniques
• Programming in Pascal
• Communication Technology & Networking
• Object Oriented Techniques
• Programming In Visual Basic
• Introduction to Internet & Email
• Web Designing using HTML Successfully completed Diploma in Hotel Management & Tourism Certificate at Swiss Lanka Hotel School Kandy , Sri Lanka
Course Contents
• Intr oduction to Tourism
• Food preparation and cooking (Culinary Arts) principles & practices
• Food and beverage service principles & practices
• Reception operation and services principles & practices
• Accommodation operation and services Principles & practices
• Fundamental of Management
Obtained City & Guilds certificate specialized in Diploma in Food and Beverage services at Swiss Lanka Hotel School Kandy , Sri Lanka.

Languages
English
Advanced
Skills
• Hospitality
• Customer Assistance
• Teamwork
• Leadership
• Productivity
• Adaptability
• Communication
• Organizational skills
• Fiscal skills

Handled PMS
• Advanced MD Suite
• MD Suite
• Vitera Intergy


Personal Statement
• A dedicated, self -confident, self -motivated candidate ambitious for a promising career in Revenue Cycle Management or relevant
field.
• An excellent team -player who can generate enthusiasm in other team members.
• To join a renowned organization and to reach the highest possible position of my career while giving my best to achieve the
targets of the organization by blending my knowledge


Sports and Extra – Curricular Activities
• Member, School Badminton Team (2004)
• Member, School Head Prefect (2004)
• Member, School Cricket Team (2004)

















General
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