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Tirunelveli
Abirami S

Abirami S

Senior Process Executive

Healthcare

Tirunelveli, Tirunelveli

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About Abirami S:

Detail-Oriented US Healthcare Claims Adjudicator with 3+ years of experience in end to-end medical claim adjudication. Expertise in analyzing professional claims, applying CPT, DX codes and HCPCS codes and Skilled in reviewing professional claims for accuracy, eligibility and policy compliance. Proven Ability to Reduce claim Turnaround time. Well Experienced professional with over 1 year of Insurance Underwriting process in which completing the underwriting intake process for Granular Insurance

Experience

Results-driven US healthcare Claims Adjudicator with strong hands-on experience using Facets to process and adjudicate Professional claims. expertise in eligibility and validation, provider contract application. Proven ability to resolve denials, pended claims and adjustments within turnaround time while maintaining High quality. Experienced Insurance Underwriting Professional with experience in Evaluating risk, reviewing applications and determining coverage terms with company guidelines, Skilled in analyzing medical, risk related data to assess eligibility m set premiums. Process involves fills out the intake tool using the information from the stored with the group 's respective data folder in Google drive and accessing with Salesforce information. As a Claims Adjudicator, the responsibilities included overseeing the entire claims processing cycle, ensuring accuracy and compliance with guidelines.

Education

A comprehensive undergraduate program focused on developing foundational and advanced knowledge in commerce, finance, accounting, and business management. Coursework typically includes financial accounting, economics, business law, taxation, marketing, and organizational management.

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