KAVI BHARATHI C
Sharjah
Summary
Detail-oriented and experienced customer service professional with 8 years of expertise in medical claim processing, insurance operations, and client support. Skilled at ensuring accurate documentation and communication between physicians, patients, and third-party payers. Committed to maintaining accuracy in medical data entry, reconciliation of claims, and adherence to insurance protocols. Proficient in various medical software systems, with a proactive approach to problem-solving and team collaboration.
Overview
9
9
years of professional experience
Work History
Senior Process Analyst
Huron Eurasia Pvt Ltd
11.2020 - 05.2025
- Ensured proper coding on provider documentation and maintained compliance with claim procedures.
- Oversaw insurance claim submission, follow-up, and resolution with third-party payers.
- Conducted reconciliations for claim accounting and premium accounting.
- Facilitated training on denial management processes, appeals, and documentation best practices.
- Updated and posted insurance checks (paper and electronic) on patient accounts daily and responded to financial inquiries.
- Created and managed detailed claim records and reports.
Senior Process Executive
Cognizant Technology Solutions
05.2019 - 06.2020
- Managed communication with insurance providers for claim authorization and adjudication.
- Handled documentation and submission of insurance claims, ensuring accuracy and timeliness.
- Oversaw collection of outstanding balances and aged receivables.
- Maintained comprehensive records of claims and communicated with relevant departments for follow-up.
Executive-AR
Omega Healthcare
10.2016 - 04.2019
- Verified insurance eligibility, coordinated with insurers, and processed medical claims.
- Maintained up-to-date patient data and ensured timely claim submission.
- Addressed claim follow-up and maintained records for policy lines.
- Processed patient enrollments, renewals, and terminations accurately.
Education
B.E (Computer Science Engineering) -
T J Institute of Technology, Anna University
Higher Secondary (XII) -
St. Joseph’s Hr. Sec School
S.S.L.C (X) -
St. Joseph’s Hr. Sec School
Skills
- Expert in claims processing accuracy
- Proficient in analytical thinking
- Proficient in managing interpersonal conflicts
- Experience in claims follow-up and coordination with internal and external departments
- Strong organizational abilities
- Detail-oriented reporting expertise
- Proficient in maintaining records and producing reports
- Encourages customer-focused environment
Languages
English
Upper Intermediate
B2
Hindi
Intermediate
B1
Tamil
Bilingual or Proficient (C2)
Software
- Microsoft Office Word and Excel
- AdvancedMD
- ECW- eclinical Works
- Cerner
- Brightree
- Waystar
- Dr Chrono
- Intergy
Personal Information
- Father's Name: Chandran
- Date of birth: 05/28/1994
- Nationality: Indian
- Marital Status: Single
- Passport No: W5836709
- Passport Exp Date: 07/10/2032
Timeline
Senior Process Analyst
Huron Eurasia Pvt Ltd
11.2020 - 05.2025
Senior Process Executive
Cognizant Technology Solutions
05.2019 - 06.2020
Executive-AR
Omega Healthcare
10.2016 - 04.2019
Higher Secondary (XII) -
St. Joseph’s Hr. Sec School
S.S.L.C (X) -
St. Joseph’s Hr. Sec School
B.E (Computer Science Engineering) -
T J Institute of Technology, Anna University
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