Ananth Kumar Email & Phone Number

Bengaluru, KA, IN

India

Bengaluru, Karnataka

Hands on experience in Resource allocation, Resource Deployment, Stakeholder Management, Bench management, Rotation management, Demand and supply management & Team and people management.Good knowledge in other areas of Human Resource functions like Talent Management, Performance Management, L & D & Employee engagement.

India

Worked with emids as senior edit researcher is a part of FWA services, where we need to do research on medicaid relased manauls, statues, state codes, updates, banners or bulletins. Review page by page of every document and pull out every edit that can be codified and inserted into our department formatted spreadsheet. Which is called ACE Automated claims.

Fraud Investigation Recovery Case Development. As an investigator, worked under the direction of a Lead Investigator (in US) and, using claims information for conducting the preliminary research of billed services at issue. As an investigator responsible for review of medical coding guidelines billed by providers, checking applicable health plan policies.

India

Overpayment Recovery & Refund is responsible for determining the Overpayment made on the Healthcare insurance claim billed by the provider, and analyzing the claim information.Adjusting the claim with the correct adjudication reason code and explanation of benefit code to the customer.