Deepak Kumar Rai Email and Phone Number

Marine

Marine

• Communicating with insurance representative to ensure any denied claims were resolved and following up on new/corrected claim which was submitted. • Working on underpaid claims. • Verifying billing rate through portal (For Drug code). • Transferring balances to correct payers • Maintained current accounts through aged revenue reporting• Working on 1st and 2nd level appeals• Web AR• Adjustment reports, Price and Billing Grid Reports • Managing Production report

• Configuration of Clinical Benefit Operations - Enrollment of members and clinical rules based on the requests received from Onshore • Triaging of work received in Mumbai (Work routing and allocation) and handling Central Mailbox • Analysis of pre-requisites and completed data to ensure completion of coding as per intent (actions include working on Excel) • Quality Checking of the coding activity conducted by the associates • Claim adjudication – Anthem Payer • Facilitating calibration calls and Q&A with the client and secondary vendor (Philippines) • Conducting updates sharing sessions with the team • Conducting process trainings for the new hires in the team • Creating and maintaining user guides, reference manuals, SOPs and training materials as appropriate

Navigation and Chart ReadingSeamanship and Knot TyingSafety and Emergency ProceduresUse of Radar, GPS, and AISStrong Communication and TeamworkProblem-Solving and Decision-MakingAdaptability and Resilience