Manikandan Sivakumar

Manikandan Sivakumar Email and Phone Number

Data Eng, Mgmt and Governance Sr Analyst @ Accenture
Chennai, TN, IN
Manikandan Sivakumar's Location
Chennai, Tamil Nadu, India, India
Manikandan Sivakumar's Contact Details

Manikandan Sivakumar work email

Manikandan Sivakumar personal email

n/a
About Manikandan Sivakumar

With over 11 years of experience in the US healthcare domain, my career began with claim adjudication, analyzing provider contracts, and adjusting claims based on contract or member benefit updates. I have configured various fee schedules, including ASC, lab, drug, and physician fees. Later, I transitioned to roles as a business analyst and functional data expert on projects such as converting HL7 messages to FHIR and storing FHIR data in CDR at Accenture. I am now aspiring to become a DevOps Engineer, committed to achieving this through a paced learning approach.

Manikandan Sivakumar's Current Company Details
Accenture

Accenture

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Data Eng, Mgmt and Governance Sr Analyst
Chennai, TN, IN
Website:
accenture.com
Employees:
636296
Manikandan Sivakumar Work Experience Details
  • Accenture
    Data Eng, Mgmt And Governance Sr Analyst
    Accenture
    Chennai, Tn, In
    View
  • Accenture
    Data Eng, Mgmt & Governance Sr Analyst
    Accenture Apr 2021 - Present
    Chennai, Tamil Nadu, India
    View
  • Ust
    Senior Process Associate
    Ust Nov 2018 - Apr 2021
    Chennai, Tamil Nadu, India
    • Claim Adjudication Process. Created SOPs for each scenario and update the SOPs based on new guidelines received from the client.• Profound Knowledge of management utilization techniques.• Act as a Trainer for the Project. Training Will be provided on US Healthcare Basics, Tool Navigation & Process Training.• Act as a Quality Auditor for the New Joiners on their Ramp up Period.• Refreshment session & Error feedback given to the team on Daily basis to achieve 100% Quality.• Ability to multitask and maintain accuracy in high pressure environment.• Ability to coordinate with team members for various activities.
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  • Acurus Solutions
    Production Associate
    Acurus Solutions Mar 2017 - Oct 2018
    Chennai, Tamil Nadu, India
    • Submitting the claim timeliness reports to Health Plan.• Having knowledge in the Medicare Fee Schedules – Physician, Clinical Laboratory, Drug, APC, ASC, DRG & ESRD.• Based on DOFR classifying the claim financial responsibility.• Worked in the PCP Capitation payment processing.• Resolving client escalations on time.• Process and paying the claims within TAT to avoid interest/penalty. Also have been working on Provider Reconsideration/Appeal.• Refreshment session & Error feedback given to the team on weekly basis to achieve 100% Quality.• Handled a hub of 7 members team for complete claim adjudication process and have been reporting overall status to the client on a regular basis.
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  • Cognizant Technology Solutions
    Senior Process Executive - Data
    Cognizant Technology Solutions Jun 2012 - Sep 2016
    Chennai, Tamil Nadu, India
    • Claim Adjudication and Adjustment Process.• Recovery and Adjustment Project (To verify the member whole history, if there is any wrong payment made previously, it is retracted and sent Report to the client)• Verify the member benefits and pay the medical claim as per the benefits of the member plan.• Review of team operations for a period of six months as acting SME and handle the team production, Quality and reports.• Trained a batch of fresher’s (7 Members) in the scope of Adjudicating & Adjustment Process.• Having knowledge in Foreign & Member Claims, Vendor Pricing and also in repricing the High Cost Drugs & Durable Medical Equipment claims through verification of medical records.• Provider credential (To verify the provider specialty and Tax ID, NPI ID, Address, etc.) & Audit and Clarify the Data of Medical Claims.

Manikandan Sivakumar Skills

Microsoft Excel Microsoft Office Team Management Leadership Email Clients Microsoft Word Training

Manikandan Sivakumar Education Details

  • Ramakrishna Mission Vivekanada College
    Ramakrishna Mission Vivekanada College
    A
  • Savitri Ammal Oriental Hr.Sec.School
    Savitri Ammal Oriental Hr.Sec.School
    Phyiscs, Chemistry, Maths & Computer Science

Frequently Asked Questions about Manikandan Sivakumar

What company does Manikandan Sivakumar work for?

Manikandan Sivakumar works for Accenture

What is Manikandan Sivakumar's role at the current company?

Manikandan Sivakumar's current role is Data Eng, Mgmt and Governance Sr Analyst.

What is Manikandan Sivakumar's email address?

Manikandan Sivakumar's email address is ma****@****ant.com

What schools did Manikandan Sivakumar attend?

Manikandan Sivakumar attended Ramakrishna Mission Vivekanada College, Savitri Ammal Oriental Hr.sec.school.

What skills is Manikandan Sivakumar known for?

Manikandan Sivakumar has skills like Microsoft Excel, Microsoft Office, Team Management, Leadership, Email Clients, Microsoft Word, Training.

Who are Manikandan Sivakumar's colleagues?

Manikandan Sivakumar's colleagues are Nasreen Khan, Sachin Jadhao, Leopoldo Stanziola Neto, Martyna Młyńska-Marzec, August Wessel, Akash Shetty, Michelle Paladino Mora.

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