Prasanth C Email & Phone Number

Chennai

Developing the queries for Healthcare Facility and physician claims by using the MS Access or SQL pass thru queries finding the claims for respective TIN and auditing those claims which causes the over payment for the provider. Our sole responsibility is to validate the claims which are billed by the providers based on the paper contract. Finally consolidating the overpaid claims and send those for client to get recoupement from providers.

Chennai

Worked for a payer side to check all claims information in adjudication system with claim image. Processed both HCFA (Professional) and UB (Institutional) claims in claims processing. Step by step confirming patient and provider information as per claim form and to ensure the quality.

Bachelor’S Degree, Information Technology

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