Sudhakar B C Email & Phone Number

United States

Bengaluru, Karnataka, India

Bengaluru, Karnataka, India

• Provides expertise and support to Operations, Claims, and Client• Responsible for coordinating day to day planning, operations and problem solving so that team meets required level of service and production• Identify areas for Process Improvement or Cost Efficiency and ensure functional coordination to ensure implementation of Guidelines or System Enhancements• Decision on high cost and complicated cases• Monitors existing team performance and identifies and schedules needed training• Track staff hours for over-time sheets and weekly schedule• Responsible for accurate and timely adjudication of group health medical, Medicare claims online, Electronic Claims Processing and Clinical claim review• Subject Matter Expert and also Branch Operations and other concerned groups on Medical insurance matters• Fraud Investigation & Management• Maintain black list database• Dashboard and reporting

Bengaluru, Karnataka, India

• Processed claim of Direct Billing and Reimbursement, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements• Claims processing and Quality management• Dispute management, settlement negotiation, fraud investigation• Working with sales and distribution teams to ensure that the client experience is consistent and positive• Strengthening and developing the network of partners to ensure a high level of service quality• Performed audit of randomly selected claims to ensure quality processing• Followed adjudication policies and procedures to make sure proper payment of claims• Provided timely customer service to members, providers, billing departments and other insurance companies on the subject of claims• Generated reports of findings to help management with making key decisions.• Designed plans to improve operations and suggested changes to systems for overall organization.

Hassan, Karnataka, India

my responsibility was teaching a number of classes and seminars, attending conferences, conducting research, and supervising students. And i was collaborating with colleagues, advise teaching assistants, and tackle several administrative tasks.

Bhadravathi, Karnataka, India

Provides direct, professional nursing care to a specified population of patients in an inpatient or an outpatient setting.Prepares equipment and assists physicians during examinations and treatments.Performs evaluation of new and existing patients to determine priority and suitability of treatment and/or need for modifications.Administers prescribed medications, applies sterile dressings, performs phlebotomy, and monitors vital signs.Maintains confidentiality of patient records.Performed specialized nursing procedures related to the unique needs of a particular patient population.Performed oversee and guide the work of other nursing and support staff.Performed miscellaneous job-related duties as assigned.