Umar Farook Email & Phone Number

Dear Family, Thanks for reaching out to my profile! Here is the short synopsis about myself.!! This is Umar farook, from Chennai. I did my Undergraduate at Nandha engineering College. In my professional journey, I excelled as a System admin at Gold briefs garments for the duration of the initial 3 years 4 months (2019 to 2022). where I demonstrated expertise in handling system admin work and provided excellent support to the team. Following that, I transitioned to Thryve Digital Healthcare, where I gained US healthcare experience as a benefit coder for 2 years (2022 to 2024). As a Process Analyst. In this role, I made significant contributions to process enhancement and optimized operational efficiency using my analytical skills and given innovating process ideas to our team.I always love to keep myself updated with knowledge and ideas

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  Process Analyst - Benefits Configuration

  Thryve Digital Health Llp

  May 2022 - Present - Chennai, Tamil Nadu, India

  Pricing/Configuration Health rules, Claims research & AdjudicationResponsible for designing the health plan benefits, including coverage levels, deductibles, copays, coinsurance, and maximum out-of-pocket limitsResponsible for configuring the health plan's benefit structures in the insurance company's claims processing system. This involves ensuring that the benefits are accurately and consistently set up, and that any changes to the benefit design are reflected in the systemKnowledged in HIPAA, Medicare & Medicaidknowledged in Healthcare product like - PPO, EPO, HMO, HDHPHands on experience in INSINQ, OCWA, CPBRE & ICIS Database applications, Testing & Configuration toolsAs a benefit coder at Oscar responsibilities include - Coding and maintaining health insurance benefits and plan designs in the Oscar system.Ensuring that all benefits and plan designs are accurately reflected in the Oscar system and aligned with regulatory requirements.Collaborating with product managers, actuaries, and other stakeholders to ensure that benefit and plan design changes are accurately reflected in the system.Conducting quality assurance checks to ensure that benefits and plan designs are functioning correctly in the system.Troubleshooting and resolving issues related to benefit and plan design coding in the Oscar system.Analyzing and interpreting benefit and plan design data to identify trends and make recommendations for improvements.