www.prometheusteam.com Prometheus Business Outsourcing India Pvt Ltd Chennai : Medical Billing Quality Analyst

[Rajkumargautam]

Prometheus Business Outsourcing (India) Private Limited Chennai : Medical Billing - Quality Analyst - Non Voice - Prometheus Group
prometheusteam.com

Designation: Medical Billing - Quality Analyst - Non Voice - Prometheus Group
Experience: 3 - 6 Years
Location: Chennai

Job Description:
Need to do a Point Blank Audit of all Non voice processes, need to set the Standard of processes high, to play a key role in forming a Quality work culture. Should be the key person & responsible one for the Stabilisation of processes.

Desired Candidate Profile:
For this responsible post we need candidates with Very Deep and Thorough knowledge in Medical Billing. Should have hands on experience in Auditing all Non voice processes of Medical Billing. Team leading experience will be an added advantage.

Company Profile:
We are the Back Office for a Direct US Healthcare Provider. The Company is 12 Years old and running successfully for the past 2 years at India dealing with Durable Medical Equipment Billing Services.

Address:
Prometheus Business Outsourcing (India) Private Limited
Salma Arcade,2nd Floor #333 Arcot Road
Kodambakkam
CHENNAI,Tamilnadu,India 600024

Email Address: jobs@prometheusteam.com
Website: http://www.prometheusteam.com/

Keywords: Quality Audit, QA, QC

[Guest]

S. HARIKARAN
harijack AT yahoo.co.in
aadhi.vysya AT gmail.com
OBJECTIVE :
Intend to build a career with leading corporate of hi-tech environment with committed & dedicated people who will help me to explore myself fully and realize me potential. Willing to work as a key player or any position in challenging & creative environment.
EDUCATIONAL QUALIFICATION :
1. Certificate : Bachelor of Commerce in Computer Application. (B. Com (CA))
Institute : Sengunthar Arts & Science College, Tiruchengode.
Year of Achieved : 2007.
2. Certificate : Higher Secondary Course. (HSC).
Institute : Govt. Hr. Sec. School, Jalakandapuram.
Year of Achieved : 2004.
3. Certificate : Secondary School Leaving Course. (SSLC).
Institute : Govt. Hr. Sec. School, Jalakandapuram.
Year of Achieved : 2002.
SOFTWARE EXPOSURE :
Operating System : Win 98/Me/2000/Xp, Ms - Dos.
Word Processing : Ms – Word.
Work Sheet : Ms – Excel.
Pro. Lang : C, Java, Visual Basic 6.0.
RDBMS : Ms – Access.
WEB Development : HTML, XML.
EXPERIENCE :
1. Job Title : Technical Executive.
Concern : SMD Data Servicess, Salem.
Period of Worked : May’ 2007 – Dec’2007
Duty / Responsibility : i. Data Entry
ii. Data Conversion
2. Job Title : Quality Control Analyst
Concern : Omega Healthcare Management India Pvt Ltd
Bangalore.
Period of Worked: Jan’ 2008 – Till date.
Duty / Responsibility: Payment Posting

DECLARATION:
I hereby declare that the information given above is true up to my knowledge and belief.
Place: Salem
Date: 07/06/2011 Name: S. Harikaran

[Guest]

CURRICULAM VITAE
Manikandan Prasath T Deepikaprasath.1 AT gmail.com
mani_prasath AT yahoo.co.in
Objective
Work in teams to gain expertise through knowledge sharing and continuous learning while ensuring to be innovative, effective and cooperative.
Personal Skill
Creative approach to solve the problems, work enthusiastically with teams, manage things in an effective manner, inquisitive to learn new concepts, determination to handle pressure without giving up..
Where
Organization Current : CEEQUENCE TECHNOLOGIES PVT. LTD
Chennai – 600 015
Period : Since June’11
Designation : Team Leader
Handling Client : Payment Posting, Denials, & AR Analysis

Software working : ADVANCEDMD, ASCEND
Previous Organization (1) : MANIPAL OMEGA HEALTHCARE MGMT. PVT. LTD
Chennai - 600 096

Designation : Team Lead (Operations) & QCA (ISO Team)
Period : Jan’06 – June’11 (5.6 Years)
Handled Client : Payment Posting, Denials, Charge & Demo
Software worked : MEDRIUM, QUADRAMED, REMEDY, MCKESSON etc.,
Operation
Responsibilities : (1) Keeping Production, Quality & TAT in a required manner.
(2) Conducting training session and refresher for fresher.
(3) Motivate the users to achieve their targets on a daily basis.
(4) Preparing update documents.
(5) Providing feedback to fellow associates on internal &
external error Report.
(6) Handling client e-mails.
Quality features : (1) ISO-internal auditor.
(2) Attended Six Sigma sessions in my office.
(3) Total Quality Management (TQM) control.
(4) Process Flow Charting.
(5) Cause and Effect analysis.
(6) Data collection & Identification of Training needs.
(7) Security Management Systems.
(8) Organizational Behaviors Importance.
(9) Preparing ISO documents for internal office usage.
(10) Training & Development.
Previous Organization (2) : PRODAPT SOLUTIONS PVT. LTD
Chennai
Designation : Auditor.
Period : 2005-2006
Responsibilities : Verifying HCFA & Courier bills
Educational Profile
MBA (General mgmt.) - Alagappa University. Period - 2007-2009 (II nd Class)
B.Sc. (Chemistry) - A. M. Jain College Period - 2002-2005 (II nd Class)
HSC - GOVT. Higher Secondary School-Meenambakkam (I st Class)
SSLC - GOVT. Higher Secondary School-Meenambakkam (I st Class)
Software Skills
Operating Systems : Windows 98, 2000, XP and ME
Typewriting : Higher - First class
Office Tools : Ms Office 2000
Diploma : PCP-Specialization FoxPro.
I, hereby solemnly affirm that the above-furnished details are true to best of my knowledge and belief.
Yours truly,
Place : Chennai
Date :
(Manikanda Prasath T)

[Visubalamurugan]

I came to know that you are recruiting persons in your esteemed organization. In this connection I hereby offer myself as a Candidate for your kind consideration. A copy of my Resume is enclosed along with this for your kind consideration and empathetic perusal.
If you provide me an opportunity to prove myself the post, I will be always thankful to you and your esteemed concern and I will discharge my duties to the full-blown satisfaction of my superiors towards the betterment of the organization.
E-Mail Id / Phone No : visubalaa_25 AT yahoo.co.in
V.BALAMURUGAN
------------------------------------------------------------------------------------------------------
OBJECTIVE
1 To become a Professional in BPO Industry.
2 To achieve best position in my personal& professional life.
3 To be a trendsetter in the job which I perform.
EXPERIENCE SUMMARY
1 Five Years as a Claims Operations Associate from Sep’06 to Aug ’11 in DELL Services – Ambattur. Worked in teams like …
a) Credit Balance (Refunds of Over Payments from Both Provider & Patient)
b) Insurance Adjustment’s and Self-Pay Adjustments
c) Medicare Project (NMC – National Medicare & Medicaid Center)
d) Worked as a Back-up for TL by allocating Accounts, Batches etc…. and
Pushing production, doing Quality Checking and maintain Feedback report
Of Associates. And my achievements by getting Star of the Month award three times from Nov’07 to Jan’08.
2 One and Half year as Project Associate in Brilliant IT Enabling Services Pvt Ltd -- Kotturpuram.
SKILLS SET
Operating Systems Window NT
RDBMS/DBMS VB-6.0, Oracle 7.1 with Forms 4.5, Ms-Access
Packages Ms-Word, Ms-Excel, Ms-PowerPoint
Reporting Tools Ms-Access
Others E-mail, Individual Internet Correspondence.
ACADEMICS
Qualification College / University
B.sc - Mathematics A.M Jain College – Meenambakkam
Courses Done Institution / Company
HDCA – Higher Diploma in Computer Application) – One Year Course. SISI Academy – Computer Aalaya – Guindy
Technical Qualification Institution / Company
Telephone Operator – EPBAX St.John’s Technical Institute – T.Nagar
Type Writing – English Lower Ranga Institute - Saidapet
PROFESSIONAL STRENGTHS
1 Avg communication & Interpersonal skill.
2 Strong and realistic belief in own capabilities and ideas, exhibiting a “can do “ attitude & seeing problems as “solvable”
3 Willingness to learn, team facilitator and hard worker.
4 My article about sports has published Ten or more times in Nation’s leading sports magazine “The Sportstar”

[Guest]

Curriculum vitae
SINDHU.P
EMail : sindhussss AT yahoo.com
______________________________________________________________________
Profile :
Young, creative and ambitious individual with technical skills. Ready to learn and accept new changes and environment. An effective communicator and capable of delegating responsibility.
Educational Qualification :
Bachelor of Arts in B.A-Economics- All saint’s College, Trivandrum, University of Kerala.
Technical Qualification :
1. Post graduate Diploma in Computer Application.
2. Computer Word processing Lower & Higher
IT KNOWLEDGE :
Operating System : Knowledge of MS-Word, PowerPoint, Access & Excel and
Operating Systems such as Windows98, 2000, XP.
Work Experience :
1. Landmark Info-tech, Kerala.
Worked as Office Assistant.(6 months)
2. Break-through Technology Pvt Ltd, Chennai.
Worked as a Cash Poster and Charge Entry for Break-through from May 2006 to July 2007
3. India Healthcare Solutions Pvt Ltd, Chennai.
Working as a Senior Process Executive in India Healthcare Solutions, Vepery, from August 07 – May 2010. (Two and half years )
4. Q Way Technologies Pvt Ltd, Chennai.
Working as a Senior Process Executive in Q Way Technologies, No 82A/40,1st main road, CIT Nagar, Nandanam, Chennai-35, from December 2010- Till working.
Billing Software
1.Medi-soft
2.Medix premier
3.Kareo
4.Clinix mis
5.Health Nautica
Rejections
1.Office Alley
2.Emdeon
3.Gateway
4.Availity
Roles and Responsibilities as a Cash Poster/Charge Entry :
- Auditing & Posting Payments for claims/accounts and also Auditing & Entering Charges, entering Patient Demographics for claims/accounts as specified by Team Leader.
Roles and Responsibilities as an AR Analyst :
- Issuing work orders to callers and co-operating with them in getting issues resolved.
- Taking care of Clearing house rejections.
- Sending mails to clients regarding the denials received in payment and denial batches and have them resolved.
- Replies to issues raised by clients thru e-mails for questions regarding AR.
- Identifying the errors (if any) on the claims submitted and resubmitting the claims after making necessary corrections.
- Performed required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, and posting account adjustments.
- Preparing Month-end reports.

[Guest]

Resume of Thirupura Sundari
E-mail :sundari_978 AT yahoo.co.in
sundarihari501 AT gmail.com
Educational Qualification
A.M.I.E.T.E. in Electronics and Telecommunication Engineering.
Work Experience : 8 Years in Medical transcription.
Place

Grade
Period
Delta Solutions

Junior MT
Jun 2003 – Apr 2004
LG Informatics Pvt Ltd.

MT
May 2004 – Jan 2005
BNS Soft Pvt Ltd.

Senior MT
Feb 2005 – July 2007
Launch PD (Home transcription)

Senior MT
Sep 2007 – Dec 2008
Accel India Pvt Ltd. (Home transcription)

Senior MT
Jun 2009 – July 2010
Sri-4 (Home transcription)

Senior MT
Aug 2010 – June 2011
Donedoc Transcriptions
Senior MT
July 2011 – Till date
Strengths
- Sound knowledge of physiology and medical terminology
- 800 lines of transcription per day with upload quality
- Excellent listening skills
- Good communication skills

[Guest]

Dear Sir

Kindly let me know jobs available on line as I am very much in need of such a job due to a financial difficulty. My location is Sri Lanka

[Guest]

CURRICULAM VITAE
Name : JISHNU .R.K
E.mail : rkjishnu13 AT gmail.com

Objective :
To utilize my skills and abilities in the Industry that offers security and Professional growth while being resourceful, innovative and flexible.

Academic credentials :
Course Name Institution Year of Passing Percentage
BCA(computer application) Gurunanak College April 2010 61%
H.S.C M.G.R Higher Secondary School
March
2007 68%
S.S.L.C Avichi Higher Secondary School
April
2005 69%

SUMMARY OF SKILLS :

- Ability to communicate effectively and build long lasting\ mutually beneficial relationships.
- A team player, ability to work comfortably with people from diverse background
and experiences.
SOFTWARE EXPOSURE :
Operating System : Window 98 & XP
Language : C, C++ , JAVA
GUI : Visual Basic
RDBMS : Oracle(Basic)
Web : Html, JavaScript

Academic projects :
- Project Title : “ Money Exchange”

Extra-Curricular Activities :
- Participated in inter college competition.

Experience : Payment poster & adjudicater in U.S.Healthcare
Medusind solutions(July 2010-August 2011)
Technosoft August 2011- present
Hobbies : Reading, Listening to music., cricket
DECLARATION
I do hereby confirm that the information given in this form is true to the best of my
Knowledge .
Yours Faithfully,
Place : Chennai
Date : [R. K. JISHNU]

[Guest]

RESUME
K. SELVAM
Email : 1979selvam AT gmail.com
EDUCATIONAL QUALIFICATION
- Qualification : M.A. Sociology
ADDITIONAL QUALIFICATION
- Typewriting : English Higher
- Computer : Certificate in Data Entry
PREVIOUS EXPERIENCE
- Currently Working as an AR-Analyst in E-Care India (P) Ltd., Woods Road Chennai. (May – 2011 to Present.)
Nature of Job
Steps taken for EOB and ERA Denials. We maintenance aging excel download from the software with aging bucket and we carefully analyze the claims and resubmit or appeal the claims to get payment, also we prepare some reports as per client requirements like month end reports and AR Recap report etc.
- 3 Years Experience as an Analyst in India Health Care, Veppery Chennai. (May 2008 - April 2011)
Nature of Job
Done Payment Posting, Charge entry, Patient Demography, Prepare and sent Patient Bill and also taken denials steps.
- 2 Years Experience as a Medical Billing Analyst in L-Cube, Annanagar, Chennai. (May 2006 - April 2008)
Nature of Job
Done Charge Entry QC and Claims Audit.
- 6 Years Worked as a Shift Supervisor in E-Softtek (P) Ltd., Anna Nagar, Chennai. (2000 – 2006)
Nature of Job
Done Health Insurance Claim Forms (HCFA) Processing. To Maintained a floor
Declaration
I here by declare that the above information given by me is correct and true to the best of my knowledge.
Place : Chennai
Date : [K. SELVAM]

[Guest]

Do prometheus give job for bond?