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Chander kishor

@chanderkishor

Experienced healthcare claims adjudicator and auditor focused on accuracy and fraud prevention.

India
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What I'm looking for

I seek a hands-on claims or auditing role in healthcare that emphasizes accuracy, fraud prevention, patient access support, and opportunities to grow in RCM.

I am an experienced healthcare claims professional with multiple roles in claims examination and revenue cycle management across reputable firms. My background includes hands-on adjudication, claim review, and RCM processes that improve billing accuracy and provider accountability.

At R1 RCM, Calibrated Healthcare Systems, and Optum Global Solutions (UHG), I progressed through analyst and claims examiner roles, gaining practical experience in identifying billing errors and enhancing claims efficiency. I bring solid knowledge of claim workflows and a commitment to transparent financial processing.

I have basic computer application skills, strong typing speed, and proficiency with Excel, which I use to analyze claim data and support auditing tasks. I am punctual, hardworking, and maintain a positive, responsible attitude toward my work.

I seek roles where I can contribute directly to patient access and provider accountability by preventing fraud and improving claim adjudication processes, while continuing to grow professionally in healthcare revenue cycle and auditing functions.

Experience

Work history, roles, and key accomplishments

CL

Claim Examiner II

Calibrated Healthcare Systems India Pvt. Ltd.

Reviewed and adjudicated medical claims as a Claim Examiner II for one year, identifying billing errors and ensuring adherence to payer guidelines to reduce incorrect payments.

Education

Degrees, certifications, and relevant coursework

University of Delhi logoUD

University of Delhi

Bachelor's Degree, Unknown

Graduated from the University of Delhi with a bachelor's degree in 2015.

Central Board of Secondary Education logoCE

Central Board of Secondary Education

Higher Secondary Certificate (12th Grade), Higher Secondary Education

Completed 12th grade under the CBSE board, completing higher secondary education.

Central Board of Secondary Education logoCE

Central Board of Secondary Education

High School (10th Grade), Secondary Education

Completed 10th grade under the CBSE board, focusing on core secondary education subjects.

Tech stack

Software and tools used professionally

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Chander kishor - Claim Examiner II - Calibrated Healthcare Systems India Pvt. Ltd. | Himalayas