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Open to opportunities

NanthaKumar Elumalai

@nanthakumarelumalai

Experienced medical billing professional with over 10 years of expertise.

India

What I'm looking for

I am looking for a role that offers growth opportunities and values efficiency in medical billing.

I am a precise and efficient medical billing professional with over 10 years of experience in inpatient, outpatient, and physician medical billing. My specialization lies in filing accurate claims, adjusting rejected claims, and a thorough understanding of insurance contracts and EOBs. I have additional expertise in billing and medical records departments, which has allowed me to contribute significantly to the efficiency of medical centers.

Throughout my career, I have gained extensive knowledge in all aspects of medical billing, including filing claims, processing refund requests, and completing appeals. I am committed to staying updated with all insurance requirements, including patient responsibilities and managed care plans. One of my notable achievements includes creating an organized logging system in Microsoft Excel to track errors, which improved the overall efficiency of the medical center.

Currently, I work as a Claim Processing Analyst at Global Billing Service in Chennai, where I handle overpayment and underpayment claims. My role involves updating patient demographic information, verifying insurance benefits, and ensuring accurate coding with CPT and ICD-10 data. I pride myself on my communication skills and my ability to work effectively within a team, always striving for excellence in my work.

Experience

Work history, roles, and key accomplishments

AL
Current

Claim Processing Analyst

Access Healthcare Service Pvt Limited

Dec 2017 - Apr 2024 (6 years 4 months)

Experienced Claim Processing Analyst with a focus on overpayment and underpayment claims. Responsible for updating patient demographic information, verifying insurance benefits, and ensuring accurate coding for procedures and diagnoses. Skilled in analyzing patient return mails and maintaining data for production and collection.

GS
Current

Billing Specialist

GLOBAL BILLING SERVICE

Apr 2024 - Present (1 year 1 month)

Currently working as a Billing Specialist, focusing on payment posting and insurance payments. Responsible for verifying and entering procedure and diagnosis codes, as well as analyzing patient statements. Committed to maintaining high-quality standards in billing processes.

DE

Medical Billing Professional

Demo and Charge E-care Experience

Oct 2014 - Dec 2017 (3 years 2 months)

Medical billing professional with over 10 years of experience in inpatient and outpatient billing. Specialized in filing claims, adjusting rejected claims, and understanding insurance contracts. Improved efficiency by creating organized logging systems for tracking errors.

Education

Degrees, certifications, and relevant coursework

DC

Dr. Ambedkar Arts and Science College

Bachelor of Arts, Arts and Science

2011 - 2014

Tech stack

Software and tools used professionally

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