CURRICULUM VITAE VINOTHKUMAR CHANDRASEKARAN PASSPORT NO: F7108067 CURRENT VISA STATUS : B1-BUSINESS VISA VALIDITY: (DEC 5TH 2006 TILL MARCH 5TH 2007) EMAIL : v4vinoth2002@yahoo.com CONTACT ADDRESS IN FLORIDA : VINOTHKUMAR CHANDRASEKARAN (VINNY) C/O - MS. VIVIAN MILLS %u2013 NO.601 ROSERY ROAD, NO.4752, Largo, FLORIDA %u2013 33770, USA CONTACT # IN USA FLORIDA -1-727-564-7064 AND CONTACT PERSON IS VIVIAN MILLS CONTACT # IN CALIFORNIA 1- 408-238-1647 AND CONTACT PERSON IS LATHA CONTACT ADDRESS IN INDIA: ADDRESS: B 12,NO 8 ,NAVEEN SUNDARAM FLATS, 9TH STREET,NANGANALLUR,CHENNAI, TAMIL NADU,INDIA EMAIL : v4vinoth2002@yahoo.com and anuvin18@rediffmail.com 91 PHONE : 044 - 22324280 %u2013 CHENNAI,INDIA - CELL :9840921871 MY CELL# IN USA FLORIDA -1-727-564-7064 AND MY CELL# IN MAURITIUS : 230-799 8718 TOTAL U.S. MEDICAL BILLING EXPERIENCE : 3 YEARS and 7 MONTHS CURRENT LOCATION: I AM WORKING IN FLORIDA USA WITH A MEDICAL BILLING CONSULTANT OF MY CURRENT EMPLOYER IN MAURITIUS NAMES OF COMPANIES I WORKED : DESIGNATION NAME OF THE COMPANY TIME PERIOD ASST %u2013MANAGER %u2013 BILLING AND AR OPERATIONS NIBBANA HEALTHCARE LIMITED : CYBERCITY - MAURITIUS MAY 2006 %u2013 PRESENT TEAM LEADER %u2013 BILLING AND AR GREENWAVE HEALTHCARE TECHNOLOGIES,(other name Efficensmd solutions) KOLKATA %u2013 INDIA APRIL 2004 %u2013 APRIL 2006 FTE (BILLING DEPT) VISION HEALTHSOURCE INDIA PVT LTD( A PEROT SYSTEM CORP.) %u2013 CHENNAI - INDIA JULY 2003 %u2013 APRIL 2004
MEDICAL BILLING SOFTWARES KNOWN : G.E. CENTRICITY, RAINTREE, MEDICAL MANAGER, IPA MANAGER , MEDICAL MANAGEMENT 2000 PLUS, MEDMASTER. DIRECT CLAIM TRANSMISSIONS : I USE TO TRANSMIT ALL THE MEDICARE CLAIMS (MCARE837.TXT FILES) VIA MODEM LINES DIRECTLY TO MEDICARE. AND ALSO I WORKED ON AVAILITY.COM FOR TRANSMITTING (BLUE.TXT FILES)CLAIMS DIRECTLY WITHOUT CLEARING HOUSE TO ALL THE COMMERCIAL INSURANCES WHO ACCEPTS ELECTRONIC CLAIMS. CLEARING HOUSE I WORKED : MCKESSON, GATEWAY EDI MEDICAL BILLING KEY SKILLS:
Patient Demographic entries, ICD 9 AND CPT code entries (Charge entry) EOB Payment and denial postings. AR-CLAIMS Followups with insurance companies Denial analysis and refiling as appropriate Paper and electronic claim filings Electronic remittance and rejections follow-ups and taking necessary actions on the same.
QUALITY CONTROL - AUDITING CHARGES, PAYMENT POSTINGS AND DEMOGRAPHIC ENTRIES OF MY TEAM ,FILING & REFILING CLAIMS(ELECTRONIC AND PAPER)(HCFA 1500 & UB-92), EOB DENIAL ANALYSIS,CALCULATING COLLECTION PERCENTAGE REPORTS (CLIENT WISE) AND AR DAYS REPORTS,CALLING INSURANCE COMPANIES, AR-MANAGEMENT/FOLLOWUPS(ONLINE,TELEPHONE),SENDING PATIENT STATEMENTS, FAXING CLAIMS ALONG WITH NECESSARY DOCUMENTS LIKE PROOF OF SERVICE BY MAIL & LETTER OF REPRESENTATION,OPERATIVE REPORTS,UPDATING FEE VALUES IN DATABASE AS PER OMFS AND FOCUS NETWORK RATES,MONTHLY PAYMENT REPORTS TO PROVIDERS,QC AUDITING,CLIENT INTERACTIONS,PEOPLE MANAGEMENT & ACTIVE TRAINER FOR MY TEAM MEMBERS.
HANDLED ONCOLOGY,CARDIOLOGY, PLASTIC SURGERY,RADIOLOGY (MRI & CT) CLAIMS OF NEUROLOGY, OPHTHALMOLOGY, INFECTIOUS DISEASES SPECIALITIES. HANDLED WORKER'S COMP CLAIMS FOR CALIFORNIA STATE. Secondary claims filing in timely manner. Maintains a working knowledge of third party payor contractual requirements. Claims-Follow-Up: Unpaid claims are typically sorted by financial class order. Running AR Reports and sorting out the 31-60,61-90,91-120,and 120 days claims. Submitting COLLECTION PERCENTAGE REPORTS (CLIENT WISE) AND AR DAYS REPORTS. Analaysing Claims with DAYS IN AR AND giving more priority to higher dollar claims & older claims. Training junior associates and new team leaders and team members on billing and calling procedures. SCOA is our company%u2019s own insurance so we use to help adjudicating claims also through IPA MANAGER. I AM HANDLING MEDICAL BILLING OPERATIONS IN FLORIDA, USA AS A MANAGER FOR THE LAST THREE MONTHS - I USE TO VISIT ALL MY 13 CLIENTS(CLINICS) EVERY WEEK AND SUBMIT WEEKLY PRACTICE REPORTS LIKE NO OF CLAIMS RECEIVED PROCESSED AND ELECTRONIC AND PAPER CLAIM TRANSMISSIONS STATUS AND I WORK WITH CLIENTS VERY CLOSELY AND I RESPOND TO ALL THEIR CALLS, AND GIVE BILLING SUPPORT, AND IN GENERAL I WORK HARD FOR STREAMLINING THE US BILLING OPERATIONS AT FRONT END. FOR EXAMPLE I PREPARED FRONTOFFICE CHECK LIST AND PASTED NEAR FRONT OFFICE STAFF IN DOCTORS OFFICES AND IT REDUCED THE SIZE OF MISSING INFORMATIONS WHILE BILLING, AND I MAKE APPOINTMENTS AND I MEET MY DOCTORS EVERY TUESDAYS AND RECORD THEIR QUERIES AND CONCERNS AND SUGGESTIONS AND I TRAIN MY BACKOFFICE BILLERS. I TRANSMIT HEALTHCARE CLAIMS IN HIPAA SPECIFIC FORMATS I MEAN 837 FORMATS TO MEDICARE AND COMMERCIALS DIRECTLY WITHOUT CLEARING HOUSE ALSO I HAVE EXPERIENCE IN TRANSMITTING THEM VIA A CLEARING HOUSE IN DIFFERENT SOFTWARES AND TO RECEIVE AND REVIEW 835 FILES AND POST THEM IN LESS THAN TWO MINUTES EVEN A BIG CHECK WORTH 85000 CAN BE POSTED IN TWO MINS VIA ELECTRONIC REMITTANCE FILES, AND I CROSS CHECK 276,277 FILES EVERYDAY AFTER CLAIM TRANSMISSION. 837 %u2013 HEALTHCARE CLAIMS SUBMISSION; (example mcare837.txt) 835 %u2013 ELECTRONIC REMITTANCE OR EOBS (ex : remit.txt) 276 %u2013 CLAIM STATUS RESPONSE FROM CARRIERS (ex : reject.txt) EDUCATIONAL BACKGROUND: Course Name of the Institution Aggregate 10th ST.ANDREWS HR SEC SCHOOL 82% 12th ST.ANDREWS HR SEC SCHOOL 84% B.SC (CS) SRI RAMAKRISHNA MISSION VIVEKANANDA COLLEGE,MYLAPORE,CHENNAI,TN,INDIA 75% CMIS (CERTIFIED MEDICAL INSURANCE SPECIALIST) PRACTICE MANAGEMENT INSTITUE - PMI (UNDERGONE SELF STUDY COURSE AND COMPLETED EXAMS) WAITING FOR RESULTS
PERSONAL DETAILS : Father Name : S. Chandrasekaran Occupation : Section officer, Secretariat, Chennai fort St. George, Tamil Nadu, India Mother%u2019s name : Usha Chandrasekaran Occupation : H.M %u2013 A.N.M. SCHOOL, ULLIYAMBAKKAM- Tamil Nadu, India My Date of Birth 22nd May 1983 My Marital Status Single My Nationality : Indian My Picture :
Reference : 1..Ms. Liza Suarez VP %u2013 MEDICAL BILLING OPERATIONS, EFFICENSMD SOLUTIONS, BURBANK, CA - CONTACT NO : 1-818-848-0707 2.Mr.Jaywant Nitturkar, Director Medical billing operations, EFFICENSMD SOLUTIONS, BURBANK, CA - CONTACT NO : 1-949-394-2383. 3 & 4 Nancy, Miranda and Evelyn Acquino : EFFICENSMD SOLUTIONS, BURBANK, CA - CONTACT NO : 1-818-848-0707
I Hereby request you to kindly consider my service for suitable assignment in your esteemed concern. Place: Date : (C.VINOTH KUMAR)
