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Chandan Kumar

Eligibility verification specialist in Noida

New Delhi

8+ years of work experience

Access Healthcare
Jan 20233 yrs 6 mosPresent

Remote

PACIFIC BPO Pvt. Ltd.
Jan 20233 yrs 6 mosJun 2026

Overall above experiences in US Healthcare Insurance. Knowledge of Patients Responsibilities and Member Benefit Plans. Knowledge of Healthcare Software, JACADA, UNET, NextGen, Advanced MD. Currently working on Advance MD and NextGen. Following HIPAA Guidelines while working on patient eligibility and Insurance Verification where I need to Identify the effective date & Termination Date of policy holder/Subscriber from the Payor Portal. Evaluate and Processes claims as provided SOP on the behalf of Client Side. Reporting of Production by using Google Sheet at Operational Level. Monthly meeting with supervisor for individually growth as well as Organization.
PACIFIC BPO Pvt. Ltd.
Jan 20233 yrs 6 mosJun 2026

Job Title: Eligibility Verification –Insurance Verification. Project: US Healthcare Insurance (Medical Billing) Job Responsibilities: Responsible for Patients Responsibilities and Member Benefit Plans. Following HIPAA Guidelines while working on patient eligibility and Insurance Verification where I need to identify the effective date & Termination Date of policy holder/Subscriber from the Payer Portal. Knowledge of Healthcare Software, JACADA, UNET, Encompass, Next Gen, Advanced MD. Currently working on Next Gen. Evaluate and Processes claims as provided SOP on the behalf of Client Side. Reporting of Production by using Google Sheet at Operational Level. Weekly Group meeting with supervisor & Quality for growth as well as Organization.
AMDX Business Technolog
Jan 20231 moJan 2023

Remote

Assimilate solution India Pvt. Ltd.
Sep 20202 yrs 2 mosOct 2022

2 years of experience in US Healthcare Insurance as a Process Associates. Knowledge of Patients Responsibilities and Member Benefit Plans. Working on patient eligibility and Identify the effective date & Termination Date of policy holder. Evaluate and Processes claims on the behalf of provider. Reporting of Production records by using Google Sheet at Operational Level. Monthly meeting with supervisor for individually growth as well as Organization.
United Health Group
Jul 20182 yrs 2 mosAug 2020

2 years working Experience in US Healthcare Insurance Industry in Claim Processing. Knowledge of Medicaid and Medicare claims processing guidelines. Evaluate and Processes claims in accordance with company Policies and procedures, CMS and HIPPA guidelines. Reporting production’s by using Excel for Operational Level. Daily Work Completion Report to supervisor. Follow up with Quality Analysis Team for Best Quality. Monthly meeting with Managers for Betterment in Work For Growth of Company.

Education

cbse

High School Diploma

cbse

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Headline

Eligibility verification specialist in Noida

About

11 years of experience in Mortgages field.

Location

New Delhi

Work experience

Senior Client Partner at Access Healthcare, Jan 2023 - Present · 3 yrs 6 mos, Remote

Insurance Executive at PACIFIC BPO Pvt. Ltd., Jan 2023 - Jun 2026 · 3 yrs 6 mos, Overall above experiences in US Healthcare Insurance. Knowledge of Patients Responsibilities and Member Benefit Plans. Knowledge of Healthcare Software, JACADA, UNET, NextGen, Advanced MD. Currently working on Advance MD and NextGen. Following HIPAA Guidelines while working on patient eligibility and Insurance Verification where I need to Identify the effective date & Termination Date of policy holder/Subscriber from the Payor Portal. Evaluate and Processes claims as provided SOP on the behalf of Client Side. Reporting of Production by using Google Sheet at Operational Level. Monthly meeting with supervisor for individually growth as well as Organization.

Senior Executive at PACIFIC BPO Pvt. Ltd., Jan 2023 - Jun 2026 · 3 yrs 6 mos, Job Title: Eligibility Verification –Insurance Verification. Project: US Healthcare Insurance (Medical Billing) Job Responsibilities: Responsible for Patients Responsibilities and Member Benefit Plans. Following HIPAA Guidelines while working on patient eligibility and Insurance Verification where I need to identify the effective date & Termination Date of policy holder/Subscriber from the Payer Portal. Knowledge of Healthcare Software, JACADA, UNET, Encompass, Next Gen, Advanced MD. Currently working on Next Gen. Evaluate and Processes claims as provided SOP on the behalf of Client Side. Reporting of Production by using Google Sheet at Operational Level. Weekly Group meeting with supervisor & Quality for growth as well as Organization.

Healthcare Specialist at AMDX Business Technolog, Jan 2023 - Jan 2023 · 1 mo, Remote

Process Associate at Assimilate solution India Pvt. Ltd., Sep 2020 - Oct 2022 · 2 yrs 2 mos, 2 years of experience in US Healthcare Insurance as a Process Associates. Knowledge of Patients Responsibilities and Member Benefit Plans. Working on patient eligibility and Identify the effective date & Termination Date of policy holder. Evaluate and Processes claims on the behalf of provider. Reporting of Production records by using Google Sheet at Operational Level. Monthly meeting with supervisor for individually growth as well as Organization.

Claims Associate at United Health Group, Jul 2018 - Aug 2020 · 2 yrs 2 mos, 2 years working Experience in US Healthcare Insurance Industry in Claim Processing. Knowledge of Medicaid and Medicare claims processing guidelines. Evaluate and Processes claims in accordance with company Policies and procedures, CMS and HIPPA guidelines. Reporting production’s by using Excel for Operational Level. Daily Work Completion Report to supervisor. Follow up with Quality Analysis Team for Best Quality. Monthly meeting with Managers for Betterment in Work For Growth of Company.

Education

High School Diploma, cbse