SENTHAMIZH SELVAN

Contact: 6374507791 Resident Address

Gmail: Senthamizh329@gmail.com No 3, Thiyagaraja Pillai Street,
Outlook: Sendhuv@outlook.com Udayargudi, Kattumannarkoil(TK),
Cuddalore (DT), 608 301

CAREER OBJECTIVE
I am Seeking a job change to work in a medical billing with 5.5 years of experience, which
should give me the Confident to deliver the best out of me challenging and leading atmosphere.

EDUCATION
2016 M.E., CSE, Annamalai University, Securing CGPA 88.2
2012 B.E., CSE, UCEV Securing CGPA 66.67
2007 12th., PRG HSS, Secured %87.1

WORKING EXPERIENCE
Company Profile : Zealous Services Private Ltd, Chennai
Role : Payment Posting
Designation : Junior Executive
Softwares : Dr Chrono, Care Cloud Central
Duration : Oct 2017 to Nov 2020

Company Profile : Global Healthcare PVT LTD, Chennai

Role : Payment Posting
Designation : Junior Executive
Softwares : Medics Premiere, ADS, LIS & SequelMed , eclinical Works
Duration : Nov 2020 to June 2022

Company Profile : Business Integrity Services Pvt Ltd, DLF, Chennai

Designation : Senior Associate - Payment Posting
Softwares : Telcor, Intergy, HST Pathways
Duration : June 2022 to Dec 2022.

ROLES &RESPONSIBILITIES:

SENIOR ASSOCIATE – PAYMENT POSTING:

• Responsible for manual payment posting of insurance / patient / ACH / Credit Card payments &
Medicare/Medicaid payments as well as contractual adjustments per rate sheets and contracts per
private insurance companies allowable amounts.
• Interpreted the EOB and balance transfers money to the secondary insurance or patient liability.
• Accountable for daily balancing and tracking of cash and adjustment and Posted denial information.

CREDIT BALANCE:
• Researched credit balances and processes refunds or transfers to the appropriate party on a weekly
basis or according to clinic/department specific guidelines.
• Submitted refunds/transfers with supporting documentation in the proper order for processing to
the supervisor.
• Communicating discrepancies in insurance payments and EOB coding to Billing Specialists and Team
• Balanced summary activity in the patient accounting system and reconciles the unapplied cash
account on a daily basis.
PENDING CASH POSTING & ORAL CONTRACEPTIVE PILLS
• Maintaining General leger from the different transaction from subledgers
• Identifying Missing Payment after AR process and correcting them
• Following Updates and Applying default Payment actions
• Ensuring Mismatch and denial information wheather needs to report.

DOMAIN KNOWLEDGE:
• Demo/charge Entry • Patient Payment • Deduct/Copay/Coins
• Cash Deposit • Denial management • Encounter Transfer
• Insurance Payment • Rebill & Referral • EHI & EMR
• Interest Payment • Sequestration • HIPPA acts
• Self/Private Pay • Attorney Payment • Credentialing
• Lockbox • Credit Balance • ICD – 9 & ICD -10
• ERA/RA Posting • Fee schedule
• Overpayment • EDI & EFT

SOFTWARE SKILLS:
 Medics Premiere  HST Pathway  National Provider
 ADS  Availity Identifier(NPI)
 LIS  Waystar  Zirmed
 Sequel Med  FCSO  Office Ally
 Telcor  Laser Fiche(LF)  Gateway
 Intergy

TECHNICAL CERTIFICATIONS
• Workshop in Free Open source Software from UCEV campus
• International Conference on Digital Image Procssing at Annamalai University
• Paper Publication on Ethickal hacking in NACSMAC’16 Salem KOIT College

PERSONAL DETAILS
Date of Birth : 03-06-1991
Father Name : Elangovan
Marital Status : Unmarried
Languages known : English, Tamil
Nationality : Indian

DECLARATION

I Hereby Declare that all the information given above is and correct to the best out of my knowledge.

Place: Chennai E. Senthamizhselvan