Anil Samuel
Alliance Health - EDI Technical Specialist
- Role
- Edi Technical Specialist at Alliance Health
- Location
- Durham, NC, US
- LinkedIn followers
- 500 followers
About Anil Samuel
Provider Service Consultant: Vast experience in training and educating provider office staff and hospital facilities how to use e-resources for BCBSNC. Also, consulted and conducted meetings with small to large provider offices, as well as hospital systems, to research and resolve escalated claims issues. Deep working knowledge of HIPAA transactions and IG edits, as well as compex claims processing systems. Well-versed in the upcoming HIPAA 5010 changes for 2012 & 2013.Specialties: Claims research and resolution. HIPAA transactions - 837 I&P - 2701/271 - 276/277 - 835. Enjoy public speaking and training sessions & creating job aides or help tools for end-learners.
Experience
Edi Technical Specialist
Mar 2023 — Present · US
Education
East Tennessee State University
BS in Public Health, Health Administration
1995 — 1999
East Tennessee State University, Department of Public Health
Bachelor of Science; Bachelor of Science, Public Health; Health Administration; Public Health; Healthcare/Hospital Administration
1995 — 1999
Southeastern Baptist Theological Seminary
MDIV Masters, Divinity; Christian Education
2000 — 2004
Southeastern Baptist Theological Seminary
Masters of Divinity, Christian Education - Youth & College
2000 — 2004
East Tennessee State University
BS, Health Administration
1995 — 1999
Skills
- Insurance
- Hipaa
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Hmo
- Provider Relations
- X12
- Provider Contracting
- Access
- Claim
- Business Process
- Healthcare Information Technology
- Public Speaking
- Process Improvement
- Edi
- Leadership
- Business Analysis
- Medicare
- Healthcare
- Research
- Health Insurance
- Managed Care
- Data Analysis
- Hospitals
- Project Management
- Program Management
- Business Process Improvement
- Strategic Planning
- Healthcare Management
- Medicaid
- Training
- Management
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.