Hariharan M
US Healthcare| Insurance Claims Adjudication Operations| Credentialing and Provider Enrollment||
- Role
- Hc & Insurance Operation Senior Associate at NTT DATA North America
- Location
- Chennai, IN
- LinkedIn followers
- 500 followers
About Hariharan M
Experienced Credentialing Specialist with a demonstrated history of working in the hospital & health care industry. Skilled in Clearing Houses, Credentialing, Electronic Funds Transfer, Provider Enrollment, and Electronic Data Interchange (EDI). Strong healthcare services professional with a Bsc computer science.
Experience
Hc & Insurance Operation Senior Associate
Apr 2022 — Present · Chennai, IN
A claims adjudicator determines how much money will be paid after an insurance claim has been examined.Whether it is manual or electronically submitted claims we will scrutinize the claims record to ensure accuracy in patient names, diagnostic codes, and process claims that are valid and reimbursable. Our medical claim examiner will closely examine claims after the application of insurance and reject ones that are partially fulfilling, duplicate, or erroneous. Our diligent claims adjudication practices will speed up claims execution and help you contain risks that impact your profit.review healthcare claims and decide whether they will pay the claim in full, pay a partial amount, or deny the claim altogether
Education
University of Madras
Bsc computer science, Computer Science
2016 — 2019
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