About kpandian0420@gmail.com
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Academic Level Master’s Degree
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Age 33 - 37 Years
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Gender Male
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Industry Management
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Viewed 9
About me
Professional Summary: * Overall 10 years of experience in which nearly 4 years in Healthcare Domain and 2+ years of experience in PMOSS, and 2+ years of experience in Quality Engineering involved in all phases of SDLC and STLC life cycle. * Experience in Healthcare Domain and PMOSS. * Good in interpersonal and communications skills with the ability to lead and work effectively in a team. * Excellent analytical, design skills with good understanding of business requirements and problem-solving abilities. * Experienced in Waterfall and Agile methodology. * Experienced in Functional Testing, Regression Testing, Smoke Testing and E2E Testing. * Involved in Requirement Analysis, Test Design, Test Execution, Defect Management & Test closure. * Experienced in developing automation script in selenium using Java language.
Education
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2007 - 2010
Nehru Memorial College
Master of Computer Application
I have passed in Computer Application as Master's Degree in India, Tamil Nadu with first class
Experience
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2016 - 2020
Cognizant Technology Solutions
Jr. Executive in PMOSS (Project Management Organization Shared Services)
• Interaction with customer accounts payable team for payment release and AR management.
• Analysis of monthly AR and reserves report and communicate to the delivery team regarding
• potential revenue loss areas and helping to improve the process.
• Attend periodic client calls to present the process status and discuss issues if any.
• Supporting project managers in creation of SOW’s (Statement of Work)
• Driving six member’s team for Quarterly revenue reserve reduction. Report to higher
• management regarding the team’s production, quality and other critical parameters.
• Initiated early billing concept for customers like J&J, Merck, and Novartis and effectively
• completed the submission of invoices and payment collection in advance.
• Motivating the team to achieve high standards and monthly targets.
• Maintaining sub-contractors margin value
• Maintaining the Purchase Order tracker and pro-actively intimating the delivery team of
• available of balance fund -
2012 - 2016
Ajuba Solutions India Pvt. Ltd & Pradot Technologies
Reimbursement Specialist
• Outstanding Great ability to managed patient’s information
• In acting as liaison between medical facilities and insurance carriers (HMOs, PPOs, Medi-cal, Medicare)
• Strong motivated and dedicated to the job
• Handle claims with different Insurances
• Ability to read and interpret EOBs, and face sheets from medical facilities
• Setting up new patients accounts
• Verification of insurance(Medical as well as other insurances)
• Knowledge with insurance authorizations and denials
• Correct denial claims with correct information and re-submit claims Submit electronic claims
• and paper claims (primary insurance or secondary insurance) Follow up on unpaid claims as
• well as old claims
Portfolio
Honors & awards
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2018
Wow & Spotlight Awards
Have won many WOW Awards and Spotlights.