Praveena Senthilkumar
Toronto,ON
Summary
Seeking a Challenging position, utilizing my abilities developed through my experience and education with an opportunity for career growth based on my merit and to promote the growth of the organization.
Overview
6
6
years of professional experience
Work History
Authorization Specialist
Business Integrity Services
11.2020 - 04.2023
- Verified eligibility and compliance with authorization requirements for service providers.
- Tracked referral submission during facilitation of prior authorization issuance.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Cashier
Chai King
08.2020 - 11.2020
- Greeted customers entering store and responded promptly to customer needs.
- Worked flexible schedule and extra shifts to meet business needs.
Client Partner
Access Healthcare
03.2019 - 08.2020
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Identified root cause of denials to provide plans for denial resolution.
AR Caller
Omega Healthcare
07.2018 - 03.2019
- Worked in call center environment handling manual and automatically dialed outbound calls.
- Identified root cause of denials to provide plans for denial resolution.
- Examined claims forms and other records to determine insurance coverage.
Sales Executive
Max Fashion
10.2017 - 03.2018
- Achieved sales goals and service targets by cultivating and securing new customer relationships.
Education
Master of Arts - Human Resources And Labour Relations
06.2020
Bachelor of Arts - computer applications
03.2018
Bachelor in Computer Application, With an emphasis on fields associated with computer applications and technology, this course equips with a variety of career prospects.
Skills
- Insurance Verification
- Referral Verification
- HIPAA Compliance
- Records Maintenance
- Insurance Claims
- Product Restocking
Affiliations
Basic Knowledge in Computer
Better Communication Skill
EXTRA CURRICULUM:
Involved in various cultural activities held at school and college
Took part in sports tournaments
Involved in painting and hand crafts
Availability
Monday to Friday - full time
Saturday and Sunday- half a day
Timeline
Authorization Specialist - Business Integrity Services
11.2020 - 04.2023
Cashier - Chai King
08.2020 - 11.2020
Client Partner - Access Healthcare
03.2019 - 08.2020
AR Caller - Omega Healthcare
07.2018 - 03.2019
Sales Executive - Max Fashion
10.2017 - 03.2018
Madras University - Master of Arts, Human Resources And Labour Relations
Shri Krishnaswamy College For Women - Bachelor of Arts, computer applications
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