Hemanth Kumar NC
Bangalore
Summary
Talented Subject Matter Expert with demonstrated experience providing administrative support services. Experienced in using variety of software applications and calendar management. Excellent communication and interpersonal skills.
Overview
8
8
years of professional experience
Work History
Program Associate( SME)
Fortrea (formerly LabCorp)
05.2023 - Current
- Demonstrate proficiency in expressing thoughts and instructions clearly in both oral and written communication; i.e
- Uses grammatically correct, concise language
- Ability to meet deadlines, function with a sense of urgency, and get the job done
- Intermediate to advanced level of computer skills (Microsoft Excel, PowerPoint, and Word) Customer service and training skills
- Ability to quickly determine each customer’s needs, identify solutions, and help mitigate potential roadblocks preventing program customers from accessing services, therapies, drugs or devices needed
- Ability to thrive in a collaborative work environment and also work independently
- Energetic, and enthusiastic approach when training; has a passion for developing new ideas
- Strong understanding of the systems and technologies their assigned program uses
- Demonstrate ability to understand process, anticipate next steps, and identify, analyze, and problem solve issues
- Ability to learn information quickly and retain it
- Strong attention to detail
- Ability to express empathy while speaking with customers
- Understanding of how their day-to-day performance and that of the program impact the big picture
- Strong time management skills and astrong ability to prioritize.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
Program Specialist
LabCorp
03.2019 - 05.2023
- Quickly and efficiently respond to incoming faxes, identify how best to assist
- Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage
- Document results in appropriate tracking system
- Process patient applications and follow the program's specifications to determine their eligibility
- Document results in appropriate tracking system and manage follow ups as appropriate
- Process patient Orders if patients are enrolled and eligible for free drug
- Other duties as assigned
- Conduct insurance verifications to understand if patients prescribed therapy is eligible for coverage
- Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications
- Process patient applications of various complexities, and follow the programs specifications to determine their eligibility
- Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary
- Liaise with partner distributors and pharmaceutical manufacturers to request products per the programs guidelines and track shipments
- Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate
- Be familiar with the market place and the insurance options available for patients
- Educate patients on the available options as appropriate
- Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the programs tracking system
- Maintain a professional, calm and friendly demeanor
- Express thoughts and instructions clearly in both verbal and written communication
- Use grammatically correct and concise language.
Medical Billing specialist
Cerner Healthcare Solutions India Private Limited
08.2018 - 03.2019
- Worked on end-to-end process in Revenue Cycle Management (provider side)
- Maintained daily Start of Day (SOD) and End of Day (EOD) reports of inflow of accounts
- Prioritized work from Aged Trail Balance report by calculating AR days.
Claims Adjudication(Analyst)
AXA Business services
12.2015 - 04.2018
- Proficient in smooth processing of all back-end operations which mainly includes claim handling & query handling
- Capable of gathering/ updating data to maintain departmental records and databases
- Deft in coordinating activities as appropriate &Quality auditing
- Sound knowledge of Daily allocation & work allotment to the team members.
Education
Bachelor of Commerce - Finance
M S Ramaiaha College of Arts Science and Commerce
Bangalore, KarnatakaSkills
- Excel spreadsheets
- Progress Tracking
- Documentation and Recordkeeping
- Program Administration
Language Capabilities
English
Kannada
Hindi
Playing cricket and reading documentaries
Participated in Inter team cricket competations.
Languages
English
Bilingual or Proficient (C2)
Timeline
Program Associate( SME)
Fortrea (formerly LabCorp)
05.2023 - Current
Program Specialist
LabCorp
03.2019 - 05.2023
Medical Billing specialist
Cerner Healthcare Solutions India Private Limited
08.2018 - 03.2019
Claims Adjudication(Analyst)
AXA Business services
12.2015 - 04.2018
Bachelor of Commerce - Finance
M S Ramaiaha College of Arts Science and Commerce
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