Baskar Gunasekar

Baskar Gunasekar US Ph: - - Fax#- IN Ph: - 204 B-Block, Splendour Apts. Gajularamaram, Hyderabad - 500055 email ID:-- Education Member in BlueCross Hyd & Animal Welfare Association of India Graduation BSc from Gulbarga University - 2000 English Higher Type writing - 1995 Passed Jr. Shorthand - 1997 Computer knowledge in WORD, EXCEL, POWERPOINT. Certification in Human Skeletal System - 2016 Certification in Online Business Management skills - 2014 Work Experience Company Duration Designation : Aim Health Analytics : From August 2016 to Till Date : Director Operations Company Duration Designation : Healthcare Sherpa LLC : From April 2014 to July 2016 : Lead - RCM Company Duration Designation : Pena4 Tech Solutions Pvt. Ltd. : From April 2012 to March 31st 2014 : Client Service Associate Company Duration Designation : Maple Software : From Oct 2010 to April 2012 : AR Caller/Analyst (Voice) Company Duration Designation : Patra India BPO : From March 2010 to Oct 2010 : Process Associate (Non-Voice) Company Duration Designation : Accenture Services Pvt. Ltd. : From June 2007 to Oct 2009 : Sr. Process Associate (Level G1) (Semi-voice) Company Duration Designation : IGATE Global Solutions, : From April 2006 to June 2007 : Process Associate (Grade S2) (Non voice) Company Duration Designation : Indecomm Global Services, (TRRS Imaging) : From September 2004 to April 2006 : Jr. Executive (Non-Voice) I Aim Health Analytics August 2016 to Till Date Designated as Director Operations for Baskar & Associate LLP, DBA Aim Health Analytics (a Physician Billing Service Provider) Baskar & Associate LLP, a registered business office located in Hyderabad, IN and virtual office in Miami, FL. We provide End to End billing services to our Clients. We have expertise Charge Entry, Payment Posting and AR Calling Executives at our Hyderabad office and Patient queries handled at US Office. II Healthcare Sherpa, LLC April 2014 to July 2016 Role: Lead - RCM Administrative support to Physicians and interpret medical reports and data to assign ICD-9 and ICD-10 Codes and patient information into billing Software. Update and manage diagnosis lists, coordinate routine documentation and coding audits, and execute qualitative analysis of discharged charges. Follow and maintain currency on coding, sequencing, and procedures best practices and updates. Review and validate accuracy of charges, including dates of service, services provided, location, patient Identification, and provider signature. Collected, posted, and managed patient account payments and prepared and submitted claims forms to Insurance companies and other third-party payers. Performed insurance verification, pre-certification, and pre-authorization. Entered procedure and diagnosis codes, and requisite patient information into billing software to Streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis. Responded to staff and client inquires regarding CPT and diagnosis codes. Specialities: Family Practice, Occupational Therapists, Optometrists, Chiropractioner. Billing Softwares: Allscripts ProPM, OfficeAlly, Advanta Chart, ApianWay, ColoborateMD and SilkOne. Payer Paths: Allscripts Payerpath, Gateway EDI EMR: Practice Fusion, Clinical Module. III April 2012 to March 2014 Worked in Pena4 Tech Solutions Pvt. Ltd. as a CSA (Client Services Associate) in the platform of US Health Care Industry. About the Organization Since 1998, Pena4 Tech Solutions a subsidiary of HIM ONCALL, Inc. with its other entities has been providing precise and timely customized business data processing outsourcing services that match international standards. Roles & Responsibilities • As a CSA my job profile involves active participation in handling clients to reach the committed goals in delivering the production values within committed time line. • Receiving the Patients scanned medical reports from secure ftp and keeping a track. • Creating Assignments for the coders to work on priority among Inpatient, Ambulatory and Emergency cases and making sure to not miss the TAT as a daily exercise. • Interacting with the clients through email or via telephone inbound and outbound calls to approach and request for the missing reports/information to keep available for the coder to complete coding part for the incomplete cases. • Giving work delivery of coded data to client in the form of PDF Abstracts on a daily basis. • Maintaining work received, completed, verified and pended data in an Excel format as a Master Tracker. • Manually adding the Patient's demographic information to reduce the unmatched cases as an internal process. • Preparing the Invoice Report for the work done and delivered, it includes the production numbers for each of the coder with pre-defined applied rates and fees for the coding services, which generates the actual revenue for the day/week/Month. • Getting self updated with complete knowledge on maximum client’s processes and being prepared for the ownership of the processes to make sure the work doesn’t hamper in absence of other CSA's and also creating backup by knowledge sharing program is internal part of my job. IV Oct 2010 to April 2012 Worked in Meridian IT Solutions a subsidiary of Maple Software as a AR Analyst/ Caller in the Platform of US Medical Billing for the Facility CFLIM Florida. About the Organization Meridian is a BPO and Software development provider to various Physicians and Physician Groups in the United States from its Operations Center located in Visakhapatnam, India Roles & Responsibilities • Analyzing the Explanation of Benefits from various Insurances. • • • • • • • • • Capturing the Denials in spread sheet and working on it. Reducing DAR Days by working on Old claims. Accessing the Official Hospital Sites to pull Medical Records. Re-submitting the claims with available required information. Calling Insurance companies for claim status and to get the denial reason. Preparing Appeals and submitting by FAX to Insurance for reconsideration. Sending Medical Records to Front Office at US if required to submit by mail to Insurance. Checking patient’s Medicare Eligibility Status through IVR Call. Checking Claim Status through online Insurance Sites. V March 2010 to Oct 2010 Worked in Patra India BPO as Analyzer in Policy Checking Team in the Platform of US Insurance. Roles & Responsibilities My job profile starts with downloading the work files from Secure FTP Server and placing in order sheet from where work would be allotted to the respective. Analyzing the Documents provided by our clients through our internal checklists to make Insurance Policy for the final. Preparing the Certificate of Insurance to our Customers which contains Policy number, Insured Name, Policy effective and Expiry dates and Plan Benefits. An intensive sense of time, quickness and an urge to provide quality work is an integral part of my job. Maintaining daily Report for Orders Received, Worked and Discarded. VI June 2007 to Oct 2009 Worked in Accenture Services Pvt. Ltd. Bangalore as a Sr. Process Associate in the Platform of AP-Reconciliation and Payments. About the Organization Mission: To help our clients become high-performance businesses and governments. Vision: To become one of the world's leading companies, bringing innovations to improve the way the world works and lives. Accenture is a global management consulting, technology services and outsourcing company. Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world’s most successful companies. Accenture collaborates with clients to help them become high-performance businesses and governments. With more than 186,000 people serving clients in over 120 countries. Roles & Responsibilities CUSTOMER REFUNDS & VENDOR STATEMENT RECONCILIATION (UK Client) • • • • • • Processing customer Refund Cheques upon email request from Clients Branch. Performing stop Cheques requests. Refund Reversals post performing Stop Cheques. Generating SAP Report for payment run. (Daily basis) Maintaining Excel based Tracker for complete process flow. Attending customer calls to resolve queries related to refund Cheques. Recognitions 1. Received India BPO Summit Awards for Q2 FY09 2. Received a Celebrating Performance non-monetary award from Brijesh Srivastava (General Manager, Woodpecker Deal) for the following Performance Factor and Outcome: Performance Factor: Drives to Add Value. Outcome: Instrumental in making the Woodpecker family day 2009 a great success. 3. Received a Celebrating Performance monetary award from Kumar Dinesh (Asst. Manager, Woodpecker Deal) for the following Performance Factor and Outcome: Performance Factor: Organizes Quality Work Efforts. Outcome: Prioritizes his/her deliverables & often meets timelines. Carries out activities without much supervision/intervention at his level. 4. Received a Celebrating Performance Monetary award from Ashok kumar nukala (Team Lead Woodpecker Deal) for the following Performance Factor and Outcome: Performance Factor: Drives to Add Value. Outcome: Works very smart and till date there is no escalations. Created Work flow and Standard Operating Procedures for the Cheques Refund Process towards Knowledge Transfer Program. Has got an appreciation mail from accounts head and keep up the good work. VII April 2006 to June 2007 Worked in IGate Global Solutions as Process Associate in the Platform of US. Mortgage for the Acculink Mortgage Solutions, subsidiary of Option One Mortgage Corporation and H&R Block Mortgage Corporation. About the Organization i GATE Global Solutions is the first fully integrated technology and operations firm with a goal service model. iGATE Global enables clients to optimize their business through a combination of process investment strategies, technology leverage and business process outsourcing and provisioning. Roles & Responsibilities My job profile is preparing the HUD ‘Settlement Sheet’ for U.S Company (Aculink) subsidiary of Option One Mortgage Corporation. Analyzing Closing Instructions, Liens, Taxes and Legal Descriptions. VIII 2004 to April 2006 Worked in Indecomm Global Services, (TRRS Imaging), Bangalore as a Jr. Executive in the Platform of US Mortgage Business for Land America. About the Organization Indecomm Global Services is a leading global provider of consulting, outsourcing, learning and technology and services. With operations spanning across six countries in four continents, we leverage our practical and relevant technology platforms, process excellence, deep domain expertise and strategic enterprise partnerships to deliver superior business results for our clients. Roles & Responsibilities Parcel Searcher using official websites like Netronline.com, Sitexdata.com. Data Entry (Legal Documents) PERSONAL INFORMATION Father’s Name Date of Birth Sex Marital Status Nationality Hobbies Languages Known : Sesadri Gunasekar : 10/03/1980 : Male : Married : Indian : Swimming, Playing Table Tennis. : English, Hindi, Kannada, Telugu and Tamil. STRENGTHS Quick learner, who rapidly become familiar with any new environment DECLARATION Finally affirming that the particulars furnished above by me are true and I promise to remain. Baskar Gunasekar