Pradeep Basavaraj is seeking a competitive and challenging position where he can apply his analytical skills. He has 6 years of experience in the US healthcare industry handling claims processing, eligibility checks, denial management, and appeals. Pradeep has strong communication skills in English and experience leading and training teams. He holds a Bachelor's degree in Business Administration and has received performance awards for his work processing health insurance claims.

1. Pradeep Basavaraj
G.N.V Main Road, Yelepet
Chickballapur (T&D)- 562101
Mobile: 7760520485 / 8453640097
pradeepbidda@gmail.com
Objective
To work inCompetitive andChallengingenvironmentandhence toprove my credibilityinfield
where Ican applymyanalytical skill toattainanoptimumperfectionforthe developmentof my
careerand company.
Summary of Qualification
 Six years of experience in US health care industry.
 Excellent communication skills in English.
 Sr Associate in project and learning, organizing skills for leading a team.
 Career Experience/Job History
2010: AR Caller: Lloyds Medical Solutions.
 Responsible for handling AR and denied claims received from insurance.
 Assisting health care provider in receiving payment from insurance, resolving denials and
follow up with insurance for payment through call or letter..
2011 – 2016: Sr AR caller and Sr Claims processor, Hinduja GlobalSolutions
 Responsible to handle AR and denials claims of US providers.
 Checkingpatienteligibilitythroughcall orwebsite,dataentry,frontendclaimrejection,denial
management,callingHealthinsurance forincorrectdenialsforcorrective processingandfor
claimstatusif EOB notreceivedontime,Appealingclaimsrequiredforadditional paymentif
insurance repdisagree toreprocessthe claimoverthe call.

2.  From December 2014 Worked for U S Health insurance as claim adjudicator(Bills
payment),handlingdifferentkindof editsandappealsfromprovider,reprocessclaim with
corrective action if required.
 Was responsible to handle outbound calls to get Member other insurance info if any,
updating the COB info for member in our system for corrective processing if required.
 Alwaystriedtobe a team playerandas Sr member of projectwasresponsibleto train and
handle new team member when ever required.
Education
2012 – 2015: Bachelor in Business Administration, Immanuel Institute of Social Sciences,
Bangalore.
2004 – 2006: Pre-university education in Govt Junior College, Chickballapur.
2004: Secondary Education (SSLC) in Panchagiri HighSchool,Chickballapur
ComputerSkill
Operating System:
MS Dos, MS Windows 98, 2000 & XP
Application Software:
MS office,Nextgen,Medisoft,Medrium,Facets.
Other Achievements& Hobbies
 Received couple of Top Gun and Quarterly performance awards.
 Active participant of Cultural Activities in School & Colleges.
 Reading news paper
 Playing cricket
 Reading books.

3. Declaration
I do herebydeclare thatthe above furnisheddetailsare true and fairto the bestof my knowledge
& belief.
Date: Yours faithfully,
Place:BENGALURU (PRADEEP. B)