PROCESS TRAINER AR, RCM, MEDICAL BILLING, US HEALTH CARE.

1. Curriculum Vitae
SANTANU PATWARI
KEOTA GARH BAGAN, PO. SAHAGANJ, BANDEL,
DIST. HOOGHLY, PIN – 712104. WEST BENGAL.
E. Mail : santanu.patwari3@gmail.com (OR) santanu.patwari@yahoo.com
Ph. No. : +91 8910957704; 9681209562; 9836605427
Career Objective
Working hard with integrity and honesty for achieving Company’s goals offering a chance to excel in personal and
professional frontby applying my knowledge and technical skills for the growth of the organization.
Work Experience
1. Name of the Company : MEDFIN (KOLKATA).
Designation : PROCESS TRAINER RCM (AR).
Working Since : 4TH
May 2015,continuing.
Job responsibility includes :
 Follow established procedures for RCM (Billing, Coding, Denial, Posting, AR and Soft skill).
 Research and resolve paymentdiscrepancies.
 Giving training to the new batch.
 Giving training to the existing associates who lacks in knowledge in process.
 Preparing training Slides for making easyto understand.
 Working on newer way to make the training simpler.
 Train the new employees according to the Basic Training Program.
 Train the existing employees as per process requirements in specific department.
 Develop training resources which mayinvolve preparing notes & visual display.
 Prepare,administer and conducttraining Assessments,Quiz and Oral.
 Reviewing all the data in the Training Folder regularly.
 Storing all data related to the departmentefficientlywith zero-error.
 Deliver the Productknowledge the bestpossible wayto make the training lessons informative and interesting for
the trainees.
 Monitoring the performances ofthe trainees.
 Identifying and investigating the problems ofthe trainees.
 Identifying Planning and implementing appropriate corrective and preventive actions for the trainees.
 Providing Soft skill training - GRASPING POWER PERFROMANCE.
HOW TO HANDLE STRESS PERFROMANCE
LEADERSHIP PERFROMANCE
LEARNING ATTITUDE
ORAL COMMUNICATION SKILL
PROBLEM SOLVING PERFROMANCE
TEAMWORK
TIME MANAGEMENT
2. Name of the Company : IKS Health. Hyderabad.
Designation : Analyst (Senior Associate AR). RCM.
Working Since : 23rd March 2015 to 3rd
May 2015.

2. Job responsibility includes :
 Follow established procedures for RCM.
 Research and resolve paymentdiscrepancies.
 Have created a process documentwhere all the information is at one place that helps the new associate with the
training.
 To meetthe service level agreementand achieve 99% and above quality
 Working according to clientupdates and resolving the medical accounts in given TAT.
 Following the Guidelines as per PHI(Protected Health Information).
 Follow up on Insurance and claims aging.Re-submitinsurance claims as necessary.
 Knowledgeable in timelyfiling restrictions.
 Insure office practices are in compliance with HIPAA regulations.
 Have experience in Medicare, Medicaid, BCBS, UHG and Commercial insurance follow-up.
3. Name of the Company : Magna Infotech Pvt. Ltd. Hyderabad.
Designation : Analyst (Senior Associate AR).
Working Since : 18th
August2014 to 7th
January 2015.
Job responsibility includes :
 Follow established procedures for processing claims.
 Research and resolve paymentdiscrepancies.
 Have created a process documentwhere all the information is atone place that helps the new associate with the
training.
 To meetthe service level agreementand achieve 99% and above quality.
 Working according to clientupdates and resolving the medical accounts in given TAT.
 Following the Guidelines as per PHI(Protected Health Information).
 Follow up on Insurance and claims aging.Re-submitinsurance claims as necessary.
 Knowledgeable in timelyfiling restrictions.
 Insure office practices are in compliance with HIPAA regulations.
 Have experience in Medicare, Medicaid, BCBS, UHG and Commercial insurance follow-up.
4. Name of the Company : WIPRO BPO.
Designation : GLOBAL AUDITOR (Senior Associate).
Working Since : 25th
October 2007 to 4th
July 2014.
Duration : 6 Years+
Job responsibility includes :
 Handling back end process ofHealth Care Insurance Claims for United Health Care Group, USA, Clientof
WIPRO LTD.
 Worked on both platform Unet& Comet.As well as high dollar certified. Given OJT supportto new team.
 Processing,adjudicating,testing and auditing Insurance Claims for United Health Care Group, USA, Clientof
WIPRO LTD.
 Auditing claims as AGlobal Auditor from client site,which has been processed throughoutthe world by different
companies.
 End of the Day reporting to the Manager.
5. Name of the Institute : SENET BLOOMING ACADEMY.
Designation : ASSISTANT TEACHER.
Working Since : 2nd May 2007 to 3rd August 2007.
Job responsibility includes :
 Handling computer classes.
 Handling English,Economic,Geographyand other classes.

3.  Taking Test as per Assessments.
 Giving extra care to the average students.
 Preparing syllabus for classes.
6. Name of the Institute : ANIRUDDHA ENGLISH MEDIUM SCHOOL.
Designation : AS TEACHER.
Working Since : 1st November 2000 to 30th April 2007.
Job responsibility includes :
 Handling computer classes.
 Handling English,Economic,Geographyand other classes.
 Taking Test as per Assessments.
 Giving extra care to the average students.
 Preparing syllabus for classes.
Software Training
 Citrix, Unet, Comet, Nextgen, MSI, Connect.
Educational Qualification ( 10+2+3 )
YEAR DEGREE UNIVERSITY / BOARD COLLEGE / SCHOOL
2000 B. COM HONOURS BURDWAN UNIVERSITY HOOGHLY MOHSIN
COLLEGE
1997 H. S. COMMERCE W.B.C.H.S.E. HOOGHLY MOHSIN
COLLEGE
1995 SECONDARY I.C.S.E DON BOSCO SCHOOL
Computer Skills
 Operating System : MS-DOS, WINDOWS
 Network Operating System : WIN NT, WINDOWS 2000,NOVELL 5.1
 Application Package : MS – OFFICE 2010; ADVANCE EXCEL.
 Financial Accounting Package : EX 3.0, ACCORD 3.1, TALLY 5.4, FOX-PRO.
 Web Application : INTERNET.
Personal Details
 Father’s Name : Mr. BIJOY PATWARI.
 Date of Birth : 1ST
September 1976.
 Nationality : Indian.
 Religion : Hinduism.
 Marital Status : Married.
 Language Proficiency : English,Hindi,Bengali.
DATE : SANTANU PATWARI.