Suganya Ganesan

· Involved in gathering requirements from users and studying of existing system.

· Coding Java classes in order to generate the log files for the application.

· Developed front-end components using JSR168 Portlets and JSF.

· Created URL mappings between different pages in order to render between pages.

· Developed java class for retrieving data from database and also by calling MQ programs.

· Performing the system test of the application and preparing the documentation.

· Validated the front-end using JSF predefined validation components as well as in business classes.

Involved in the implementation of new requirements and continuous performance improvement of the applications.

· Working on end-to-end process.; analyzing and determining the root cause for the denial and providing optimal solution for repayment

· Watching out for payments and EOBs from major Carriers, pay-to-Address, Provider Numbers

· Ensuring the AR days meet Industry Standard

· Developing quality assurance plans by conducting customer complaints analyses; identifying root causes, critical control points, corrective and preventive measures; establishing critical limits, monitoring procedures, corrective actions, and verification procedures

· Implementing quality management tools such as FMEA, 5S, Six Sigma & Lean methodologies

· Identifying & resolving problems; conducting audits; determining system improvements; driving change management

· Meeting quality assurance financial objectives by estimating requirements; preparing annual budget; scheduling expenditures; analyzing variances; initiating corrective actions

Maintaining & improving product quality by completing product, company, system, compliance, and surveillance audits; investigating customer complaints

· Performed Root cause analysis and provided solutions to eradicate the errors.

· Achieved success in working within tight deadlines and fast-paced atmosphere

· Prepared a variety of different written communications, reports and documents to ensure smooth operations

· Designing and developing the application based on the user requirements.

· Developed Java class for retrieving data from database and also by calling MQ programs, to display in Web.

· Performing the system test of the application and preparing the documentation.

· Validating the front-end using JavaScript.

· Working on end-to-end process.; analyzing and determining the root cause for the denial and providing optimal solution for repayment

· Expertise in server side development using Java, JSP, Servlets, EJB

· Developing quality assurance plans by conducting customer complaints analyses; identifying root causes, critical control points, corrective and preventive measures; establishing critical limits, monitoring procedures, corrective actions, and verification procedures

· kept track of both electronic and paper claims.

· Monitored for any major rejections or denials from clearing houses/Carriers

· Called US insurance companies to follow-up on claims, checked & updated the claim status

· Succeeded at capturing denials work and denied claims and took appropriate action

· Involved in RCM Process involving Data, Analysis and Voice process (AR Calling)

Identified root causes of insurance denials, sent appeals to payers, and determned to minimize lost revenue