Mark Ethaniel Pasia

 Dedicated and meticulous supply chain management student looking for an internship to put academic learning into practise and obtain real-world experience in a stimulating workplace. eager to contribute to improving operational effectiveness, supporting organisational growth, and optimising supply chain procedures. committed to professional skill acquisition and development while providing value through efficient coordination, problem-solving, and teamwork

As a health claims processor with several years of professional expertise, I am well-versed in the subject. I have refined my abilities and gained a comprehensive understanding of the health insurance sector throughout my career, especially with regard to processing and reviewing claims.

As a health claims processor, it has been my job to check that medical claims submitted by healthcare providers follow all applicable insurance laws and regulations. I have a thorough understanding of CPT, ICD-10, and HCPCS, among other medical coding systems, which enables me to precisely evaluate the services provided and establish the proper compensation rates.

I am skilled in processing claims, determining eligibility, and calculating benefit coverage using industry-standard claims processing software and systems. I meticulously examine each claim, confirming the patient's information, the medical necessity, and the quality of the documentation in order to ensure timely and exact reimbursement.

In addition to my technical knowledge, I also have good communication skills that help me work well with policyholders, insurance companies, and healthcare experts. I am adept at resolving questions and disagreements pertaining to claims, giving brief and understandable justifications for coverage choices, and guaranteeing client satisfaction.

My ability to operate in a fast-paced workplace while keeping accuracy and attention to detail has been demonstrated throughout my career by my consistent meeting or exceeding of productivity and quality targets. I am well-versed in the industry developments and regulations that are always changing, which allows me to adapt rapidly and keep current with the most recent rules and best practises.

The information and abilities needed to successfully manage the end-to-end flow of goods and services are covered by an appropriate education in supply chain management. It entails researching topics including transportation, inventory management, operations, logistics, and strategic planning. Students acquire insights into streamlining procedures, cutting costs, and raising customer satisfaction by studying supply chain planning, demand forecasting, supplier management, and warehouse operations. Students can better apply their knowledge to practical situations by engaging in case studies and simulations. Graduates with a strong foundation in supply chain management are prepared to pursue careers in a range of positions like supply chain analysis, operations management, logistics coordination, and strategic sourcing, helping organisations succeed in today's competitive global market.