About Setraniaina Yvon
French
Native or bilingual
English
Conversational
Experience
- BeybladesManagement OperatorJanuary 2022 - Today (4 years and 6 months)Antananarivo, Madagascar• I ensure the processing and management of invoices for healthcare professionals, ensuring the correct application of conventional rates and compliance with reimbursement deadlines.• As part of my duties, I handle the analysis and liquidation of treatment sheets submitted by practitioners, whether paper or electronic.• Complementary part management• I calculate and pay the complementary portion due to insured individuals after deducting the Social Security portion, ensuring the consistency of reimbursement bases.• I process complementary health reimbursement requests, checking the accuracy of billed services and their coverage according to the member's contract guarantees.• I manage the settlement and payment of the mutual portion, in coordination with the flows received from Social Security via the NOEMIE standard.• Control and verification• I ensure the compliance of received invoices by checking service codes, billed amounts, and the member's open rights before any payment.• I detect and process billing anomalies (duplicates, coding errors, uncovered excess fees) to ensure the accuracy of payments.• I respond to healthcare professionals' requests regarding the follow-up of their payments and assist them in resolving billing disputes.• I am the preferred contact for practitioners for any questions related to third-party payment and the reimbursement circuit for the complementary portion.
- la petite boiteData Entry OperatorPUBLIC SECTORJanuary 2016 - July 2016 (6 months)Entry of civil status acts in French, whether for marriage, birth, or death. With a typing speed of 45 characters per minute.
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Education
- BaccalaureateUniversity of Antananarivo2018Baccalauréat