Aditya D Rawat
Mumbai
Summary
Managed end-to-end RCM operations, including denials, rejections, appeals, correspondence, pre-auth, EVBV, and refunds.
Led and trained a team of 15 to 20 members, improving workflow efficiency and accuracy.
Collaborated directly with clients during User Acceptance Testing (UAT) to validate system functionality, identify defects, and ensure workflow accuracy prior to go-live. Identified gaps, documented issues, and coordinated with development teams to improve system performance.
Assisted in refining product functionality to align with client expectations and operational needs.
Worked on multiple medical specialties, including Oncology, Dermatology, and Emergency Services.
Software Utilized: ECW, Medical Manager, Intergy, Epic, Salesforce, and Athena.
Clearing House- Waystar,Trizetto and Change Healthcare.
Overview
5
5
years of professional experience
Work History
Subject Matter Expert
Credence Resource Management
04.2025 - Current
- Prepare and maintain the attendance report, observation tracker, and consolidated production and quality trackers for different scopes (AR, Billing, EVBV).
- Maintain the production and quality of the team as per the client SLA for all the scopes.
- Train new employees, and provide assistance for the process.
- Arrange team meeting and provide updates related to the AR, Billing and EVBV process.
Senior Accounts Receivable Analyst
Infinx Healthcare
08.2023 - 03.2025
- Analyze the inventory and find trends to generate maximum revenue.
- Collaborated with cross-functional teams to streamline billing processes and improve accuracy.
- Train new employees and provide assistance for the process.
- Maintain production and quality as per client SLA.
Senior Accounts Receivable Analyst
Pacific BPO
08.2021 - 08.2023
- Analyze each patient account towards resolution.
- Maintain production and quality as per client SLA.
- Co-ordinate with the payer to resolve claims.
Accounts Receivable
GeBBS Healthcare Solutions
12.2020 - 08.2021
Worked as an accounts receivable at GeBBS Healthcare Solutions from January 2020 to March 2020, and then again joined in 10th December 2020 to 17th August 2021.
Education
Bachelor of Commerce -
Rabindranath Tagore University
06-2025
Bachelor of Commerce -
Rabindranath Tagore University
06-2025
H. S. C. -
Maharashtra Board
01.2016
Skills
- Advanced Excel knowledge
- Effective communication and training skills for interacting with internal teams and OJT users
- Problem-solving skills, analytical skills, and capacity to improve processes
- Good at planning and thinking strategically, capacity to improve process
- Team management
- Leadership and mentorship
Personal Information
- Date of Birth: 04/25/97
- Nationality: Indian
Languages
- Hindi
- English
- Marathi
Timeline
Subject Matter Expert
Credence Resource Management
04.2025 - Current
Senior Accounts Receivable Analyst
Infinx Healthcare
08.2023 - 03.2025
Senior Accounts Receivable Analyst
Pacific BPO
08.2021 - 08.2023
Accounts Receivable
GeBBS Healthcare Solutions
12.2020 - 08.2021
Bachelor of Commerce -
Rabindranath Tagore University
Bachelor of Commerce -
Rabindranath Tagore University
H. S. C. -
Maharashtra Board