Amit Londhe
Mumbai
Summary
Results-driven professional with 9+ years of experience in healthcare operations, medical insurance auditing, and payment compliance. Expertise in healthcare adjudication, auditing processes, and regulatory compliance. Adept at streamlining operations, creating SOPs, and leading teams to achieve organizational goals. Recognized for problem-solving, process efficiency, and workload management. Seeking to contribute my skills in a growth-oriented organization.
Overview
12
12
years of professional experience
Work History
SR MEDICAL INSURANCE AUDITOR & ANALYST
Accenture
Mumbai
04.2018 - Current
- Conducts healthcare domain audits and ensures compliance with regulatory standards
- Manages payment compliance, anti-money laundering initiatives, and risk assessments
- Leads a team, reduces lead workload, and provides policy-based support
- Recognized as Best Auditor (Accenture NGS, 2021) and Best Performer (Top Seller Commerce, 2022)
- In facebook worked in different projects like payment and compliance supporting team handling queries maintaining attendance and leave tracker and compliance and risk, top seller ecommerce worked as customer support as well as add reviewer currently working in trust and safety executive as add reviewer.
SENIOR ANALYST – HEALTHCARE OPERATIONS
Wipro BPS
Mumbai
02.2016 - 01.2018
- Managed healthcare operations using platforms like Pulse Demo and DOS systems
- Audited patient details, processed payments, and resolved discrepancies
- Led training sessions and streamlined operations to improve efficiency
ANALYST – HEALTHCARE ADJUDICATION
Hexaware Technology
Mumbai
08.2013 - 11.2015
- Processed payments for US-based healthcare providers
- Developed SOPs and improved audit processes
- Worked on DOS systems (AS400, Mainframe) and ensured regulatory compliance
Education
Bachelor of Commerce -
Mumbai University
Mumbai, India01.2013
Skills
- Medical Insurance Auditing
- Healthcare Adjudication & Payment Processing
- Team management
- Mentoring
- Risk Assessment
- Team Leadership
- SOP Development
- Process Improvement
- Advanced Excel
- DOS Systems
- Data Analysis
- Operational Efficiency
- Auditing Techniques
Languages
English
Intermediate
B1
Hindi
Proficient
C2
Marathi
Proficient
C2
Timeline
SR MEDICAL INSURANCE AUDITOR & ANALYST
Accenture
04.2018 - Current
SENIOR ANALYST – HEALTHCARE OPERATIONS
Wipro BPS
02.2016 - 01.2018
ANALYST – HEALTHCARE ADJUDICATION
Hexaware Technology
08.2013 - 11.2015
Bachelor of Commerce -
Mumbai University