Avinash Dhakate
Surat
Summary
Looking for a challenging and responsible opportunity to serve the organization with full dedication, hard work and continuously improve my knowledge base. To explore strengths and potentials in a professional organization.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
9
9
years of professional experience
Work History
Senior Tpa Coordinator
Nirali Hospital
05.2021 - 01.2024
- Reduced claim processing time by implementing automated systems and optimizing coordination efforts.
- Reported issues to higher management with great detail.
- Developed and maintained courteous and effective working relationships.
- Proved successful working within tight deadlines and a fast-paced environment.
- Worked well in a team setting, providing support and guidance.
- Act as a liaison between insurance companies, healthcare providers, and patients to ensure smooth processing of insurance claims.
- Assist patients in understanding their insurance coverage, including benefits, exclusions, and claim processes.
- Verify patient insurance details, ensuring eligibility and policy coverage for medical treatments.
- Coordinate the submission of insurance claims to third-party administrators, ensuring accuracy and timely processing.
- Follow up with insurance companies to track the status of claims, ensuring timely cashless payment
- Address and resolve discrepancies or issues related to insurance claims, working with insurance providers and patients.
- Maintain and update accurate records of all insurance claims, patient interactions, and billing details.
- Provide support in the approval process for medical treatments, ensuring necessary documentation is submitted to insurance companies.
- Settlement payment
- Outstanding Payment, Delay Payment and Recompilation
Senior Executive Officer
Green Leaf Hospital
04.2018 - 05.2021
- IPD Billing/TPA/Corporate Department
- Provided excellent customer service to clients, addressing concerns and queries related to their bills promptly and professionally.
- Optimized revenue collection by closely monitoring outstanding accounts and implementing effective follow-up strategies.
- Developed comprehensive reports on billing activities for senior management, enabling informed decision-making regarding departmental goals and strategies.
- Streamlined billing processes by implementing automated systems, reducing errors and improving efficiency.
Senior Executive Officer
Kiran Hospital
03.2016 - 03.2018
- Verify patient insurance details, ensuring eligibility and policy coverage for medical treatments.
- Coordinate the submission of insurance claims to third-party administrators, ensuring accuracy and timely processing.
- Follow up with insurance companies to track the status of claims, ensuring timely cashless for payment
- Address and resolve discrepancies or issues related to insurance claims, working with insurance providers and patients.
- Maintain and update accurate records of all insurance claims, patient interactions, and billing details.
- Provide support in the approval process for medical treatments, ensuring necessary documentation is submitted to insurance companies.
- Work with healthcare providers to ensure all medical procedures and treatments are covered under the patient’s insurance policy.
Jr. Officer
Shri. B.D. Mehta Mahavir Heart Institute
11.2014 - 02.2016
- Customer Care Department
- Streamlined patient admission processes, reducing wait times and improving overall efficiency.
- Enhanced patient satisfaction by coordinating timely care and addressing individual needs.
Education
MBA - Health Care Management
DY PATIL
03.2025
Bachelor of Arts - Economics
Bundelkhand College
03-2012
ICSI FOUNDATION -
ICSI
Noida, India01.2012
H.S.C. -
Sarvanik High School
03-2009
S.S.C. -
Sarvanik High School
03-2007
Skills
- Excellent communication and interpersonal skills
- Great decision-making skills
- Multitasking Abilities
- Analytical Skills
- Problem Solving
- Claims processing
- Customer service
- Decision-making
- Patient communication
Languages
English
Marathi
Hindi
Gujarati
Hobbies and Interests
- Travelling
- Playing Games
- Basketball
- Cricket
Disclaimer
I hereby declare that the above furnished information is true to the best of my knowledge.
Personal Information
- Date of Birth: 20/04/1991
- Gender: Male
Timeline
Senior Tpa Coordinator
Nirali Hospital
05.2021 - 01.2024
Senior Executive Officer
Green Leaf Hospital
04.2018 - 05.2021
Senior Executive Officer
Kiran Hospital
03.2016 - 03.2018
Jr. Officer
Shri. B.D. Mehta Mahavir Heart Institute
11.2014 - 02.2016
MBA - Health Care Management
DY PATIL
Bachelor of Arts - Economics
Bundelkhand College
ICSI FOUNDATION -
ICSI
H.S.C. -
Sarvanik High School
S.S.C. -
Sarvanik High School
Similar Profiles
RITHU JOHNYRITHU JOHNY
Medical Physicist at BHARATH CANCER HOSPITAL & RESEARCH INSTITUTE,NIRALI MEMORIAL RADIATION CENTREMedical Physicist at BHARATH CANCER HOSPITAL & RESEARCH INSTITUTE,NIRALI MEMORIAL RADIATION CENTRE
Jay RathodJay Rathod
Patient Care Coordinator at Nirali Cancer HospitalPatient Care Coordinator at Nirali Cancer Hospital
Laura FerraraLaura Ferrara
Regulatory Specialist- Senior at St. Joseph Hospital- St. Charles, St. Joseph Hospital- Wentzville, St. Joseph Hospital- Lake St. Louis, Kisker Outpatient Surgery CenterRegulatory Specialist- Senior at St. Joseph Hospital- St. Charles, St. Joseph Hospital- Wentzville, St. Joseph Hospital- Lake St. Louis, Kisker Outpatient Surgery Center