Summary
Overview
Work History
Education
Skills
Software
Accomplishments
Timeline
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Bhargav Gohil

Bhargav Gohil

Ahmedabad

Summary

Dynamic and result-driven Associate Manager with over 8 years of experience in healthcare revenue cycle management. Proven expertise in team leadership, business development, and process optimization. Skilled in medical billing, insurance claims, and project management with a strong foundation in healthcare operations. Adept at driving productivity, improving financial performance, and ensuring superior customer service. Committed to contributing positively to organizational growth.

Management professional with knack for strategic planning and operational excellence bringing wealth of experience in team leadership and optimizing processes. Known for fostering collaborative environments and driving results seamlessly adapt to changing requirements and ensure consistent performance. My communication and conflict resolution skills are assets valued by employers.

Overview

8
8
years of professional experience

Work History

Associate Manager (RCM Process)

Fedora Healthcare Advantage
Ahmedabad
08.2020 - Current
  • Led team mentoring and coaching, resulting in improved productivity.
  • Implementation of new business not limited to contracting, credentialing, EVBV, Authorization, Billing & Coding, Charge posting, Accounts receivable and Denial Management.
  • Analyzed client feedback and implemented service enhancements.
  • Managed KPIs and financial data to identify cost-saving strategies.
  • Verified insurance, processed claims, and maintained accurate billing records.
  • Enhanced team morale and coordination through team-building activities.
  • Implemented secure online payment integration for patients.
  • Coordinated with physicians and cross-functional teams to ensure accuracy and efficiency.
  • Prepared monthly financial reports and reconciliations.
  • Managed client communications and project documentation.
  • Supported denial management, appeals, and rejections.

Team Leader: Account Receivable

Synergy Medsol Pvt Ltd
06.2018 - 08.2020
  • Researched and resolved denials, incorrect payments and claim rejection.
  • Verified accuracy of insurance claims payment.
  • Provided excellent customer service internally and externally using oral and written communication.
  • Coordinated collection activity for past due accounts, denial/appeals, and reconciled EOB/ERA's.
  • Trained externs, new employees and staff.
  • Generated revenue summary reports and system reports for internal and external review.
  • Reviewed and consulted monthly with providers to suggest improvements on A/R's.
  • Prepared monthly financial reports processed the aged accounts.
  • Provided assistance to patients in understanding financial obligation as well as established payment arrangements for outstanding balance.
  • Identified and diagnosed substantial changes in accounts receivable aging by insurance carriers.
  • Direct the decision point planning to increase revenue and streamline denial management functions.
  • Generated and audited monthly revenue reports, audit reports and query reports for the providers.
  • Built loyal internal customer relationships and created a positive, team-focused working environment.
  • Evaluate daily A/R activity to create benchmark standards and develop quality assurance mechanisms to increase revenues.

Senior Account Receivable Executive

Fedora Healthcare Advantage
05.2017 - 06.2018
  • Manage the monthly, quarterly and year-end close processes of Accounts Receivable.
  • Insurance Eligibility and Authorization process.
  • Trained new employees.
  • Preparing data objective reports/schedules, analysing revenue.
  • Client query handling and support.
  • Direct the decision point planning to increase revenue and streamline denial management functions.
  • Day to day A/R follow ups and Appeal/Denial/Rejection management.

Education

Diploma - Environmental Management

Southern Institute of Technology

Masters of Science - Bio Technology

Gujarat University

Bachelor of Science - Bio Technology

Gujarat University

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Indian Army School

Skills

  • Client relationship management

  • Claims evaluation and assessment

  • Provider enrollment experience

  • Medical billing expertise

  • MS Office & Excel

  • Project Management

  • Customer Service Excellence

  • Team Leadership & Staff Training

  • Strong Work Ethic & Time Management

  • Data Analysis & Financial Reporting

  • Strategic planning

  • Business development

  • Financial management

Software

AdvancedMD, eCW, NextGen, MDOM, Medisoft, Allscripts, OfficeAlly, Sevocity

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Supervised team of 100 staff members.
  • Employee of the Month 2018 and 2020.
  • Received two promotions from the director during my first 2 years at the company.
  • Helped managers hit target and implementation of new clients.
  • Implemented new document filing and organizational procedure.
  • Promoted from Assistant to Associate Manager due to consistent above-average performance.

Timeline

Associate Manager (RCM Process)

Fedora Healthcare Advantage
08.2020 - Current

Team Leader: Account Receivable

Synergy Medsol Pvt Ltd
06.2018 - 08.2020

Senior Account Receivable Executive

Fedora Healthcare Advantage
05.2017 - 06.2018

Bachelor of Science - Bio Technology

Gujarat University

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Indian Army School

Diploma - Environmental Management

Southern Institute of Technology

Masters of Science - Bio Technology

Gujarat University
Bhargav Gohil