BHIMRAO MUGDAL
Customer Support Executive
Dombivli
Summary
Detail-oriented Insurance Verification Expert with a proven track record in U.S. Healthcare Revenue Cycle Management, consistently processing over 100 patient verifications daily across Medicare, Medicaid, and private payers while maintaining 100% HIPAA compliance. Proficient in leveraging Availity and NaviNet to optimize workflows, achieving a 40% reduction in turnaround time. A unique blend of technical accuracy and extensive experience in high-volume customer care ensures seamless patient service delivery and efficient prior authorization processes. Committed to enhancing operational efficiency and supporting healthcare providers in delivering exceptional patient care.
Overview
3
3
years of professional experience
3
3
Languages
Work History
Insurance Verification Expert
TP-Mumbai
04.2024 - Current
- Verified insurance coverage and eligibility for over 100 patients daily across Medicare, Medicaid, and private payers.
- Maintained 100% compliance with HIPAA protocols during documentation and patient interactions.
- Assisted with the onboarding and training of new verification staff to improve accuracy and consistency.
- Implemented real-time verification protocols using Availity/NaviNet, reducing turnaround time by 40%.
- Flagged high-risk accounts for expedited prior authorization, improving patient service.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Customer Care Executive
1Point1 Solutions-Mumbai
08.2022 - 12.2023
- High-volume inbound calls to process orders, resolve service issues, and provide product information with speed and accuracy. Your goal is to ensure a positive customer experience by maintaining a friendly demeanor, and efficiently navigating our ordering and tracking systems.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Managed over 50 customer calls per day.
Education
HSC - Commerce
R A Podar College of Commerce And Economic
Mumbai, India01.2021
SSC - SSC
Matoshree Vidya Mandir
Mumbai, India 04.2001 -
Skills
Customer engagement
Timeline
Insurance Verification Expert
TP-Mumbai
04.2024 - Current
Customer Care Executive
1Point1 Solutions-Mumbai
08.2022 - 12.2023
SSC - SSC
Matoshree Vidya Mandir
04.2001 -
HSC - Commerce
R A Podar College of Commerce And Economic
Awards / Achievements
TOPS JUMP Leadership Certification, October 2025, Certified in advanced team management, specializing in KRA/KPI performance tracking and the application of emotional intelligence (empathy-driven leadership) to optimize team productivity and KPO workflows
Gaming
Active participant in competitive multiplayer games such as Valorant, BGMI, and Call of Duty. Focus on developing team synergy, real-time communication, and tactical planning in high-pressure environments.