Chiranjivi Bhavsar
Vadodara
Summary
Dynamic operations manager with a proven track record, excelling in training and team leadership. Expert in revenue cycle management and denial strategies, I successfully mentored over 200 new hires, enhancing quality assurance and client relations. Adept at operational restructuring, I drive efficiency and foster a motivated workforce.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Co-Owner
Shreeji Corporation
Vadodara
05.2025 - Current
- Managed all operations of family-owned business with 2 employees, focusing on inventory control and strategic planning.
- Implemented cost-saving measures and explored revenue diversification to address financial challenges.
- Spearheaded operational restructuring amid market difficulties, overseeing vendor negotiations and client relations during wind-down.
- Developed and executed wind-down procedures, ensuring adherence to legal and financial obligations while minimizing liability.
Operations Manager and RCM Trainer
Obvious AI
03.2025 - 05.2025
- Responsible for providing In-Detail training to new hires (Trainees) about RCM industry and informing them about their roles and responsibilities through multiple means like presentation.
- Training new hires (Trainees) on how to analyze the Documents, Payments and EOB, Also classify them accordingly in the system.
- Conducting Interviews and analyze the candidate if they are suitable for the Company/Project and will be a valuable resource to company after Training.
- Maintain contact with Upper Management and Client to receive updates on their requirements.
- Provide on Floor assistance.
- Conduct 100% quality check.
- Download and Upload the production files in software.
- Assist in Crop and Stitch EOB's and Letters.
Lead Trainer
Campion Software Technologies
04.2024 - 02.2025
- Trained and mentored over 200 new hires on RCM industry roles and responsibilities.
- Developed lesson plans, instructional materials, and practice tests to enhance training courses.
- Conducted assessments to verify trainee understanding of claim analysis and denial resolution.
- Interviewed candidates to evaluate suitability for company projects post-training.
- Administered monthly quizzes to reinforce retention of RCM industry knowledge among employees.
- Maintained communication with project managers to align training with current requirements.
- Provided on-floor assistance and additional training sessions for existing employees lacking quality standards.
- Created reports tracking trainee scores and attendance for continuous improvement.
Technical Trainer
Omega Healthcare
08.2022 - 03.2024
- Responsible for providing In-Detail training to new hires (Trainees) about RCM cycle and inform them about their roles and responsibilities through multiple means like presentation.
- Training new hires (Trainees) on how to analyze the claim and how to resolve denials.
- Conducting various Test and Knowledge checks to ensure about the covered topics are understood and trainees can recollect the information.
- Conducting Interviews and analyze the candidate if they are suitable for the Company/Project and will be a valuable resource to company after Training.
- Conducting a monthly Quiz on the Floor for the other employees to identify if they remember the information correctly about the RCM Industry and Process, provided to them during initial stage of joining the Industry.
- Maintain a monthly contact with Project Managers/Team Leaders to receive updates on their requirements.
- Provide on Floor assistance when no new Batches are available.
- Provide Training sessions as and when required to old employees who does not meet the required quality.
- Creating report and maintaining the score and attendance for the trainees of the Batch.
Denial Analyst
IHCS TECHNOLOGIES
02.2021 - 07.2022
- Finding all the denied claims for Multiple Practices and ensure all the denials are Resolved or escalated to appropriate person/department within 48 hours from date of Denial.
- Finding the root cause for denials and ensure the issue is permanently resolved.
- Creating Appeals letter when we disagree with Insurance decision.
- Retrieving different types of reports from system for Workflow.
- Troubleshooting Team member's query/issues and answering them when they face Issue.
- Maintain a weekly contact with Client/Account Managers to receive new updates/share Feedback on issue, which were found during week.
Subject Matter Expert
Promantra Synergy Solutions
11.2020 - 01.2021
- Enabling the AR Operation vision and strategy by ensuring policies, procedures are Deployed by providing necessary trainings to subordinates.
- Working alongside team members to ensure Quality does get not impacted during tight Deadlines and ensure to keep all of them motivated.
- Creating Appeals letter when we disagree with Insurance decision.
- Retrieving different types of reports for team members and Manager.
- Troubleshooting Team member's query/issues and answering them when they face Issue.
Sr. Accounts Receivable
GeBBS Healthcare Solutions
10.2019 - 10.2020
- Calling American Health Insurance Company and taking status of the Claim submitted to Insurance Company by Doctor's (Follow-ups).
- Taking necessary action on denied claims to receive payment and avoid loss of revenue.
- Creating Appeals letter when we disagree with Insurance decision.
- Creating Letter to submitted to patient when we need to request Information from the Patient or when the need to send a Bill to patient for his/her responsibility.
- Assisting team members when they face issue.
- Maintain a daily contact with Managers/Team Leaders and Quality Analyst to receive New updates and share them with team.
Specialist Accounts Receivable
Medusind Solutions
02.2015 - 09.2019
- Calling American Health Insurance Company and taking status of the Claim submitted to Insurance Company by Doctor's (Follow-ups).
- Taking necessary action on denied claims to receive payment and avoid loss of revenue.
- Creating Appeals letter when we disagree with Insurance decision.
- Allocating work to team members based on Priority to avoid loss of revenue.
- Auditing claims worked by Team members to maintain the Quality.
- Assisting team members when they face issue.
- Maintain a weekly contact with Client and Counterpart on weekly basis to receive new Updates and share them with team on weekly basis.
Tele Marketing Executive
Anand India Corporate LTD.
04.2014 - 08.2014
- Explaining details and benefits of the product Customer is interested in and making sale Via Call across India either on received calls or calling the abandoned/missed calls.
- Also assisting customers with Language barrier by Speaking with them in languages Known to them and me.
Education
GED -
Yojana Jr. College
Maharashtra05-2010
High School Diploma -
D'Silva High School
Maharashtra05-2008
Skills
- Leadership and team management
- Interviewing and training
- Epic and Cerner expertise
- Client servicing and relations
- Data reporting and analysis
- Quality assurance
- Denial management strategies
- US healthcare knowledge
- Revenue cycle management (RCM)
- Inventory control and operational restructuring
- Wind-down procedures
- Operations management
Certification
- Medical Billing
- General Billing
- Lean Six Sigma AI Yellow Belt
- Lean Six Sigma Green Belt
- Lean Six Sigma Black Belt
- ISO 9001:2015 Lead Auditor
Projects
- Benefits and eligibility knowledge dissemination session, 2 days, conducted knowledge dissemination session on benefits and eligibility verification for all the global offices
- Trained the team on RCM as a freelancer
Languages
- English
- Hindi
- Marathi
- Gujarati
Timeline
Co-Owner
Shreeji Corporation
05.2025 - Current
Operations Manager and RCM Trainer
Obvious AI
03.2025 - 05.2025
Lead Trainer
Campion Software Technologies
04.2024 - 02.2025
Technical Trainer
Omega Healthcare
08.2022 - 03.2024
Denial Analyst
IHCS TECHNOLOGIES
02.2021 - 07.2022
Subject Matter Expert
Promantra Synergy Solutions
11.2020 - 01.2021
Sr. Accounts Receivable
GeBBS Healthcare Solutions
10.2019 - 10.2020
Specialist Accounts Receivable
Medusind Solutions
02.2015 - 09.2019
Tele Marketing Executive
Anand India Corporate LTD.
04.2014 - 08.2014
GED -
Yojana Jr. College
High School Diploma -
D'Silva High School