Dinkar Pasalkar
Pune
Summary
Dynamic Operations Manager with a proven track record at Surya Mother & Child Super Specialty Hospital, excelling in strategic planning and staff management. Achieved significant operational efficiency through process improvements and effective team leadership, enhancing service quality and compliance. Expertise in financial management and a passion for fostering positive employee relations drive success in healthcare operations.
Overview
15
15
years of professional experience
Work History
Operations Manager
Surya Mother & Child Super Specialty Hospital
02.2017 - Current
- Adhering to the operating budget, financial goals, and objectives with economic and efficient performance
- Establishing policies and procedures that support high-quality healthcare service, in partnership with hospital management, medical teams and the surrounding community
- Supervise, mentor and manage performance of clinical & non-clinical staff to ensure quality of treatment/service. Also, ensure proper implementation of NABH standards, Protocols, Adherence to Customer Centricity management SOP, ensure compliance with statutory requirements and quality assurance
- Managing all the hospital licenses and their renewals like Nursing Home License, Bio Medical waste license, Shop & Trade license, Fire NOC, FDA license, PCPNDT certificate, Property agreements, Hospital MOU's, etc.
- Direct, administer, and coordinate internal operational activities of the hospital in accordance with the assigned policies, goals, objectives and policies set by hospital.
- Appropriately communicate organization information through department meetings, one-on-one meetings, and appropriate email, interpersonal communication
- Influencing strategic decisions related to hospital functions
- Resolving operational issues and analyzes workflow.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Evaluated suppliers to maintain cost controls and improve operations.
- Identified procedure or process changes required to improve performance and productivity.
- Reduced process bottlenecks by training and coaching employees on practices, procedures and performance strategies.
- Introduced new methods, practices and systems to reduce turnaround time.
- Spearheaded department training to enhance employee performance and boost employee productivity.
- Increased profit by streamlining operations.
- Developed systems to track and log work issues.
- Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
- Planned and resourced personnel and logistics for operations component exercises resulting in highly trained personnel ready to act quickly in critical roles.
- Identified and resolved unauthorized, unsafe or ineffective practices.
- Built and reviewed master service agreements to simplify and streamline contract negotiation process.
- Generating operations reports to understand numbers and trends.
- Handling internal Sales
- Participation in development of Hospital Management System.
- Formulation & Implementation of billing masters.
- Independently handling empanelment process & renewals of GIPSA-PPN & Private Ins. Companies.
Executive TPA & Billing
Apollo Spectra Hospitals
03.2014 - 01.2017
- Managed large volume of medical claims on daily basis.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Reported policy changes and company conditions affecting customer satisfaction.
- Evaluated accuracy and quality of data entered into agency management system.
- Reviewed provider coding information to report services and verify correctness.
- Responded to correspondence from insurance companies.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Posted billings to medical insurance providers.
- Supported smooth admission and discharge processes by handling associated documents.
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
- Successfully handled Insurance/TPA empanelment process.
- Handled insurance payment recovery independently without any dispute.
Head- Billing & TPA
Vasan Eye Care Hospital
04.2013 - 02.2014
- Managed large volume of medical claims on daily basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed billing problems, researched issues and resolved concerns.
- Evaluated accuracy and quality of data entered into hospital management system.
- Worked with customers to develop payment plans and bring accounts current.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Conducted performance reviews and implemented improvement plans.
- Responded to correspondence from insurance companies.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Posted billings to medical insurance providers.
- Supported smooth admission and discharge processes by handling associated documents.
- Prepared and processed forms for government healthcare programs.
- Reported policy changes and company conditions affecting customer satisfaction.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Trained new employees on multiple medical billing programs and data entry software.
Billing Assistant
Apollo Hospitals Lavasa
04.2012 - 04.2013
- Executed billing tasks and recorded information in company databases.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Collected data to complete detailed financial reports for stakeholders and management.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Promoted consistent accuracy of billing information by reconciling accounts monthly.
- Produced large volumes of client invoices using -AKHIL HMIS.
- Reconciled past due accounts achieving 100% reduction in outstanding invoices.
- Followed up with appropriate parties to obtain prompt payments.
- Determined proper codes for medical records and patient services.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
Admin Assistant(Supervisor)
CMS LAVASA
03.2010 - 03.2011
- Worked as a Admin Assistant (Supervisor) for PWD department.
- Appropriately communicate organization information through department meetings, one-on-one meetings, and appropriate email, IM, and regular interpersonal communication.
- Handled team of Maintenance & Utility.
Education
PGDHM -
Prin. L. N. Welingkar Institute of Management Development & Research
Mumbai05-2023
Advanced Diploma in Business Administration -
Prin. L. N. Welingkar Institute of Management Development & Research
Mumbai09.2022
B.Com -
Savitribai Phule- Pune University
01.2010
Skills
- Operations management
- Strategic planning
- Staff management
- Business administration
- Employee relations and conflict resolution
- Purchasing and procurement
- Contract management
- Negotiation
- Report generation
- Data analysis
- Financial management
- Extensive billing and TPA knowledge
- Audit
- Maintenance planning
- Project management abilities
- Business intelligence
- Change management
- Logistics management
- Operational efficiency
- Building and facility management
- KPI tracking
- Market penetration
- Supply chain distribution
- Client relationships
- Troubleshooting and problem solving
- Negotiations expert
- Customer relationship management (CRM)
- Vendor sourcing
- Workforce management
- Risk management
- Process flows
- Cost reduction
- Project planning and development
- Staff development
- Employee motivation
- Statutory Compliance
- Cost reduction strategies
- Process improvements
- Procedure development
- Continuous improvements
- Retail operations management
- Project leadership
- Team building/leadership
Certifications And Achievements
- Promoted from Manager - Billing and Administration to Operations Manager in next 1 year in Surya Mother and Child Super Speciality Hospital, Pune.
- Promoted from Assistant Manager - Billing to Manager - Billing and Administration in just a span of less than 01 year in Surya Mother and Child Super Speciality Hospital, Pune.
- Awarded as 'Growth Guru' by 'Apollo Spectra Hospitals' for the month of Aug.
- Awarded as 'Employee of the year' by 'Vasan Eye Care' for the year 2012-2013.
Languages
English
First Language
English
Upper Intermediate (B2)
B2
Marathi
Proficient (C2)
C2
Hindi
Upper Intermediate (B2)
B2
Timeline
Operations Manager
Surya Mother & Child Super Specialty Hospital
02.2017 - Current
Executive TPA & Billing
Apollo Spectra Hospitals
03.2014 - 01.2017
Head- Billing & TPA
Vasan Eye Care Hospital
04.2013 - 02.2014
Billing Assistant
Apollo Hospitals Lavasa
04.2012 - 04.2013
Admin Assistant(Supervisor)
CMS LAVASA
03.2010 - 03.2011
PGDHM -
Prin. L. N. Welingkar Institute of Management Development & Research
Advanced Diploma in Business Administration -
Prin. L. N. Welingkar Institute of Management Development & Research
B.Com -
Savitribai Phule- Pune University
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