MANOJ DATTATRAY RAUT
Loni kalbhor
Summary
With a proven track record at Fedora Amicus RCM PVT.LTD, I excel in authorization processing and strategic thinking, enhancing team efficiency by 30%. Skilled in medical billing and active listening, I adeptly navigate insurance complexities, ensuring compliance and optimizing authorization processes. My partnership expertise and coaching techniques drive operational excellence and team development.
Overview
14
14
years of professional experience
Work History
Team coach
Fedora Amicus RCM PVT.LTD
Pune
09.2019 - Current
- Authorization processing
- Communication with Healthcare Provider, insurance companies to resolve authorisation related queries
- Update patient records and billing systems with authorisation information
- Generate report and documentation as needed for internal and external purpose
- Collaborate with team members to identify and resolve issues related to denied authorisation
- Continuously seek opportunities to improve Authorisation Processes
- Help to Resolve the queries of juniors and guide them to run the authorisation process smoothly
- As per requirement do patients plan insurance verification and eligibility by portal and doing calls
- Interact with insurance carriers/website to conduct insurance benefits verification of all insurance carriers
- Experience with various insurance plans and coordination of benefits, including requirements of authorization and predetermination
- Having handful experience of medical billing and collection terminology -CPT, HCPCS and ICD 10 coding
- Familiar with HIPPA guidelines and healthcare compliance
Production Officer-Operations
EDGE PHARMA Pvt. Ltd.
Pune
03.2011 - 04.2013
Project Trainee
Hindustan Antibiotics Limited
Education
M.Pharmacy -
Pune University
01.2013
B.Pharmacy -
Shivaji University
01.2009
H.S.C. -
Maharashtra State Board
01.2005
S.S.C. -
Maharashtra State Board
01.2003
Skills
- Partnership expertise
- Special events planning
- Strategic thinker
- Team analysis
- Facility maintenance
- Coaching techniques
- Active listening
- Training exercises
Languages
- Marathi
- English
- Hindi
Personal Information
- Date of Birth: 08/21/87
- Gender: Male
- Marital Status: Married
Timeline
Team coach
Fedora Amicus RCM PVT.LTD
09.2019 - Current
Production Officer-Operations
EDGE PHARMA Pvt. Ltd.
03.2011 - 04.2013
Project Trainee
Hindustan Antibiotics Limited
M.Pharmacy -
Pune University
B.Pharmacy -
Shivaji University
H.S.C. -
Maharashtra State Board
S.S.C. -
Maharashtra State Board
Similar Profiles
Madhusudan Singh KushwahMadhusudan Singh Kushwah
Staff Software Engineer (Technical Lead) at R1 RCM Global PVT.LTD.Staff Software Engineer (Technical Lead) at R1 RCM Global PVT.LTD.
Khyati PatelKhyati Patel
Sr Executive Biller and Coder at Fedora SolutionsSr Executive Biller and Coder at Fedora Solutions
Christina VickersChristina Vickers
Senior Virtual Monitoring Specialist at Clear Partners/Fedora IntertechSenior Virtual Monitoring Specialist at Clear Partners/Fedora Intertech