MANOJ DATTATRAY RAUT
Team coach (Revenue Cycle management)
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.
Organized and dependable candidate with 5.6 Years of experience in RCM, successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
2026
2026
years of professional experience
8031
8031
years of post-secondary education
Work History
Project Trainee
Hindustan Antibiotics Limited
Team coach
Fedora Amicus RCM PVT.LTD
09.2019 - Current
- Handled projects assignments in Revenue Cycle Management.
- Planning & Preparing Work flow in relation to Benefits Verification and Authorization.
- Authorization processing
- Communication with Healthcare Provider, insurance companies to resolve authorization related queries.
- Update patient records and billing systems with authorization information
- Generate report and documentation as needed for internal and external purpose
- Collaborate with team members to identify and resolve issues related to denied authorization
- Continuously seek opportunities to improve Authorization Processes
- Help to resolve the queries of juniors and guide them to run the authorization process smoothly
- Reconcile, review of Teams works to ensure timely completion and compliance with the process specifications.
- Preparation of file for daily work & assigning it to teammates.
- Interact with insurance carriers/website to conduct insurance benefits verification of all insurance carriers
- Experience with various insurance plans (UHC,Aetna,BCBS,Molina,HF,etc) and coordination of benefits, including requirements of authorization and predetermination
- Conducting meeting for implementation of updates as & when needed With Team leader & /or teammates.
- Calling Commercial Insurance on daily basis.
- Working with Account Receivable team to resolve their authorization related queries for smooth submission of claims
- Work on retro authorizations.
- Coordinate & reply all Query of on-site by emails.
- 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.
03.2011 - 04.2013
Education
M.Pharmacy -
Pune University
B.Pharmacy -
Shivaji University
H.S.C. -
Maharashtra State Board
S.S.C. -
Maharashtra State Board
Skills
Partnership expertise
Project management
Client relationship management
Project tracking development
Project supervision
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
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