MOSES AITIWADEKAR
MUMBAI
Summary
Results-oriented professional with extensive experience in operational planning and team coordination. Demonstrated success in optimizing workflows and driving KPI achievement, contributing to improved claim processing and customer satisfaction.
Overview
9
9
years of professional experience
Work History
Team Leader
AMI | AI-Powered Health & Legal Process Management
Pune
04.2025 - Current
- Supervised teams of 10 specialists, allocating tasks and mentoring new hires.
- Conducted performance evaluations while ensuring compliance with HIPAA and payer guidelines.
- Provided training on RCM processes, including coding, AR follow-up, and denial management.
- Monitored workflows for timely claim submissions and payment postings to meet KPIs.
- Performed quality audits and root cause analyses to address denial issues effectively.
- Generated reports on productivity and denial rates, presenting insights for process improvements.
- Implemented strategies for workflow optimization while remaining current on regulations like ICD-10 and CPT coding.
Team Leader - Operations
Credence Resource Management
Pune
01.2023 - 04.2025
- Conducting various assessments on the process during and post transition period to meet & extract the metrics to exceed client expectations.
- Project Managing all the new offerings & accounts being offered and transitioned.
- Publishing dashboards to higher management on the progress of the offerings and other necessary activities such as sourcing, pricing and Technology requirements.
- Establish innovative systems and procedures for handling of data and reports and continuously improvise on them.
- Meeting project deadlines and targets on a day-to-day basis and fulfilling the various SLA's such as daily reports, collection reports, AR reports etc.
- Ensure that other team members, such as the Change Management team and the Technical team have the information they need from the functional team to complete their work successfully.
Accounts Receivable Executive
Credence Resources Management
Pune
01.2021 - 12.2022
- Excellent Knowledge in Denials
- Perform HIPAA compliant auto and manual posting requirements
- Manage daily payment posting batch reconciliation
- Posting offsets, forward balance, and refund processing / posting
- Handling denial and remarks codes to perform posting and assignment of AR appropriately
- Managing secondary billing process while perform cash posting
- Clear understanding on: ERA & EOB /ERA codes/
- Insurance types
- Balance billing & Co-ordination of Benefits
- Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices.
- Execute and accomplish tasks within deadlines.
- Submit the claim to insurance companies in order to receive payment for services rendered by a healthcare provider (Hospital, Physicians)
- Taking denial status from various insurance carriers
- Checking eligibility and verification of policy
- Handling 40-45 cases on daily basis
Accounts Receivable Executive
GEBBS HEALTHCARE SOLUTIONS
MUMBAI
06.2017 - 07.2019
- Claim processing and submission
- (USA based Insurance Companies)
- Submit the claim to insurance companies in order to receive payment for services rendered by a healthcare provider (Hospital, Physicians)
- Taking denial status from various insurance carriers
- Checking eligibility and verification of policy
- Handling 30-35 cases on daily basis
- Keeping a track on excel sheet
Education
TY.BAF - BANKING ACCOUNTS & FINANCE
K M AGARWAL COLLEGE
Mumbai, MH04.2017
HSC -
K V PENDARKAR COLLEGE
Mumbai, MH02.2014
SSC -
VANI VIDYA SHALA
03.2012
Skills
- Training and development
- Operational planning
- Issue resolution
- Team coordination
- Task delegation
- KPI management
- Priority management
- Customer service excellence
- MSCIT proficiency
- Tally expertise
- DTP skills
Additional Information
MSCIT, TALLY, DTP
Hobbies and Interests
- Dancing
- Listening Music
Languages
- English
- Hindi
- Marathi
Timeline
Team Leader
AMI | AI-Powered Health & Legal Process Management
04.2025 - Current
Team Leader - Operations
Credence Resource Management
01.2023 - 04.2025
Accounts Receivable Executive
Credence Resources Management
01.2021 - 12.2022
Accounts Receivable Executive
GEBBS HEALTHCARE SOLUTIONS
06.2017 - 07.2019
TY.BAF - BANKING ACCOUNTS & FINANCE
K M AGARWAL COLLEGE
HSC -
K V PENDARKAR COLLEGE
SSC -
VANI VIDYA SHALA