Nikunj Rokde

Results-driven professional with 5+ years of experience in healthcare revenue cycle management, insurance eligibility verification, collections, customer service, and motor insurance claims processing. Proven track record of handling complex claim scenarios, reducing denial rates, and improving operational efficiency across U.S. and Australian insurance processes. Skilled in navigating payer portals, CRM tools, and billing systems such as EPIC, Kareo, and AdvancedMD with 98%+ data accuracy. Strong communicator with a customer-centric mindset, adept at managing high volumes of calls, coordinating with cross-functional teams, and mentoring new hires. Recognized through multiple awards for outstanding performance, client satisfaction, and process improvements. Excels in fast-paced, compliance-driven environments while consistently achieving KPIs and delivering high-quality results.

• Verified 10,000+ insurance cases with 98% accuracy, reducing claim rejections.
• Scheduled 2,000+ pre-employment medical appointments, improving onboarding TAT.
• Cut eligibility-related denials by 30% via pre-bill verification checks.
• Handled end-to-end SVA claims for top Australian insurers with 100% SLA compliance.
• Achieved 95%+ CSAT for 6+ months by resolving complex claims and escalations.
• Helped reduce claim turnaround time by 20% through process improvements.
• Trained and mentored 10+ new hires as SME, accelerating team productivity.