Pankaj Gusai
Mumbai
Summary
4+ years of experience in US Medical Billing with deep domain knowledge in Obstetrics and Gynecology. Quick learn, open to challenges and believes in the power of team work.
Overview
4
4
years of professional experience
Work History
Quality Expert
IKS Health
Navi Mumbai
09.2024 - Current
- Conduct audits and identify internal process gaps to improve operational efficiency.
- Analyze denial trends and recommend corrective actions to enhance revenue cycle performance.
- Prepare and present data for weekly client calibration calls.
- Perform multi-touch account reviews to ensure accuracy and compliance.
- Generate and review high-dollar claims summaries.
- Handle external task assignments and support client interactions.
Revenue Cycle Representative
IKS Health
Navi Mumbai
02.2022 - 08.2024
- Working on outstanding AR to resolve account balance and collecting revenue for healthcare providers.
- Identify issues and trends related to specific payers and sharing it with the supervisor and team.
- Publishing daily production report with the team and supervisor to showcase team's performance.
- Providing floor support and team's queries and doubts related to different denial scenarios.
- Assisting the new joiners learning the payer workflow, denials, system navigation.
- Helping the supervisor with client escalations by working on it with resolution.
Education
BSc - IT
Malini Kishor Sanghvi College
Mumbai, IndiaHSC - Science
Valia College
Mumbai, IndiaSSC -
Swami Muktanand High School
Mumbai, IndiaSkills
- Communication Skills
- Effective Time Management
- Dedicated team player
- Public Speaking
- Excel
Languages
- Hindi
- Marathi
- English
- Hindi
- Marathi
Timeline
Quality Expert
IKS Health
09.2024 - Current
Revenue Cycle Representative
IKS Health
02.2022 - 08.2024
BSc - IT
Malini Kishor Sanghvi College
HSC - Science
Valia College
SSC -
Swami Muktanand High School