Pranay Shah
Mumbai
Summary
Assistant Manager specializing in operations and client relationship management. Proven track record in process improvement and meeting service level targets, enhancing team performance through KPI management and cross-training. Expertise in medical billing and regulatory compliance, providing strategic insights to maximize revenue. Committed to achieving operational excellence and ensuring high client satisfaction.
Overview
8
8
years of professional experience
Work History
Assistant Manager
Credence Global Solutions
Pune
09.2025 - Current
- Managed 75 Associates supported by 3 Team Leaders across two scopes.
- Achieved and maintained service level agreements between client and CGS.
- Monitored key performance indicators to align with client requirements and industry standards.
- Communicated project updates and changes to clients, ensuring transparency.
- Conducted monthly and weekly business reviews with clients for performance assessment.
- Facilitated resource grooming initiatives to promote career growth.
Team Leader
Credence Global Solutions
Pune
02.2024 - 09.2025
- Managed team of 30 members across eligibility, rejections, payment posting, and correspondence functions.
- Owned KPIs for rejections, eligibility accuracy, posting turnaround time, and correspondence resolution.
- Presented KPI dashboards weekly and monthly to address client escalations and drive process improvements.
- Drove cross-training initiatives while ensuring comprehensive documentation of client-specific processes.
- Conducted root cause analysis on claim rejections to implement corrective actions, enhancing first-pass resolution.
- Executed special projects within established timelines, meeting quality benchmarks and fulfilling client expectations.
Subject Matter Expert (Team Coach)
Coronis IT Systems Pvt Ltd
Mohali
03.2021 - 02.2024
- Acted as Subject Matter Expert on medical billing processes, coding guidelines, and regulatory compliance.
- Monitored industry trends alongside payer policies to inform strategic decisions.
- Identified gaps in billing workflows and implemented process improvements for efficiency.
- Conducted thorough audits to ensure compliance with HIPAA, ICD-10, CPT, and payer regulations.
- Executed corrective action plans aimed at improving submission accuracy and quality.
- Mentored billing teams on updates in coding practices and complex billing scenarios.
- Presented detailed reports on billing performance metrics and compliance KPIs.
- Provided strategic guidance to clients on billing practices, compliance issues, and revenue optimization.
Senior AR Analyst
Gebbs Healthcare Solutions
Mumbai
07.2018 - 03.2021
- Processed and reviewed insurance claims to ensure accuracy and prompt submission.
- Identified and corrected billing errors and discrepancies to enhance financial integrity.
- Tracked pending claims to secure timely reimbursement and minimize delays.
- Analyzed claim denials and coordinated with payers to facilitate resolution.
- Reviewed accounts receivable aging reports, prioritizing aged accounts for efficient collections.
- Verified patient insurance eligibility and benefits to ensure correct billing practices.
- Evaluated team productivity and quality, providing performance feedback and audit reports.
Education
Bachelor of Management Studies - Finance
Model College
Mumbai06.2018
Skills
- Client relationship management
- Operations management
- Process improvement
- Performance monitoring
- Report generation
- Data analysis
- Team leadership
Timeline
Assistant Manager
Credence Global Solutions
09.2025 - Current
Team Leader
Credence Global Solutions
02.2024 - 09.2025
Subject Matter Expert (Team Coach)
Coronis IT Systems Pvt Ltd
03.2021 - 02.2024
Senior AR Analyst
Gebbs Healthcare Solutions
07.2018 - 03.2021
Bachelor of Management Studies - Finance
Model College