Summary
Overview
Work History
Education
Skills
Accomplishments
Personal Information
Languages
References
Timeline
Generic

Prathamesh P. Kate

Bhandup (West)

Summary

Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.

Overview

12
12
years of professional experience

Work History

Process Associate

Datamark LLP
12.2023 - 10.2024
  • Reviewed and confirmed airway bill details including shipper, consignee, and journey specifics.
  • Verified weight charges, allowed amounts, and compliance with dangerous goods regulations.
  • Checked accuracy of AWB journey for Interline, US to Offshore, and Offshore to Offshore routes.
  • Determined air freight charges based on travel route.
  • Handled hold airway bills and managed backlog.
  • Prioritize responding to client emails immediately.

Senior Process Associate

Gebbs Healthcare Solutions Pvt. Ltd.
09.2019 - 10.2022
  • Registered patient accounts in system accurately under correct hold codes.
  • Verify admit and discharge dates, inputting essential patient information.
  • Examined and resolved duplicate patient accounts.
  • Verified guarantor, parent, and next of kin data.
  • Correct payer code and subscriber insurance information processed by referring to the source document.
  • Verified insurance coverage, eligibility, and policy benefits.
  • Identified and flagged inactive insurance policies.
  • Executed special project aligning with client and management expectations.
  • Assisted new joiners in comprehending processes and resolving queries.
  • Reviewed requests processed by colleagues for accuracy.
  • Ensured error-free processing and provided timely feedback if needed.
  • Collaborated with audit team on process updates.
  • Gained understanding of revenue cycle processes.
  • Managed quality control processes to detect inconsistencies and malfunctioning.
  • Analyzed customer feedback survey data to identify areas for improvement.
  • Developed operational policies, procedures, and standards.
  • Oversaw quality control to identify inconsistencies and malfunctions.

Executive Voice and Chat

Hexaware BPS
04.2019 - 08.2019
  • Maintained integrity in customer interactions.
  • Resolved core inquiries related to customer accounts and transactions promptly.
  • Adhered to designated process guidelines to achieve resolution.
  • Enhanced customer confidence during interactions.
  • Achieved productivity targets within set hourly and daily limits.
  • Coordinate with appropriate teams to resolve customer issues expeditiously.

Payment Poster

Infinx Services Pvt. Ltd.
12.2018 - 03.2019
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Conducted credit checks on potential clients to assess creditworthiness.
  • Created receiving reports and updated vendor balance sheets to record accounts payable.
  • Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
  • Ensured accurate data entry into the accounting system for payment postings.

Senior process associate (BCBS)

Accenture service Pvt. Ltd.
02.2015 - 08.2018
  • Working as a Claim Adjudicator (Payer side) for US healthcare service
  • Apply knowledge of processes and related systems to assist in identifying, assessing and resolving standard and non standard Prompts or problems
  • Seek advice and rout issues when faced with tasks/problems outside the scope of the work
  • Provide training on Multiple Queues
  • Hold responsibility for maintaining the quality and improve the quality with the help of PKT
  • Audit the MPR (Medical records) file
  • To helps the improve quality of team
  • Trained and support new batches, take huddle to solve the process related query and doubts and new batch stage status inform to the manager
  • Audit and Solve the Pending claims to helps the meets for TAT

Associate accounts (Third party Payroll)

Quatrro fpo solutions Pvt. Ltd.
11.2012 - 03.2014
  • Handling US accounts for Grocery Departmental Stores
  • Handle the tasks of Prepare and verifying financial data and Statement
  • Manage all accounting and reconciliation related aspects of receivable tracked in the global billing systems i.e
  • Great Plain
  • Use the excel spreadsheet macros currently in use for reducing entry time and automatically cross reference errors
  • Prepare and Review the accounting reports (cash sales report / check register / payroll reports) on time
  • Prepare and maintain various supporting documents like receipts, vouchers, attendance records and other MIS

Education

Bachelor of commerce -

University of Mumbai
10-2012

H.S.C. -

Sahyadri Jr.college of Arts, Commerce and Science
01.2007

S.S.C. -

Yashwant sawant Vidymandir
01.2005

Skills

  • Analytical Decision Making
  • Document management
  • Research and analysis
  • Works well independently
  • Analytical Problem Solving
  • Positive attitude

Accomplishments

  • Quality performance excellence quarterly in the month of July 2022 in Gebbs.
  • Star Sparking Rewards and Certificate quarterly in the month of November 2016 in Accenture.
  • Quality performance excellence certificate quarterly in the month of January 2017 in Accenture.

Personal Information

  • Date of Birth: 04/05/90
  • Marital Status: Married

Languages

Marathi
First Language
English
Intermediate (B1)
B1
Hindi
Upper Intermediate (B2)
B2

References

References available upon request.

Timeline

Process Associate

Datamark LLP
12.2023 - 10.2024

Senior Process Associate

Gebbs Healthcare Solutions Pvt. Ltd.
09.2019 - 10.2022

Executive Voice and Chat

Hexaware BPS
04.2019 - 08.2019

Payment Poster

Infinx Services Pvt. Ltd.
12.2018 - 03.2019

Senior process associate (BCBS)

Accenture service Pvt. Ltd.
02.2015 - 08.2018

Associate accounts (Third party Payroll)

Quatrro fpo solutions Pvt. Ltd.
11.2012 - 03.2014

Bachelor of commerce -

University of Mumbai

H.S.C. -

Sahyadri Jr.college of Arts, Commerce and Science

S.S.C. -

Yashwant sawant Vidymandir

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Prathamesh P. Kate