Prathamesh Waghmare

To take challenges and complete them as they will be helpful for the organization's goal. Contribute to the organization's goal, for betterment of my carrier prospects and equipping myself with rich technical knowledge. To get well recognized and build very lasting relationship in the organization where I work by using best of my abilities and eventually achieve excellence

Experienced processing professional with strong focus on accuracy and efficiency. Adept at handling complex workflows and ensuring seamless operations. Known for effective team collaboration and adaptability to changing needs. Skilled in data management, process optimization, and quality assurance. Dependable and results-driven.

· Medical Records Data Management: Responsible for retrieving and managing patient medical data in strict adherence to HIPAA (Health Insurance Portability and Accountability Act) Compliance of 1996. Ensure data is accessed only with patient consent to support smooth and uninterrupted treatment processes.

· Data Compilation & Quality Control: Expert in compiling, re-evaluating, and conducting thorough quality checks on patient data. Skilled in systematically segregating information for streamlined use and compliance.

· STAT & GRID Case Handling: Act as the direct point of contact for STAT accounts, ensuring expedited processing. Handle GRID cases efficiently, maintaining high standards of accuracy and timeliness.

· Release of Information (ROI) Preparation: Prepare Release of Information (ROI) packets with authenticated patient consent forms and HIPAA-compliant cover sheets. Convert documentation from Excel to PDF format and securely share via cloud platforms.

· Quality Assurance (QA) Auditor: As a seasoned QA Auditor, responsible for collecting and reviewing escalation accounts from agents. Conduct comprehensive monitoring based on quality parameters, provide constructive feedback, identify potential reversal opportunities, and escalate critical issues to the QC (Quality Control) team.

Training & On-boarding: Conduct training sessions for new joiners by providing comprehensive process knowledge and allocating Process Knowledge Tests (PKTs). Perform post-training evaluations and submit detailed feedback to upper management for performance tracking and further development