Rohit Rajaram Shinde
Health Admin Services Analyst
Summary
A Health Admin Services Analyst with 7+ years of experience looking to learn and grow along with the company.
Overview
11
11
years of professional experience
4
4
Languages
Work History
Health Admin Services Analyst
Accenture Services Pvt Ltd.
2023.11 - Current
- Working with Cardiology, Internal medicine, and family medicine providers
- Need to work on Audio files received from the provider in given TAT
- Maintain 100% quality with TAT and RTF
- Need to scribe note with the help of transcription file in SOAP note format.
Senior Process Executive-Voice
Cognizant Technology Solutions India Private limited
2023.04 - 2023.11
- Working with Cardiology, Internal medicine, and family medicine providers
- Need to work on Audio files received from the provider in given TAT
- Maintain 100% quality with TAT and RTF
- Need to scribe note with the help of transcription file in SOAP note format.
Sr. Medical Data Summarizer
Augustus HealthCare Services India LLP
2018.07 - 2022.07
- Claim processing, Claim management, Payment posting, Co-pay
- Coins, Deductible
- RCM management
- Need to work on AR & Coding denials, Appeals and co-ordinate with AR calling team
- Worked on E & M denials
- Team Handling, client coordination, e-mail handling
- Working for a project where we help to chest portable X-ray cash posting
- Need to work on received EOB files from e-Bridge, Optum and via mail
- We post the payment under MediMatrix software by using payment posting codes.
Sr. Medical Reviewer
Augustus HealthCare Services India LLP
2018.07 - 2019.02
- Communicate with the nursing home about acknowledging, queries as well as to inform if there are any missing items in the list
- Review the acceptable items on Admission Review checklist
- Nursing Homes which catered to dialysis process were supported by the team
- Managing patient admissions
- Maintaining Daily MIS Reports.
Senior Associate
Wipro Limited
2015.04 - 2016.07
- Automated Consumer Dispute Verification by using Software such as E- Oscar, Debt Manager, KSYS
- Handling customer queries in the form of Dispute provided by Credit Bureau
- Moved to fraud and ownership department.
Front Office Assistant
Casa Grand Studios
2013.05 - 2014.12
- Took care of day–to–day activities of the Front Desk in the organization
- Coordinating Client Calls and consult with other departments to provide a seamless customer experience.
Education
No Degree - Clinical Research Coordinator
Crbtech Solution
Pune, India 2001.04 -
Bachelor of Science - Biotechnology
Yashwantrao Chavan College of Science, Karad – Kolhapur University
Karad, India 2001.04 - 2013.04
HSC -
Shrirang Namdev Junior College of Arts, Science And Commerce
Kadegaon02.2009
SSC -
Mahatma Gandhi Vidyalaya, Kadegaon
03.2007
Skills
Backoffice
Business Reporting & Governance
Chat
Claims Appeals
Claims Services
Clinical
Clinical Data Operations
Clinical Data Services
Collections
Content Management
Core Banking Operations (incl Payments)
Customer Operations - Voice
Customer Service
Data Management
Domestic Language
Health Services
Healthcare Claims
Healthcare Management
Insurance
Insurance Services
Life Sciences (AR&D) Services
Network Billing Operations
Network Customers Operations
Network Operations
Network Operations & Srvc Mgmt
Operations Mgmt & Improvement
Operations Support
Order to Cash
Order to Cash Processing
Pharmacovigilance
Pharmacovigilance Operations
Pharmacovigilance Services
Quality analysis
Quality and Compliance
Quality and Control
Quality Checks
Quality Governance & Operations
Query Management
Query Management
Reporting
Service Management
Supply Chain
Telecom Operations
User-Generated Content Moderation
Voice
Personal Information
- Date of Birth: 08/14/1991
- Gender: Male
- Nationality: Indian
Extracurricular Activities
First Prize in Poster Competition Participation in Model Competition conducted on Biotechnology Day. Topper in Micro- Biology and Biotechnology.
Timeline
Health Admin Services Analyst
Accenture Services Pvt Ltd.
2023.11 - Current
Senior Process Executive-Voice
Cognizant Technology Solutions India Private limited
2023.04 - 2023.11
Sr. Medical Data Summarizer
Augustus HealthCare Services India LLP
2018.07 - 2022.07
Sr. Medical Reviewer
Augustus HealthCare Services India LLP
2018.07 - 2019.02
Senior Associate
Wipro Limited
2015.04 - 2016.07
Front Office Assistant
Casa Grand Studios
2013.05 - 2014.12
No Degree - Clinical Research Coordinator
Crbtech Solution
2001.04 -
Bachelor of Science - Biotechnology
Yashwantrao Chavan College of Science, Karad – Kolhapur University
2001.04 - 2013.04
HSC -
Shrirang Namdev Junior College of Arts, Science And Commerce
SSC -
Mahatma Gandhi Vidyalaya, Kadegaon