Vijay Nath Mishra
Healthcare Operations And Billing Audit Professional
Gurgaon
Summary
Healthcare Operations and Billing Audit professional with 7+ years of experience in hospital administration, laboratory services, and IPD/OPD billing audits. Expertise in Revenue Cycle Management (RCM), NABH Accreditation, compliance management, and process improvement. Proven track record of reducing billing discrepancies, enhancing patient satisfaction, and driving operational efficiency. Currently pursuing a Certificate Program in Data Analytics (Python, SQL, Power BI) to strengthen data-driven decision-making and optimize hospital financial performance.
Overview
8
8
years of professional experience
3
3
Certifications
1
1
Language
Work History
Billing Auditor
RG Stone Urology & Laparoscopy Hospital (Pan Group)
10.2023 - Current
- Conduct regular IPD & OPD billing audits to ensure compliance, accuracy, and transparency in patient billing.
- Leading audits across all India branches, ensuring billing accuracy, compliance, and adherence to SOPs.
- Implemented standardized audit processes that reduced billing discrepancies by 30% across multiple centres.
- Collaborated with IT and finance teams to design Excel-based dashboards, improving error tracking and reporting efficiency.
- Conducted training sessions for all billing staff to strengthen billing compliance and reduce revenue leakage.
- Partnered with operations teams to align billing workflows with NABH standards, enhancing transparency and accountability.
- Monitored discharge billing processes, reducing overbilling/underbilling cases.
- Audited package billing, consumables, and consultant fee structures to ensure SOP compliance.
- Identified process gaps using data-driven insights, recommending corrective actions that improved revenue recovery.
Laboratory Technician
RG Stone Urology & Laparoscopy Hospital
04.2019 - 09.2023
- Performed laboratory tests ensuring accuracy and compliance with NABL standards.
- Assisted in quality control and operational efficiency improvements.
- Maintained laboratory instruments and ensured proper documentation.
- Conducted training sessions for new laboratory staff.
Laboratory Technician
The Denvax (Cancer) Clinic
10.2018 - 04.2019
- Conducted specialized laboratory tests for cancer diagnostics.
- Maintained quality control procedures and accurate documentation.
Laboratory Technician
DR. Khanna’s Pathcare Pvt. Ltd.
10.2017 - 10.2018
- Assisted in sample collection, analysis, and reporting.
- Ensured compliance with standard laboratory protocols.
Education
Certificate Program - Data Analytics
Hero Vired
12.2025
MBA - Hospital Administration & Healthcare Management
01.2024
BSc - Medical Laboratory Technology
Himalayan University
01.2020
Diploma - Medical Laboratory Technology
NIMS University
01.2018
Skills
Analytics & Technical Skills
Python
SQL (queries, joins, data aggregation – ongoing)
Power BI (dashboards, DAX – ongoing)
MS Excel (pivot tables, advanced formulas, dashboards)
Data Cleaning & Visualization
Statistics for Data Analysis
Hospital Operations & Administration
Medical Billing & Audit (Multi-branch operations)
Patient Experience & Counseling
NABH Accreditation & Compliance
Staff Training & Development
Certification
Diploma in Quality Control Management (NHCA)
Additional Information
- Strengths: Teamwork, Problem-Solving, Positive Attitude
- DATE:
- PLACE:
- (Vijay Nath Mishra)
Timeline
Billing Auditor
RG Stone Urology & Laparoscopy Hospital (Pan Group)
10.2023 - Current
Laboratory Technician
RG Stone Urology & Laparoscopy Hospital
04.2019 - 09.2023
Laboratory Technician
The Denvax (Cancer) Clinic
10.2018 - 04.2019
Laboratory Technician
DR. Khanna’s Pathcare Pvt. Ltd.
10.2017 - 10.2018
MBA - Hospital Administration & Healthcare Management
BSc - Medical Laboratory Technology
Himalayan University
Diploma - Medical Laboratory Technology
NIMS University
Certificate Program - Data Analytics
Hero Vired