Vishal Kailas Ghadge
Senior Claims Executive Level 1
Paithan,MH
Summary
To be a part of an organization where I can fully utilize my skills and make significant contribution to the success of the employer and at the same time my individual growth.
Overview
3
3
Language
Work History
Associate
Gebbs Health Solutions Pvt Ltd
- Work base on RCM cycle (Payment Posting)
- Work in PP Process, Invision payment Posting as a Process associated
- Software- Athena
Associates
MDI Networx PVT LTD Pune
- Work in PP Process G alliance Posting as a Process associated
- Software- Ggastro
Associates
Credence Resource Management Pvt Ltd, Pune
- Work in PP Process, Advance MD Posting as a Process associated
- Software- Advance MD, Telcor, Sales Force
- Total Work Experience- 3.5 years
- Handaling Portal- Change Healthcare, Availity,, FRHC, Cigna Portal
Senior Claims Executive Level 1
3gen Consulting
pune, Maharashtra
12.2025 - Current
- Established long-term client relationships through consistent delivery of high-quality products and services.
- Enhanced customer satisfaction by streamlining communication channels and improving response times.
- Developed innovative solutions to complex problems, resulting in improved organizational performance.
- Mentored junior staff members for accelerated career growth, developing future leaders within the organization.
Education
D.Pharm -
MSBTE
01.2021
HSC - undefined
Maharashtra State Board
01.2018
SSC - undefined
Maharashtra State Board
01.2016
Skills
Thorough knowledge of Reading EOB, ERA EMR and EHR Coordinating with team member and prioritizing the work Good Working Command on Computer(ie Excel, Word, Power Point etc) Excellent Written and verbal communication skills Working Knowledge of different types of client software Ex: advance MD, quodex Problem solving as (SME)
Problem-solving abilities
Computer skills
MS office
Time management
Data entry
Interests
Swimming
Software
Athena IDX, G-gastro, Advance MD, Epic
DECLARATION:
I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars. Date : Place : Pune (Vishal Ghadge)
Responsibilities :
- Perorming daily allocated work complete with quality
- Helping new teammates and solving process related doubts
- Work in week offs and month ends as per process requirements
- Independently evaluate explanation of payment for patient accounts
- Undertstand different types f denials
- Performs other duties as assigned
- Adhere to all company policies and procedures
Timeline
Senior Claims Executive Level 1
3gen Consulting
12.2025 - Current
HSC - undefined
Maharashtra State Board
SSC - undefined
Maharashtra State Board
D.Pharm -
MSBTE
Associate
Gebbs Health Solutions Pvt Ltd
Associates
MDI Networx PVT LTD Pune
Associates
Credence Resource Management Pvt Ltd, Pune