Healthcare Billing Software
Vishal Palkar
Deputy Manager Billing & TPA.
Summary
Knowledgeable Deputy Manager with extensive knowledge of the healthcare industry. Solid managerial and communication skills. Gifted in handling tense situations with irate customers.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
4
4
Languages
Work History
Deputy Manager - Billing & TPa
SRV Hospital
MUMBAI
04.2021 - Current
- Introduced new methods, practices and systems to reduce turnaround time.
- Assumed senior management workloads in absence of general manager to maintain operations continuity.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Maintained, documented and presented progress reports to leaders.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Improved operations through consistent hard work and dedication.
- Developed and maintained courteous and effective working relationships.
Billing and TPA Incharge
Manipal Hospital
Goa
08.2019 - 03.2021
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- Carried out day-to-day duties accurately and efficiently.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record.
- Improved operations through consistent hard work and dedication.
- Worked flexible hours across night, weekend and holiday shifts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Patient Financial Counselor
Nanavati Hospital
MUMBAI
11.2018 - 08.2019
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Identified issues, analyzed information and provided solutions to problems.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Helped address client complaints through timely corrective actions and appropriate referrals.
Billing and TPA Executive
Criticare Hospital
MUMBAI
06.2016 - 10.2018
- Personally attends to the customers that may have any query regarding pre and post bill generation.
- Preparation and adjustments of all final and interim bills of patients.
- Periodically follow up on all pending bills and inform to Billing Manager.
- Discharging patient after receiving of final Approval From TPA.
- Giving Estimate as per Hospital Tariff and as per GIPSA as per patient policy Terms and Condition.
- Maintaining the Follow Up track of the admitted patient.
- Participates in any and all reasonable work activities as may be deemed suitable and assigned by management.
Medical Billing Executive
S.R. Mehta Cardiac Institute.
Mumbai
07.2014 - 05.2016
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Personally attends to the customers that may have any query regarding pre and post bill generation
- Discharged patients after receiving of final Approval From TPA
- Handled Admission And discharge of patient in Hospital As per HSP
Education
S.S.C -
D.A.V High School
Mumbai 04.2001 -
H.S.C. -
Gokhale College of Commerce And Arts
Mumbai 06.2009 - 05.2011
Bachelor of Commerce -
Sathaye College
Mumbai 06.2011 - 05.2014
Skills
Billing statement review
Effective managerial techniques
Managerial skills
Billing resolutions
Billing systems and software
Healthcare billing
Software
Timeline
Deputy Manager - Billing & TPa
SRV Hospital
04.2021 - Current
Billing and TPA Incharge
Manipal Hospital
08.2019 - 03.2021
Patient Financial Counselor
Nanavati Hospital
11.2018 - 08.2019
Billing and TPA Executive
Criticare Hospital
06.2016 - 10.2018
Medical Billing Executive
S.R. Mehta Cardiac Institute.
07.2014 - 05.2016
Bachelor of Commerce -
Sathaye College
06.2011 - 05.2014
H.S.C. -
Gokhale College of Commerce And Arts
06.2009 - 05.2011
S.S.C -
D.A.V High School
04.2001 -