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Avnesh Avnesh

@avneshavnesh

TPA Operations Executive at VarunEyeCare AndResearchInstitute managing cashless claims, government panels, and revenue recovery.

At VarunEyeCare AndResearchInstitute Pvt. Ltd, I manage cashless claim lifecycles across 20+ TPAs and handle operations for Ayushman Bharat (PM-JAY), CGHS, ECHS, and NPCIL. I use the IHX Portal and government TMS modules to support claim processing, query resolution, and follow-up.

I also audit settlement sheets to identify underpayments and reconcile payments against approved tariffs. Earlier, at Yatharth Super Specialist Hospital and SharmaEye Care centre, I handled patient registration, billing, and records using Netram Software and Cure CS6.0.

Experience

Work history, roles, and key accomplishments

VL

Current

Executive – TPA & Government Panels

Current

Varun Eye Care And Research Institute Pvt. Ltd

Jan 2026 - Present (8 months)

Managed end-to-end cashless claim lifecycles across 20+ TPAs and government panels, optimized TAT, and ensured revenue recovery through audits and negotiations.

TPA Operations RCM IHX Portal TMS Denial Management Query Resolution Revenue Recovery Audit Excel Government Panels PMJAY CGHS ECHS NPCIL

YH

Front Desk Executive

Yatharth Super Specialist Hospital

Jun 2025 - Dec 2025 (6 months)

Managed patient registration, billing, and discharges using Netram software, optimized appointment scheduling, and handled cash reconciliation.

Netram Patient Registration Billing Appointment Scheduling Cash Reconciliation Data Management

SC

Computer Operator and Front Desk Executive

Sharma Eye Care Centre

Jan 2024 - May 2025 (1 year 4 months)

Handled patient registrations, billing, and payment management using Cure CS6.0, maintained records, and prepared OPD/IPD summary reports.

Cure CS6.0 Patient Registration Billing Payment management Reporting Documentation

HA

Back Office and Data Entry

H.P Gas Agency

Mar 2023 - Dec 2023 (9 months)

Worked on HP Gas online portal, prepared comprehensive reports for management, and supported Excel department with daily data tasks.

Data Entry Reporting Excel

AI

Back Office and Data Entry

Avanti Quality Institute

Nov 2022 - Feb 2023 (3 months)

Collected student data, designed daily class timetables, and handled online form filling and exam copy preparation.

Data Entry Scheduling Form filling

Education

Degrees, certifications, and relevant coursework

RU

Raja Mahendra Pratap Singh State University

Bachelor of Science, Science

Completed a Bachelor of Science degree in 2024.

ZM

Z King Institute of IT & Management

Diploma in Computer Applications, Computer Applications

Completed a Diploma in Computer Applications in 2022.

AC

Agrasen Inter College

Class 12th, Science

Completed Class 12th in Science from UP Board in 2021.

AC

Agrasen Inter College

Class 10th

Completed Class 10th from UP Board in 2019.

Tech stack

Software and tools used professionally

Adobe Photoshop

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Availability

Looking for a job

Location

India

Authorized to work in

Salary expectations

140k+ INR

Job categories

Healthcare Operations Executive Revenue Cycle Management Specialist TPA Operations Medical Billing Specialist Front Office Executive Data Entry Operator

Skills

Revenue Cycle Management Cashless Claims TPA Operations Government Health Panel Operations Denial Management Medical Query Resolution Short Settlement Recovery Claims Auditing Empanelment Tariff Negotiation Payment Reconciliation Financial MIS Healthcare Billing Patient Registration OCT

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