bhimrao mugdal
@bhimraomugdal
Detail-driven Insurance Verification Expert seeking role in U.S. healthcare.
What I'm looking for
I am an Insurance Verification Expert with a strong commitment to accuracy and compliance in the healthcare sector. Currently, I work at Rotech Health Care, where I verify insurance coverage and eligibility for over 100 patients daily. My role involves maintaining 100% compliance with HIPAA protocols, ensuring that all documentation and patient interactions are handled with the utmost confidentiality and care.
In addition to my verification responsibilities, I have taken the initiative to assist in onboarding and training new staff, which has significantly improved our team's accuracy and consistency. I implemented real-time verification protocols using Availity and NaviNet, which reduced our turnaround time by 40%. My analytical thinking and effective communication skills have been pivotal in flagging high-risk accounts for expedited prior authorization, ultimately enhancing patient service delivery.
Experience
Work history, roles, and key accomplishments
Insurance Verification Expert
Rotech Health Care (Teleperformance)
Apr 2024 - Present (1 year 3 months)
Verified insurance coverage and eligibility for over 100+ patients daily across Medicare, Medicaid, and private payers. Maintained 100% compliance with HIPAA protocols during documentation and patient interactions. Implemented real-time verification protocols using Availity/NaviNet, reducing turnaround time by 40%.
Education
Degrees, certifications, and relevant coursework
R A Podar College Matunga
Bachelor of Commerce, Commerce
2021 - 2023
Activities and societies: Member of College Finance Club and volunteer for intercollegiate career fair.
Conducted a market analysis of local SMEs and presented findings to faculty panel. Member of College Finance Club and volunteer for intercollegiate career fair.
R A Podar College Matunga
HSC, Commerce
2019 - 2020
Activities and societies: Debated in state-level competition on Financial Literacy Awareness
Debated in state-level competition on Financial Literacy Awareness. Developed skills in public speaking, time management, and analytical thinking.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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