bhimrao mugdal - Insurance Verification Expert - Rotech Health Care (Teleperformance) | Himalayas
bhimrao mugdalBM
Open to opportunities

bhimrao mugdal

@bhimraomugdal

Detail-driven Insurance Verification Expert seeking role in U.S. healthcare.

India
Message

What I'm looking for

I am looking for a role that allows me to leverage my skills in insurance verification and compliance within a collaborative healthcare environment, focusing on improving patient outcomes and revenue cycle efficiency.

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

R(
Current

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

RM

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.

RM

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

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