Gokul Mohite
@gokulmohite
I improve US healthcare claims quality through audits, training, and process improvements.
What I'm looking for
At Primera Healthcare, I manage quality operations for 13 facilities, conducting daily audits and monthly assessments to support compliance and accuracy. I prepare performance dashboards, lead refresher training, and work with clients on quality metrics and improvement strategies.
Previously at Omega Healthcare Solutions, I audited multi-specialty claims across charge review, claim edits, denials, appeals, and self-pay. I created SOPs, production summaries, IQ scores, Pareto charts, and error reports, achieving a 100% external quality score for two consecutive quarters.
My experience also includes radiology authorizations, client communication, escalation resolution, and training new team members on SOPs and software tools.
I bring over four years of US healthcare revenue cycle management experience, with a focus on root-cause analysis, corrective actions, trend identification, and sustainable process improvement.
Experience
Work history, roles, and key accomplishments
Quality Auditor
Primera Healthcare
Jan 2025 - Present (1 year 7 months)
Manage quality operations for 13 facilities, conduct daily audits, and prepare monthly assessments. Identify trends, implement process improvements, and present dashboards for performance tracking.
Sr.AR
Omega Healthcare Solutions
Jan 2022 - Aug 2023 (1 year 7 months)
Specialized in radiology authorizations and client communications. Trained new team members on SOPs and software tools, and collaborated with quality analysts to resolve escalations.
Education
Degrees, certifications, and relevant coursework
Acharya Institute
Diploma, Automobile Engineering
2012 - 2015
Earned a Diploma in Automobile Engineering from Acharya Institute in Bangalore.
Vignan Botree
Matriculation, General Studies
2011 - 2012
Completed matriculation at Vignan Botree in Hyderabad.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
Interested in hiring Gokul?
You can contact Gokul and 90k+ other talented remote workers on Himalayas.
Message GokulGet matched with your dream remote job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
