Rohit Shinde

Associate Consultant

Bengaluru, Karnataka, India3 yrs 2 mos experience

Highly Stable

Key Highlights

Expert in U.S. healthcare operations and claims processing.
Proficient in managing Medicare processes and compliance.
Strong analytical skills for optimizing claims accuracy.

Stackforce AI infers this person is a Healthcare Operations Specialist with a focus on claims management and compliance.

Contact

shinderohit139@gmail.com LinkedIn

Skills

Core Skills

Us HealthcareClaims Resolution

Other Skills

Customer Relationship Management (CRM)Health InsuranceU.S. Health Insurance Portability and Accountability Act (HIPAA)Insurance ClaimsAnalytical SkillsClaim Investigationclaimscomputer

About

Senior Process Consultant with expertise in U.S. healthcare operations, specializing in healthcare claims processing, authorization management, and financial recovery. Expertise in resolving duplicate claims, investigating original claims, and auditing for overpayments and underpayments. Proficient in using CAS (Claims Adjudication System) and managing Medicare processes. Strong background in handling authorization workflows and ensuring compliance with industry standards. Skilled in identifying issues, analyzing data, and delivering solutions to optimize claims accuracy and reimbursement.

Experience

3 yrs 2 mos

Total Experience

3 yrs 2 mos

Average Tenure

3 yrs 2 mos

Current Experience

Sagility

Senior Consultant

Feb 2023 – Present · 3 yrs 2 mos · Bengaluru, Karnataka, India · Hybrid

Customer Relationship Management (CRM)Health InsuranceU.S. Health Insurance Portability and Accountability Act (HIPAA)US HealthcareInsurance ClaimsAnalytical Skills+4