With 5 years of experience into training specializing in RCM and Denials Expertise Training, I excel in developing training programs, improving processes, and enhancing communication within organizations. My strong communication skills and expertise in process improvement make me a valuable asset in any team or project.

Key Skills

RCM and Denials Expertise
Training and Development
Process Improvement
Strong Communication Skills
Content Creation
Data management & Reports

Professional Experience

Apr 2023
Present
Sr. Process Trainer (E2E) - VnA, RCM & Denials
Infinx Services Pvt Ltd Navi Mumbai, IN
Infinx create intelligent payment lifecycle solution for healthcare providers. Streamlines pre-authorization workflows for hospitals. Workforce 6,000
  • Conducting NHT/Experienced training on US Healthcare (E2E RCM).
  • Conducting E2E voice and accent as well as process training (RCM & denials).
  •  Working on content development for process specific business communication.
  • Conducting Manila interviews (voice screening) for customer service and patient scheduling.
  • Creating SOP & DOU for customer service and patient scheduling for manila location. 
  • Providing RCM training to manila based employees virtually. 
  •  Ensuring training throughput with expected thresholds.
  • Conducting re-fresher training for the experienced users based on TNI and TNA.
  • Creating PKT (Process Knowledge test) papers every month on the basis of SOP (Standard operating procedure) and DOU (Document of understanding) for respective process. 
  •  Conducting BQM training for experienced users based on production & quality.
  • Providing software training for multiple clients.
  • Creating and maintaining training attrition report for AR scope.
  • Maintaining and creating monthly report of AR scope.
  • ISO data audit reports & Training folder management.
  • Handling of stationary, tools and other instrument required for upcoming training batches.

 
Feb 2019
Nov 2022
Process Trainer & Sr. Process Trainer - (E2E)
GeBBs Healthcare Solution Navi Mumbai, IN
GeBBS is a leading healthcare outsourcing provider, specializing in Revenue Cycle Management and Health Information Management. Work force 15,000.
  • Conducting NHT/Experienced training on US Healthcare (E2E RCM). 
  • Conducting E2E voice and accent as well as process training. 
  • Managing re-fresher training for the experienced staff based on TNI and TNA. 
  • Creating training calendar and diligently adhering to them. 
  • Working on content development for process specific business communication. 
  • Revisiting PNP and signoffs from clients for any kind of amendments. 
  • Attending client calls and calibrating with operations as well as quality team. 
  • Providing audit support as and when needed. 
  • Working on special assignments from clients and sharing findings/feedback with clients. 
  • Line trainer grooming session and sharing feedback on it. 
  • Have been part of line trainer interview panel and selection process. 
  • Organization line trainer skill development programs. 
  • ISO data audit reports. 
  • Ensuring training throughput with expected thresholds. 
  • Developed and implemented comprehensive training programs for RCM and denials management processes. 
  • Conducted regular training sessions for new hires and existing employees on best practices for claims processing, coding guidelines, and effective denial appeals strategies. 
  • Evaluated training effectiveness through assessments and feedback mechanisms, continuously refining training materials and methodologies to improve employee performance and overall departmental efficiency.
 
Feb 2017
Mar 2018
Sr. AR Associate GeBBs Healthcare Solution
GeBBs Healthcare Solution Navi Mumbai, IN
  • Got promoted as SR AR Associate in 2018. 
  • Started shouldered responsibilities such as mentoring, coaching NHT's in nesting period. 
  • Allocating daily inventory/task to users.
  • Creating/preparing daily quality consolidated files.
Aug 2016
Mar 2017
AR Associate Trainee
GeBBs Healthcare Solution Navi Mumbai, IN
GeBBS is a leading healthcare outsourcing provider, specializing in Revenue Cycle Management and Health Information Management. Work force 8,000.
  •  Started as an AR associate trainee in account receivable for U.S. healthcare industry.
  • Successfully managed to meet the targets and deadlines with optimum quality scores. 

Education

Nov 2016
Dec 2018
Masters in Travel and Tourism in Columbus Academy
Apr 2013
May 2016
Bachelor of Management Studies in N.E.S Ratnam Collage of Arts, Science & Commerce
Mumbai University

Certifications

2020
Instructional Design
Allison
2020
NLP - Neuro Linguistic Program
Allison
2017
TFA - Training for Associate
GeBBs Healthcare Solutions
2020
Six Sigma white belt
Allison

Achievements

2017
GeBBs Rising Star
GeBBs Healthcare Solution 
2018
Team Champ
GeBBs Healthcare Solution 
2017
Achievers and High Flyers
GeBBs Healthcare Solution 
2023
Brilliant Beginner
Infinx Services Pvt Ltd
2024
Super Squad
 Infinx Services Pvt Ltd 

Quote

"If you fail, never give up because FAIL means "First Attempt In Learning".

Dr. APJ Abdul Kalam

Hobbies & Interests

  • Cooking
  • Playing cricket
  • Watching web Series

Languages

Hindi
(Native)
English
(Native)
Marathi
(Fluent)

Career Aspiration

My goal as a Senior Process Trainer with 8 years of experience is to become a subject matter expert in RCM and denials management. I aim to lead training and development initiatives, drive process improvement, enhance communication skills to contribute to the success and growth of the organization.

Get in touch with Pratik