Pradeep Limbaji Dongre
Revenue Cycle Officer
Revenue Cycle Officer with experience in revenue cycle management. Proven track record of improving processes and ensuring compliance. Seeking a challenging role as a Quality Analyst or Manager to leverage my skills in quality assurance and team leadership.
Building No. 9, Flat No. 1804, Highland Park, Yashaswi Nagar, Majiwada, Thane (West) Mumbai-400607 Maharashtra
0
Projects
0
Languages
0
Skills
Work Experience
Revenue Cycle Officer
- Manage end-to-end RCM operations, including insurance verification, charge posting, and claim submission
- Develop custom workflow automations using Microsoft Power Automate, OneDrive, and Office Scripts to standardize file processing
- Designed and implemented tracking systems for AR follow-ups, which improved team productivity and collection performance
- Conduct quality audits and collaborate with cross-functional teams to ensure clean claim submissions
Executive - Accounts Receivable
- Managed high-value, priority accounts with a focus on resolving 90+ days aged AR
Revenue Cycle Representative
- Maintained zero 90+ days AR through structured escalations and the 3-Touch Resolution Rule
- Analyzed denial trends, performed AR research using EOBs/ERAs, and managed complex payer escalations
- Supported First-Time-Right (FTR) resolution and assisted with new-joiner training and SOP documentation
Junior Revenue Cycle Representative
- Handled secondary claim submissions for Traditional Medicaid and managed Independent Physician Association (IPA) AR
- Managed core AR activities, productivity tracking, and supported cross-audit reporting for corrective actions
Projects
RCM Workflow Automation & File Standardization
Developed and fully deployed an automated folder management system within a 7-day timeframe to enforce strict naming conventions for paper claims, appeals, and secondary claims, ensuring accurate client access and eliminating manual file errors.
Microsoft Power AutomateMicrosoft TeamsOneDrive
Automated Report Sorting & Data Formatting Script
Developed and implemented a versatile Excel Office Script to automate the sorting and categorization of various raw data reports, reducing manual data preparation time to under 5 minutes per report.
Microsoft Excel Office ScriptsMicrosoft Excel Automation
Skills
US Healthcare RCMMedical BillingInsurance VerificationDenial ManagementPayer EscalationsProblem SolvingDecision-MakingAnalytical SkillsMicrosoft Power AutomateTeam LeadershipOffice ScriptsProcess ImprovementProject ManagementTime ManagementCommunication SkillsConflict ResolutionRevenue Cycle Management
Education
Master of Commerce
BAMU University
Master of Business Administration, Finance
DY Patil University, Pune, Pimpri-Chinchwad
Bachelor of Commerce
BAMU University
Languages
Marathi
Fluent
Hindi
Fluent
English
Fluent
French
Basic
References available upon request.