{
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  "basics": {
    "name": "Pradeep Limbaji Dongre",
    "label": "Revenue Cycle Officer",
    "summary": "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.",
    "location": "Building No. 9, Flat No. 1804, Highland Park, Yashaswi Nagar, Majiwada, Thane (West) Mumbai-400607 Maharashtra",
    "profiles": [
      {
        "network": "LinkedIn",
        "username": "pradeep-dongre-a35a07301",
        "url": "https://linkedin.com/in/pradeep-dongre-a35a07301"
      }
    ]
  },
  "work": [
    {
      "company": "IKS Health",
      "position": "Revenue Cycle Officer",
      "location": "Thane west, Maharashtra",
      "startDate": "2025-11",
      "current": true,
      "highlights": [
        "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"
      ]
    },
    {
      "company": "Credence Global Solutions",
      "position": "Executive - Accounts Receivable",
      "location": "Thane west, Maharashtra",
      "startDate": "2025-04",
      "endDate": "2025-10",
      "highlights": [
        "Managed high-value, priority accounts with a focus on resolving 90+ days aged AR"
      ]
    },
    {
      "company": "IKS Health",
      "position": "Revenue Cycle Representative",
      "location": "Thane west, Maharashtra",
      "startDate": "2024-01",
      "endDate": "2025-04",
      "highlights": [
        "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"
      ]
    },
    {
      "company": "IKS Health",
      "position": "Junior Revenue Cycle Representative",
      "location": "Thane west, Maharashtra",
      "startDate": "2022-12",
      "endDate": "2024-01",
      "highlights": [
        "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"
      ]
    }
  ],
  "education": [
    {
      "institution": "BAMU University",
      "degree": "Master of Commerce"
    },
    {
      "institution": "DY Patil University, Pune, Pimpri-Chinchwad",
      "degree": "Master of Business Administration",
      "field": "Finance"
    },
    {
      "institution": "BAMU University",
      "degree": "Bachelor of Commerce"
    }
  ],
  "skills": [
    "US Healthcare RCM",
    "Medical Billing",
    "Insurance Verification",
    "Denial Management",
    "Payer Escalations",
    "Problem Solving",
    "Decision-Making",
    "Analytical Skills",
    "Microsoft Power Automate",
    "Team Leadership",
    "Office Scripts",
    "Process Improvement",
    "Project Management",
    "Time Management",
    "Communication Skills",
    "Conflict Resolution",
    "Revenue Cycle Management"
  ],
  "languages": [
    {
      "language": "Marathi",
      "fluency": "Fluent"
    },
    {
      "language": "Hindi",
      "fluency": "Fluent"
    },
    {
      "language": "English",
      "fluency": "Fluent"
    },
    {
      "language": "French",
      "fluency": "Basic"
    }
  ],
  "projects": [
    {
      "name": "RCM Workflow Automation & File Standardization",
      "description": "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.",
      "highlights": [
        "Engineered a Microsoft Power Automate workflow to enforce a standardized Patient ID and Patient Name naming convention for all client-facing files.",
        "Built an automated validation routing rule that identifies improperly named files, relocates them to an invalid file folder, and triggers real-time Microsoft Teams alerts to the responsible user for immediate correction.",
        "Streamlined workflow compliance and automated the process of logging client confirmations upon successful file transmission."
      ],
      "keywords": [
        "Microsoft Power Automate",
        "Microsoft Teams",
        "OneDrive"
      ],
      "startDate": "2025-11"
    },
    {
      "name": "Automated Report Sorting & Data Formatting Script",
      "description": "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.",
      "highlights": [
        "Programmed a dynamic Excel Office Script to instantly filter, format, and sort multiple types of operational reports",
        "Eliminated tedious manual data manipulation bottlenecks across various workflows, saving significant daily processing time for the team.",
        "Standardized the data preparation process across different reporting functions, maximizing team productivity and allowing staff to focus directly on core operational tasks."
      ],
      "keywords": [
        "Microsoft Excel Office Scripts",
        "Microsoft Excel Automation"
      ],
      "startDate": "2025-11"
    }
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      "French"
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    "yearsOfExperience": 0,
    "seniority": "entry",
    "highestEducation": "Master's"
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