Accounts Payable Health Insurance
Resume:
EXECUTIVE SUMMARY
Results-driven, highly accomplished, and focused Professional with 14+ years of
experience in Accounts, Finance, and Mediclaim Process Domain; comprehensive working background in procedures and processes, and extensive leadership skill. Strategic planners, proficient in Accounts payable/ receivable, and change management. Proven track record of financial administration in cash flow management. Collective positive relationship with co-workers, clients, and vendors through efficient communication and action-oriented solutions. Seeking a management position that will provide a challenging opportunity to significantly contribute to a company's efficiency, organization growth, and profitability.
RAKESH PARMAR
FINANCE EXECUTIVE PROFESSIONAL
EXECUTIVE SYNOPSIS
Accounts:
Preparing financial reports to help management make strategic decisions by using accounting principles such as double-entry bookkeeping and accrual accounting
Reviewing the hospital’s financial records to ensure compliance with laws and regulations.
Preparing journal entries to record transactions in the general ledger
Assisting with audits of the hospital’s financial statements to ensure compliance with federal regulations.
Recommending changes in accounting methods or procedures to improve efficiency
Reconcile accounts payable and accounts receivable to ensure that all incoming and outgoing funds are accounted for properly
Calculating payroll taxes and filing payroll tax forms with state and federal agencies
Reviewing monthly invoices from vendors to ensure that they have been sent and received
Preparing financial reports such as income statements and balance sheets Mediclaim Process:
Handling Health Insurance Companies related all process from billing to coordinating with Health Insurance companies.
Responsible for counseling patient's family & pre-Auth process.
Maintaining & uploading patient's files on the portal.
Couriering the hard copy of patient's medical file to the Insurance companies.
Responsible for all co-ordination activities from patient's admission to discharge.
Handling billing Department, Implants bill updating & reconciliation.
Daily co-ordination with the patient and Hospital staff.
Handling all Cashless/Mediclaim Portals.
Outstanding follow-up with Health Insurance Companies.
Monthly Review report.
To obtain and review referrals and authorizations for treatments.
Must be aware of norms of the insurance sector.
Daily follow up with Insurance companies to pass or clear the Health Insurance claims. AWARDS & ACHIEVEMENTS
1. Achieved Employee of the Month Award from organizations where I was associated
2. Spot Appreciation
3. Awarded for part of JCI Assessment
4. Cycleothone Certificate received on world heart day CAREER GLIMPSES
Marengo CIMS Hospital, India (multiple roles held in 12+ years) 2012-2024 Account & Finance Executive
TPA Executive (Cashless Health Insurance- Mediclaim Process)
Handling Petty Cash, Pharmacy Bill in tally, Vendors & Camp/CME Payment.
Ensure voucher booking expense, MIS & P&L Reports.
Provides formal or informal direction in data processing, distributed systems, material management and medical records functions. Mobile: +49-152*-***-****
Email: ***************@*****.***
CORE COMPETENCIES
5. Finance & Accounts Management
6. Financial Planning & Control
7. Budgeting / Credit Control
8. Statutory Compliance
9. Banking/ Reconciliations
10. Cost Accounting
11. Accounts Payable & Receivable
12. Cost Management
13. Cash Flow management
14. Mediclaim Process
15. Audits
16. HR Operation Management
17. Records & Database Management
18. P&L/ MIS Reports
19. Capital procurement
20. Commercial Functions
21. Great Communication Skills
22. Attention to Details
23. Relationship Management
24. Strategic Leadership & Planning
25. Team & Time Management
IT SKILLS
26. 4c Training (Care, Compation,
Competency, Courtesy)
27. V look up
28. Data Pivot
29. Tally -9 ERP
30. PCS
31. Oracle fusion
32. MS-Office and Internet Applications
ACADEMIC CREDENTIALS
1. 2008: Bachelor of Commerce; H. K.
Commerce College, Gujarat University,
Ahmedabad, Gujarat
2. 2005: Higher secondary Certificate;
Gandhi Vidhyalay School, Gujarat State
Board, Ahmedabad, Gujarat 64%
3. 2003: Secondary School Certificate;
Sayona Vidhyamandir, Gujarat State
Board, Ahmedabad, Gujarat 60%
Administers the general accounting, patient business services, including third-party reimbursement, financial, and statistical reporting functions of the hospital in accordance with established policies and accounting procedures.
Trains subordinates on the above areas and monitors performance to ensure fiscal responsibilities are fulfilled.
Assists the CEO in the development of long and short-range hospital operations plans that may include service demand analyses, resources availability analyses and cost benefit analyses of proposed capital and staff expansions.
Develops long and short-range operational and capital budgets, which are supported by the hospitals long and short range plans and objectives.
Prepares cash flow analyses and budget variance analyses.
Recommends budget modifications as required. Assists managers in the development of departmental budgets.
Monitors, interprets and analyzes hospital financial performance in realizing established plans and objectives of the hospital.
Identifies and reports undesirable trends and potential business opportunities and makes recommendations for action.
Directs the preparation of internal financial reports including work papers for annual financial audit.
Assures the timely and accurate preparation of financial reports and assures that the reports reliably reflect the financial position of the hospital.
Assumes a lead role in analyzing and exploring means of reducing hospital operating costs and increasing revenues based on knowledge of market trends, financial reports and operating procedures.
Responsible for direction and submission on a timely basis all financial data associated reports required by government and other regulated agencies including payroll tax reports, public disclosure reports and third-party payor cost reports. Aegis Pvt Ltd; Ahmedabad, Gujarat Nov’2009 – Mar’2011 Tele Executive
Key Responsibilities:
Responsible for Premium Renewal call for Max New York Insurance Company. Lead Generation:
Initiate outbound calls to potential customers from provided leads or databases.
Identify and qualify prospective customers interested in insurance products.
Maintain accurate and up-to-date records of leads and customer interactions in the CRM system. Product Knowledge:
Acquire in-depth knowledge of various insurance products and services offered by the company.
Clearly communicate policy features, benefits, and terms to potential customers.
Stay informed about industry trends, regulations, and competitors' offerings. Customer Education:
Explain insurance coverage options to customers, addressing their individual needs and concerns.
Provide information on premium payments, policy renewals, and claims processes.
Answer customer queries and resolve objections to facilitate the sales process. Sales Pitch and Closing:
Develop effective sales pitches tailored to the needs of each customer.
Overcome objections and persuade customers to purchase insurance policies.
Close sales deals and achieve individual and team sales targets. Relationship Building:
Build and maintain strong relationships with customers to foster trust and loyalty.
Follow up with customers to ensure satisfaction, address concerns, and encourage policy renewals. Compliance and Documentation:
Ensure compliance with all regulatory requirements and company policies.
Complete and maintain accurate documentation of sales transactions and customer interactions. Reporting:
Provide regular reports on sales activities, achievements, and challenges to the Sales Manager.
Participate in sales meetings and training sessions to enhance skills and knowledge. PERSONAL DOSSIER
Date of Birth: 26th June, 1988
Language skills: German (A1), English
Address: Hugelstrasse 170, Frankfurt am Main, Hesse, Germany
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