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Pramod Chauhan

Pramod Chauhan

Team Leader AR RCM

Healthcare

Mumbai, Maharashtra

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About Pramod Chauhan:

Team Leader in RCM Provider Account Management specializes in driving operational efficiency, ensuring compliance with client SLAs, and improving AR processes. Successfully manages a team handling denials, appeals, and accounts receivable.

Experience

JANUARY 2025 – SEPTEMBER 2025 
AR TEAM LEADER | COGNIZANT TECHNOLOGY SOLUTIONS. | HYDERABD 
• Managing 30+ FTEs in AR, Denials & Appeals Team. 
Proactively monitored 15+ and 30+ AR Follow ups with 90+ AR bucket to ensure all client SLAs 
were consistently met, with a special focus on resolving Denial SLAs within the 5-day threshold 
and reduced the overall AR backlog by 13%. 
• Conducted comprehensive inventory reviews to analyze trends, identify discrepancies, and flag 
actionable insights for operational improvements. 
• Designed and delivered detailed presentations on 90+ AR performance, leading bi-weekly client 
meetings to share status updates and highlight key callouts. 
• Led bi-weekly vendor meetings to address escalated JIRA issues by presenting in-depth root 
cause analyses and implementing targeted action plans, while proactively coaching the team and 
delivering constructive feedback to reduce future escalations. 
• Logged and tracked identified issues through JIRA, coordinated with cross-functional teams for 
timely resolutions, and effectively managed client escalations. 
• Held daily production and quality huddles with team members to assess shortfalls against 
benchmarks, offering targeted coaching and training for BQM users to enhance performance. 

AUGUST 2022 – DECEMBER 2024 
AR TEAM LEADER | GEBBS HEALTHCARE SOLUTIONS PVT. LTD. | NAVI MUMBAI 
• Spearheading a team of 28+ FTEs focused on denial management, with oversight of a secondary 
“no response” claims resolution team. 
• Provided end-to-end support including attendance tracking, shrinkage control, floor supervision, 
and direct client management. 
• Streamlined the New Business Project by reducing inventory TAT from 10 days to just 2 business 
days, enhancing operational efficiency. 
• Revamped the Provider Denial Claims Project with 20+ FTEs, decreasing aged inventory from 
400+ days to under 30 days. 
• Conducted proactive communication with clients via calls and emails to resolve issues and 
validate claim statuses. 
• Increased provider revenue by aggressively targeting aging, rejected claims, denials and 
highdollar accounts for follow-up and resolution. 
• Regularly monitored and analyzed team productivity and performance, delivering summarized 
insights to senior management. 
• Led team huddles and goal-setting sessions, fostering accountability and providing targeted 
coaching to elevate performance.  

Education

APRIL 2016 
BACHELOR OF MANAGEMENT STUDIES (B.M.S) | UNIVERSITY OF MUMBAI | 
MARCH 2013 
HSC FROM MAHARASHTRA BOARD | MUMBAI 
MARCH 2011 
SSC FROM MAHARASHTRA BOARD | MUMBAI

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