Avinash Sonawane
Senior Payment Accuracy Specialist | Certified Medical Coder (CCS) | MBA in Operations Management | Healthcare Claims & Billing Expert | Process Optimization Specialist
- Role
- Senior Payment Specialist at Cotiviti India
- Location
- Pune Division, MH, IN
- LinkedIn followers
- 500 followers
About Avinash Sonawane
Payment Accuracy Specialist with 10+ years of experience across end‑to‑end healthcare…
Experience
Senior Payment Specialist
Aug 2022 — Present · IN
Senior Payment Specialist | Expert in Claims Auditing & Process OptimizationWith a strong focus on accuracy and efficiency, I specialize in auditing healthcare claims to identify errors, prevent duplications, and ensure compliance with industry standards. My role involves leveraging advanced Excel formulas to streamline calculations, accurately determine billing units, and optimize claims processing.Key Contributions: Claims Auditing: Conducted detailed reviews of claims to identify discrepancies, duplication, and compliance issues, ensuring accurate payouts. Process Innovation: Developed and implemented new methods to prevent claim duplications and improve billing accuracy, driving cost savings. Excel Expertise: Applied advanced Excel formulas and data analysis techniques to calculate billing units and identify trends in claims data. Efficiency Improvements: Introduced new ideas and strategies to enhance the audit process, improving accuracy, turnaround time, and compliance. Collaborative Problem-Solving: Partnered with teams to resolve complex claim issues and deliver actionable insights to clients.Driven by a passion for continuous improvement, I strive to bring innovative ideas and best practices to every audit. My goal is to not only ensure compliance but also deliver value through data-driven insights and process optimization.
Education
Kendriya Vidyalaya
10th
2006 — 2007
Manav Bharti University
Bcom
2010 — 2012
Maharashtra State Board of Secondary and Higher Secondary Education (MSBSHSE)
H.S.E
2007 — 2008
Savitribai Phule Pune University
Master of Business Administration - MBA
2021 — 2023
Savitribai Phule Pune University
M.com
2016 — 2018
Skills
- Employee Relations
- Team Management
- Project Management
- Computer Repair
- Leadership
- Microsoft Excel
- Microsoft Office
- Sales
- Customer Service Operations
- Mscit
- Management
- Performance Management
- Sales Management
- Fire and Saftey
- Employee Engagement
- Customer Service
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