Keyur Harshe

Experienced healthcare operations and client services specialist with over 17 years of expertise in Revenue Cycle Management (RCM), Denials Management, and Payment Posting. Proven leadership in team handling, auditing, and performance optimization. Seeking to leverage extensive background in AR and client services within a dynamic healthcare organization.

Denials Management Specialist at Healthcare Informatics Pvt. Ltd. (2019-04 – Present)

• Manage daily claim rejections and denial follow-ups in AR (RCM) processes.
• Collaborate with teams to resolve claim issues and ensure accurate collections.

Senior Auditor – AR/Denials at Healthcare Informatics Pvt. Ltd. (2016-07 – 2019-03)

• Audited daily output of 15–20 agents to identify and minimize errors.
• Ensured quality compliance and accuracy in denial handling.

Team Lead – Payment Posting Department at Healthcare Informatics Pvt. Ltd. (2014-07 – 2016-06)

• Supervised a team of 32 across Charge Entry, Payment Posting, Denials, and AR reporting.
• Allocated work, tracked team performance, conducted trainings, and handled client communication.
• Implemented process improvements and conducted weekly performance meetings.

Denials Management Specialist – AR Department at Healthcare Informatics Pvt. Ltd. (2012-10 – 2014-06)

• Followed up with US insurance companies for billed claims.
• Resolved credentialing and contractual issues, escalations, and improved collection efficiency.

Subject Matter Expert (SME) – Payment Posting at Inventurus Knowledge Solutions (2010-08 – 2012-09)

• Supported a 15-member team in payment posting operations.
• Posted payments using EOBs, audited batches, processed denials, and uploaded ERA.
• Investigated claim rejections and improved process accuracy.

Sr. Associate – AR/Aging Department at Healthcare Informatics Pvt. Ltd. (2007-06 – 2010-08)

• Followed up on denied and unpaid claims via outbound calls.
• Assisted in identifying AR trends and resolving long-pending issues.

Officer In-Charge – Parts/Stores/Admin at Sealand Diesel Pvt. Ltd. (2006-09 – 2007-05)

• Oversaw inventory, stores, and administrative functions for the Jamnagar branch.

Executive – Spare Parts Department at TATA International Ltd.

Customer Relations Officer at Lakhotia Computer Centre (LCC) (2002-05 – 2005-01)

Customer Relations Officer at Lakhotia Computer Centre (LCC) (2006-02 – 2006-08)

Bachelor of Commerce in Commerce – M. S. University, Baroda (2001)

Certificate Course in Interior Designing – M. S. University, Baroda (2002)