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.

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.

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