Suman Nandi

Analytical Healthcare Billing Executive and aspiring Healthcare Data Analyst with over 3.5 years of experience leveraging data-driven insights to optimize revenue cycle management (RCM), IPD billing operations, and TPA workflows. Proficient in transforming raw healthcare administrative data into actionable intelligence using Power BI, SQL, and Advanced MS Excel. Proven track record of improving operational efficiency, generating comprehensive MIS tracking reports, and implementing pre-submission audit strategies that reduced claim rejections.

Strong understanding of healthcare metrics, claim lifecycles, and hospital information systems (HIS).

Healthcare Billing Executive – IPD Billing, Discharge & TPA at Paras Healthcare (2025-11 – Present)

• Manage end-to-end IPD billing operations, ensuring data integrity, accuracy, and compliance with hospital protocols.
• Track payment and invoice data to coordinate directly with TPAs and insurance providers for swift cashless claim approvals.
• Streamlined billing and claims workflows by identifying operational bottlenecks through data tracking, enhancing overall team efficiency.
• Maintain precise data records for account reconciliation and audit readiness, drastically minimizing billing discrepancies.
• Utilize operational metrics to resolve complex patient billing queries, improving the overall healthcare delivery experience.

IPD Billing Executive at Jagannath Gupta Institute of Medical Sciences and Hospital (JIMSH) (2025-07 – 2025-11)

• Prepared detailed MIS reports for daily billing metrics, claim status, and financial tracking to inform hospital management decisions.
• Analyzed documentation for various government health schemes, ensuring regulatory alignment and preventing non-compliance.
• Oversee end-to-end IPD billing processes, ensuring smooth transitions from patient admission through final discharge data entry.
• Liaised with TPAs for insurance approvals, monitoring turnaround time metrics to reduce processing bottlenecks.

TPA Billing Executive at Maa Mahamaya Hospital (2024-06 – 2025-06)

• Reduced claim rejections by 12% by designing, developing, and implementing a rigorous pre-submission documentation data verification audit.
• Improved billing turnaround time by 20% via data tracking, resulting in faster patient discharges and a 15% increase in bed turnover.
• Generated comprehensive MIS tracking reports to monitor claim lifecycles, identify payment delays, and analyze outstanding receivables.
• Managed high-volume IPD billing and insurance data entries with consistent accuracy and timely corporate processing.

TPA Billing Executive at Hardik Medical And Diagnostic Centre Pvt Ltd (2022-05 – 2024-06)

• Compiled, audited, and analyzed daily and monthly billing data reports for hospital administrative leadership.
• Audited historical patient financial records prior to submission, identifying error patterns and resulting in a marked drop in insurance denial rates.
• Directed end-to-end IPD billing workflows and tracked cashless transaction data for insurance verification.
• Facilitated and managed data requirements for government medical assistance schemes to coordinate financial clearings.

MBA / PGDM – Indira Gandhi National Open University (IGNOU), Delhi (2028)

Bachelor of Arts in B.A. – Indira Gandhi National Open University (IGNOU), Delhi (2024)

12th Grade – National Open School (2021)

10th Grade – West Bengal Board (2012)