About
I am a healthcare finance and commercial operations leader with over a decade of experience driving revenue optimization, pricing strategy, and payer contract management at Apollo Hospitals. My expertise lies at the intersection of commercial operations, Revenue Assurance and strategic tariff structuring. Currently, I manage the pricing and tariff configuration for a massive portfolio of 8,500+ hospital services while overseeing 100+ complex corporate and insurance (TPA) agreements. Throughout my career, my focus has been on safeguarding margins. I specialize in identifying and plugging revenue leakage, drastically reducing claim deductions, and ensuring absolute billing accuracy across clinical and administrative workflows. By leveraging data analytics tools like Advanced Excel and Power BI, I transform complex contract data into actionable financial insights, margin analysis, and executive MIS reporting. 🌟 Core Expertise: Revenue Cycle Management (RCM) & Revenue Assurance – Minimizing denials, preventing revenue leakage, and accelerating revenue realization. Pricing & Tariff Structuring – Configuring, maintaining, and optimizing pricing for extensive hospital service portfolios. Payer & Contract Management – Empanelment, negotiation support, and end-to-end management of 100+ TPA and corporate agreements. Commercial Operations & Billing Accuracy – Harmonizing clinical documentation with billing codes to eliminate discrepancies. Data-Driven Analytics – Utilizing Power BI and Advanced Excel for margin analysis, financial forecasting, and MIS reporting. Cross-Functional Leadership – Collaborating seamlessly with Clinical Teams, TPA Desks, Billing, and Finance to ensure 100% contract compliance.
Work experience
Pricing Executive at Apollo Hospitals, Jul 2024 - Present · 2 yrs, Navi Mumbai, Maharashtra, India, 1.Managed pricing and tariff configuration for 8,500+ hospital services, improving billing accuracy and reducing claim rejections. 2.Handled 100+ corporate, PSU, and insurance agreements including pricing setup and system implementation. 3.Coordinated with billing and TPA teams to ensure accurate claim processing and minimize deductions. 4.Developed Excel-based pricing and costing models, reducing turnaround time by 30%. 5.Created Power BI dashboards for revenue, margins, and payer performance tracking. 6.Identified incorrect tariffs and billing gaps, preventing revenue leakage and improving realization. 7.Supported contract renewals with pricing analysis and negotiation inputs. 8.Ensured compliance with insurance terms, discounts, and package agreements.
Senior Finance Assistant at Apollo Hospitals, Jan 2022 - Jul 2024 · 2 yrs 7 mos, India
Finance Assistant at Apollo Hospitals, Jan 2019 - Dec 2021 · 3 yrs, Navi Mumbai, Maharashtra, India
Trainee Account & Finance Department at HCS CONTRACTS LTD., May 2017 - Dec 2018 · 1 yr 8 mos, Navi Mumbai, Maharashtra, India
Executive at HDB Financial Services Ltd., Apr 2016 - Apr 2017 · 1 yr 1 mo, Navi Mumbai, Maharashtra, India
