Summary
Overview
Work History
Education
Skills
Awards
Learning & Development (Ongoing)
Additional Information
Timeline
Generic

Aman Shaikh

Mumbai

Summary

Quality Assurance Leader with ~9 years in US Healthcare RCM (since Sep 2016 at GeBBS). Proven track record leading and scaling QA teams (up to 33 QAs), managing multi-queue, multi-process operations, and driving audit rigor, training, and client satisfaction. Twice recognized as Best QAL and managed a process that won Best Process at GeBBS twice. Completed the Lead Program (2022). Currently upselling in project management, Python, and Machine learning.

Overview

11
11
years of professional experience

Work History

Quality Assurance Leader

GeBBS Healthcare Solutions Pvt. Ltd.
12.2022 - Current
  • Lead and mentor a QA organization of up to 33 QAs, aligning KRAs, coaching on quality guidelines, and ensuring capacity planning across multiple queues and processes.
  • Own end-to-end QA governance: audit sampling, RCA, and CAPA; maintain SOPs/DOUs/Update Trackers; publish daily/weekly quality reports and monthly/quarterly reviews.
  • Run calibration with clients and operations; present audit insights, handle escalations, and drive POA to closure.
  • Conduct regular briefings/huddles and targeted refresher trainings to reduce repeat errors and improve first-time-right outcomes.
  • Coordinate cross-functional initiatives and special projects; ensure continuous compliance with client SLAs and internal quality standards.
  • Managed team strength previously up to 30 FTEs; standardized reporting cadence and knowledge transfers across processes.

Quality Analyst (AR)

GeBBS Healthcare Solutions Pvt. Ltd.
07.2018 - 12.2022
  • Performed account sampling and end-to-end quality checks against guidelines; issued daily audit reports and tracked rework closure.
  • Delivered feedback and floor-level coaching; conducted software/workflow trainings; updated SOPs/DOUs and trackers.
  • Led client calls weekly to resolve doubts and calibrate expectations; prepared weekly/monthly quality dashboards.

Sr. AR Specialist

GeBBS Healthcare Solutions Pvt. Ltd.
09.2016 - 06.2018
  • Followed up on aged and denied claims, submitted appeals, and coordinated medical records retrieval.
  • Ran floor assistance, team huddles, and supervisor calls; executed special projects (e.g., real-time claim status on portals).

Sr. AR Associate

In-net India Pvt. Ltd. (ClaimPower)
04.2014 - 09.2016
  • Independently handled a client with 15 multispecialty doctors; performed eligibility checks, claim submissions, EOB downloads/posting coordination, and patient calls.
  • Coached new joiners on eligibility and workflow; managed confirmations with clearing houses and provider portals.

Education

BMS (TY BMS) -

University of Mumbai
01.2014

H.S.C. - undefined

Maharashtra Board
01.2011

S.S.C. - undefined

Maharashtra Board
01.2009

Skills

  • Quality strategy & governance

Audit frameworks (sampling, RCA, CAPA)

SOP/DOU ownership

SLA/KPI managementTeam leadership (hiring, coaching, KRAs, succession)

Floor assistance & huddles

Calibration & client communicationProcess improvement

Escalation handling

Training design & delivery

Documentation & reporting (daily/weekly/monthly/quarterly)Tools: MS Excel (advanced), payer/provider portals (Navinet, Availity, Pay-Plus), clearinghouse workflows

Awards

Best QAL — 2×, GeBBS Healthcare, Best Process — 2×, for the process under my care, GeBBS Healthcare, Lead Program (2022) — Completed leadership development program

Learning & Development (Ongoing)

  • Project Management: stakeholder communication, risk & issue logs, basic scheduling
  • Python: data handling (lists/dicts), loops/conditions, basics for data analysis
  • Machine Learning: fundamentals (supervised vs. unsupervised), data quality concepts

Additional Information

  • MS Office (Excel strong); payer/provider portals (Navinet, Availity, Pay-Plus)
  • Comfortable with multi-queue, multi-process environments and rapid change updates

Timeline

Quality Assurance Leader

GeBBS Healthcare Solutions Pvt. Ltd.
12.2022 - Current

Quality Analyst (AR)

GeBBS Healthcare Solutions Pvt. Ltd.
07.2018 - 12.2022

Sr. AR Specialist

GeBBS Healthcare Solutions Pvt. Ltd.
09.2016 - 06.2018

Sr. AR Associate

In-net India Pvt. Ltd. (ClaimPower)
04.2014 - 09.2016

H.S.C. - undefined

Maharashtra Board

S.S.C. - undefined

Maharashtra Board

BMS (TY BMS) -

University of Mumbai

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