Sanket Gore is seeking a challenging position that offers growth opportunities. He has experience in medical billing, claims processing, and hospital administration spanning several years. His resume lists his educational qualifications including a medical coding certification and degrees in commerce. It also details his professional experience working for hospitals and medical companies in roles like TPA coordinator, billing officer, and accounts executive.

1. Page 1 of 3
C U R R I C U L U M V I T A E
SANKET C GORE. Email ID: sanket_109@yahoo.com
B/ 702,NEW POONAM GREEN BLDG,
(BEHIND BHARTI TOWER) PLEASANT PARK,
MIRA-BHAYANDAR ROAD,
MIRA ROAD (E),
THANE 401107 Mobile: - 9833012624/9768766257
CAREER OBJECTIVE 
To utilize my talent and skills for working in challenging environment this offers growth
opportunities and giving the best performance.
EDUCATION & PROFESSIONAL QUALIFICATIONS 
Completed MEDICAL CODING ICD-10 CM Module from STAR IT TECHNOLOGY
INSTITUTE.
Also completed CPT & MEDICAL BILLING Course from STARB IT TECHNOLOGY.
YEAR INSTITUTE PERCENTAGE
2010 T.Y.B.com
MUMBAI UNIVERSITY.
54.85%
2007 H.S.C
K.G.M college.
56.83%
2005 S.S.C
ST. GEORGE HIGH SCHOOL.
57.60%
PROFESSIONAL EXPERIENCE 
CURRENT JOB DETAILS
Company Name : Surya Children’s Medicare Pvt Ltd
Designation : TPA Coordinator
Tenure : From 04th
August 2015 to till Date
Job Profile : Processing Cashless Claims of Inpatients and getting Approval.
Coordinating with TPA for settlement. Doing Final Settlement in the
System.
PREVIOUS JOBDETAILS
Company Name : New Age Wockhardt Hospitals Ltd
Designation : Asst Billing Officer
Tenure : From 1 October 2013 to till Date

2. Page 2 of 2
Job Profile : Handling Admission, Billing& TPA related work of the Patients.
Doing Admission of Inpatients also doing Discharges whenever planned. Handling TPA patients,
getting pre approval from TPA and admitting the patent. Sending Final Bill for further approval.
Previous Job Details
Company : SEVENHILLS HEALTH CARE PVT LTD
Designation : BILLING EXECUTIVE (FINANCE DEPT)
Tenure : FROM 1 DEC 2011 TO 30th SEP 2013
JOB PROFILE : Auditing the bill of all the patients.
 Preparing Query report and submitting it to the ward.
 Also getting rectified by the ward people.
 Preparing MIS reporton a daily basis.
 Also handling Insurance Related Work.(TPA
Handling TPA Patients with collecting and faxing/ mail needed documents. Maintaining account of
organization billing and submitting it to accounts. Do IPD and Panel TPA billing. Preparation of
outstanding status report of all Corporate/ TPA, Submission of outstanding status report to respective
Corporate/TPA, Preparation of IPD/ Dispatch of bills to respective TPA’s, Query /Discrepancy
Identification, Query submission with relevant info & data.
PREVIOUS JOBDETAILS:-
Company : MAHESH PATIRA & CO (CA).
Tenure : FROM JULY2010 to 30th NOV 2011
Client : BRAINWORKS LEARNING SYSTEMS PVT LTD.
Reporting to : FINANCE MANAGER
JOB PROFILE:Maintaining receivables of all the centers.
Doing Bank Reconciliation.
Making Utility payments on a regular basis.
Doing Third Party working and giving their share.
Maintaining Petty cash on a regular & monthly basis.
Simultaneously entering all the details in Excel & Preparing MIS Report.
Date of Birth : - 10-SEP-1989
Gender : - Male
Nationality : - Indian

3. Page 3 of 2
Mobile : - 9833012624
Marital Status : - Single
COMPUTER SKILLS:
 Knowledge of Basic computers Tally ERP.
LINGUISTIC ABILITY 
 Marathi
 English
 Hindi
 Gujarati
INTERESTS 
 Music
(SANKET C GORE)