• Accomplished Senior Vice President of Operations with eminent career, augmenting operational efficiency, executing strategic overhauls, and driving significant revenue growth. • Adept at leveraging indigenous billing systems, synchronized the opportunities with client systems, identified and expanded the solutions resulting in substantial increase in process proficiency and reduction in manpower impact. • Collaborative leadership style focused on driving excellence, optimizing resource allocation, directing process improvements, building and mentoring high-performing leaders that exceed organizational objectives with high-class customer satisfaction. • Spearhead a process level initiative on scope dilution through meticulous analysis of processes, implementation of lean methodologies, fostering a culture of continuous improvement by working closely with teams to overcome challenges and celebrate successes.

• Ambitious Vice President, accountable for complete revenue cycle management with an impeccable track record of optimizing organizational performance and revenues in improving the P&L, for new, small, midsized businesses and large groups. • Decisive leader for advancing the direction of the business through strategic planning, streamlining operations, process innovations, production improvements, performance measurements and staff developments. • Conceived, structured and deployed BOTs to manage Eligibility, Charge entry, Rejections, Denials and AR Management with a vision of technical solutioning to all business models of RCM. • With an organizational vision and strategy, Executive-level competencies assist in transition, implementation and leading business opportunities for continuous growth and scalability.

• Senior RCM Professional, cohesively applied the strengths and business acumen in Revenue Cycle Management through individual consultation for various clients. • As a solution focused consultant, conducted thorough and accurate procedural analysis, recommending sensible solutions, and optimizing healthcare processes. • Efficient professional in operations to assist in policy setting, project management, budget control, physician relations, process improvements, program development and facility expansion.• Responsible in interfacing effectively with management to implement key process improvement plans towards profitable revenue generation.

• Stepped into Key Executive role to reshape, revitalize and expand businesses for rapid and sustained growth and profitability. • Provided leadership guidance and participated in strategy development, due diligence, and business expansions.• Recruited to build and position operations for growth and eventually worked towards the goal of improving the profits by fixing the quality issues. • Built solid infrastructure, introduced quality team and other leading-edge process across Chennai and Philippines with a foundation for growth far into the future.

• Visionary leader, with a primary driving force in co-founding Erudite, a Billing organization focused on Revenue Cycle Management. Helmed the Operations team for different Clientele, and spearheaded profitability by designing customer-centric services, limiting expenses through selected process improvements.• Resourceful in ensuring high quality customer experience, elevated customer satisfaction, with stringent adherence to SLAs & work processes.• Proficient in managing business operations with focus on high level performance, invigorating businesses, heightening productivity, and enhancing internal control systems.• Maintained approachable, client-friendly image, through periodic client engagements and calibrations calls.• Strategically planned and intensively involved with Business development teams; in identifying prospects, collaborate on proposals, set, and achieve business expansion and other long-term goals.

• Characterized the strategic policies of operations team towards the new opportunities, with highest ownership and responsiveness during transition. Redefined organizational structure, overseen major pricing decisions and diversified the opportunities with existing staff for additional growth.• Participated in high level operational initiatives, including infrastructure design, process reengineering, turnaround management and reorganization.• Overcame complex business challenges and made high-stakes decisions through experience, strong work ethics and irreproachable integrity.• Developed direct and cross-functional teams using interactive and motivational leadership that spurs people to willingly give extraordinary effort and loyalty.• Enabled productive sourcing relationships with new and existing clients and captured reduction in inventory through process redesigning and optimization.• Visited onsite for mobilization and transition of businesses from different locations in US, and returned company to high profitability through strategic, efficient, and seamless projects conversions.

• Lead international project teams to proven results across multiple lines of business, at India, Manila and Cebu at Philippines. Identified core team for Enrollment & Billing of Payer side and seamlessly transitioned multiple projects through effective training, mentoring and Service Rehearsal tests.• Projects include, Enrolling & maintaining member information, Billing reconciliation, cancellation, creating invoices, reviewing refunds, Case Installation for Groups and its member enrollments, group renewals, cancellation, addition, updates and vendor returns related to client clarifications and queries• Conceptualized and effectuated training & development for improving team’s productivity & Instrumentalized in streamlining the procedures/protocols and preparing SOPs for seamless operations.• Established collaborative business partnership with Manila counterparts to meet the combined SLA targets. Identified Key Performance Indicators (KPI) and established internal metrics to evaluate the individual & team’s performance in meeting the SLAs• Intensively participated in Client Calls and fabricated excellent Client rapport to handle regular discussions, clarifications and escalations, if any.• Collaborated with support teams on a strategic plan through RCAs, 5 Whys, and CAPA, seeking essential enhancements to maintain and improve quality performance.• Practiced high valid retention driver, through employee engagement and multiple recognition programs.

• Handled US based Provider projects encompassing Pre-Insurance Verification, Patient Demographics, Charge Entry, Claims Transmission, Cash Posting, EOB Denial Management, Account Receivable Analysis and AR Calling. Lead multiple projects with various medical billing software. Involved in Operations management, Process development, Client servicing, Report generation and meeting deliverables as per SLA.• Managed various functions in Claims Adjudication for a Medicare HMO including Claims entry of Paper, OCR, Electronic applications (HCFA, UB), Claims audit, Reports & Development. Mentoring various entry teams with different scopes in unique adjudication software. Involved in Process development and Report generation through analysis on claim denials, overpayments, refunds, high dollar payments & Client clarifications.• Increased production capacity by redefining and restructuring the workflows to meet client needs.• Aligned the team towards company’s strategic direction and enhanced the level of performance by meeting the targets within stipulated delivery turnaround times.• Improved quality of process by the virtue of closely monitoring the deliverables & brought in corrective and preventive actions to work towards continuous improvement.• Identified new methodologies to import process, automations, and developments and enhanced the scalability of each individual.• Involved in research and development through claim analysis of all fallouts & improvised provider payments turn around.

• Managed US based Provider projects including all the process of Revenue Cycle Management by offering end to end solutions and/or transactional services.• Lead the team in processing US Health Care Claims of the kind HCFA-1500 and UB-04 for a leading Insurance company. Administered shift operations to liquidate the claims within the stipulated TAT. Managed various modules of claims processing like Key From Image, Reject Repair, Verify Black, Verify Red and Remove Flags. • Visited USA for an onsite Clients visit at Las Vegas, New York, and Washington DC to strengthen existing business and establish new prospects. (June & July 2007.)• Handpicked for onsite participation in AHIP EXPO AT Las Vegas, NV - Promoted US Healthcare & its related prospects offered by the company. (June 2007)• Visited USA for an onsite Clients visit at New York, Washington DC, Maryland, and Florida to strengthen existing business and establish new prospects. (May & June 2006.)• Main role participant in AIIM EXPO AT PHILI, PA - Promoted US Healthcare & its related prospects offered by the organization. (May 2006)• Visited USA for an onsite training in US Medical Billing Office at Maryland, USA for 6 months and two billing software’s - MYSIS’s CBSI and IDX’s Groupcast Practice Management Systems. (March 2005 to August 2005.)• Actively involved at Client Office in the conversion of old CBSI system to the new IDX -Groupcast software system in coordination with the US billing team and increased the business volume, by off shoring the businesses to India.• Certified ISO Internal Auditor from Bulls eye consulting Group with proven experience of participating in Company’s Internal and External ISO Audits.

• Accountable for promotion and sales of various pharmaceutical products to different provider specialties like Pediatrics, Gynecologists, Dermatologists, ENTs and General Physicians.• Achieved sales targets and launched lot of products in the Salem region