Headline

RCM Assistant Operations Manager | EPIC | Denial Management | Pre-Auth | US Healthcare | 10+ Yrs | Remote-Ready

About

Assistant Operations Manager with 10+ years of progressive experience in the healthcare operations and Revenue Cycle Management (RCM). • Proven track record of leading high-performing teams, streamlining end-to-end workflows and driving measurable gains in productivity, quality and HIPAA compliance. Deep knowledge of EPIC, UNET, multi-payer environment.

Location

Gurugram

Work experience

Assistant Operations Manager at R1 RCM, Dec 2019 - Present · 6 yrs 7 mos, Gurugram

Assistant Operations Manager at R1 RCM, Dec 2019 - Present · 6 yrs 7 mos, Led a 29-member cross-functional RCM operations team supporting Providence Health accounts, delivering a 20% productivity gain and a 15% reduction in processing errors within 12 months. Designed and executed denial management strategies that improved net collection rates across commercial, Medicare, and Medicaid payer portfolios, minimising payment delays and revenue leakage. Directed AR follow-up programmes that measurably reduced outstanding balances and shortened the average revenue-collection cycle. Built and maintained KPI and SLA dashboards enabling data-driven operational decisions and sustained service excellence for key clients. Automated RCM workflows in EPIC EMR and UNET, cutting manual touchpoints and increasing throughput across the full claims lifecycle. Managed payer communications including claim submissions, appeals, and dispute resolutions, reducing rejection rates and improving first-pass resolution. Partnered with clinical, billing, and compliance teams to standardise SOPs and maintain full HIPAA regulatory adherence across all accounts. Coached and developed team members through structured reviews, building a culture of accountability, ownership, and continuous improvement.

Senior Associate at Wipro Limited, Aug 2014 - Nov 2019 · 5 yrs 4 mos, Kolkata Area, India

Healthcare Analyst at Wipro Limited, Aug 2014 - Nov 2019 · 5 yrs 4 mos, Processed 50+ healthcare claims daily at a 98% accuracy rate, contributing to a 12% reduction in denial rates and faster reimbursement cycles across the account portfolio. Streamlined claims-processing workflows, reducing average turnaround time by 15% and improving client satisfaction scores quarter-on-quarter. Trained and mentored junior analysts on RCM processes, claims coding, and workflow optimisation, raising overall team quality and throughput.

Education

University of kalyani

Bachelor's degree, Arts, University of kalyani