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Rajkumar Paranthaman

Empowering Growth: Strategic Leader in US Healthcare RCM | Transition Management | Process Training & Ops Excellence | Driving Client Value & Scalable Growth

Gurugram

11+ years of work experience

WNS
Apr 20251 yr 2 mosPresent

Gurugram, Haryana, India

• Supported Ops during stabilization by monitoring FPR (FirstPass Resolution), denial mix, and AR movement, enabling datadriven decisions that accelerated cash acceleration during early-phase operations. • Collaborated with client SMEs on recurring underpayments, coding misses, and payer behavior, driving process corrections that reduced leakage and supported better cashflow stability. • Govern transition governance from discovery to go‑live and stabilization; align SLAs/OLAs, readiness gates, and risk plans with client leadership. • Stand up capability frameworks (Eligibility/Prior Auth, AR/Denials, Cash Apps, Credentialing) and embed measurement (readiness scorecards, FPR proxy, nesting yield). • Drive cross‑functional forums with Ops, Quality, Compliance, and Analytics to remove blockers, strengthen audit posture, and speed time‑to‑value. • Identified skill gaps and delivered targeted interventions to boost capability across teams.
AGS Health
Jul 20231 yr 9 mosMar 2025

Chennai, Tamil Nadu, India

• Built and delivered structured training programs for clinical and non‑clinical teams, improving performance scores by 25%. • Ensured 100% compliance with mandatory HIPAA, OSHA & CMS training, achieving zero audit violations. • Implemented LMS‑driven blended learning, increasing training completion rates by 40%. • Strengthened onboarding effectiveness through optimized orientation frameworks for new hires. • Introduced continuous learning initiatives (workshops, certifications, L&L sessions) to improve engagement. • Supported leadership by aligning training strategies with organizational goals and process priorities. • Delivered leadership‑building programs that reduced attrition by 15%. • Guided eLearning deployment, enabling self‑paced training adoption across teams.
Access Healthcare Services
Mar 20176 yrs 5 mosJul 2023

Chennai, Tamil Nadu, India

• Operationalized onboarding and SOPs across teams; 30% faster ramp, 15% competency lift, 10% error reduction; 90%+ satisfaction sustained. • Mentored TLs/SMEs; improved internal mobility by 20% to strengthen front‑line leadership depth. • Developed role‑specific learning modules, strengthening staff competency in HIPAA, patient protocols, and EHR workflows. • Rolled out blended learning (eLearning + ILT), reducing onboarding time by 30%. • Partnered with department heads to customize training for operational needs, improving workflow efficiency. • Conducted TNAs regularly to ensure skill alignment with evolving RCM processes and technologies.
Navigant Cymetrix
Aug 20167 mosFeb 2017

Trivandrum, Kerala, India

• Practical grounding across charge capture, coding support, billing & claims submission, denials rework, payment posting, and payer escalations. • Prioritized workload effectively to meet tight deadlines and support team deliverables. • Learned and followed organizational policies, workflows, and compliance protocols. • Communicated with insurance payers to resolve denials and process timely resubmissions. • Adapted to variable work schedules based on business and seasonal demand. • Consistently exceeded daily productivity targets through strong task prioritization. • Posted and adjusted insurance payments with accuracy and adherence to payer guidelines. • Identified claim discrepancies and promptly refiled rejected claims to improve recovery.
Dell EMC
Jun 20151 yr 1 moJun 2016

Chennai, Tamil Nadu, India

• Practical grounding across charge capture, coding support, billing & claims submission, denials rework, payment posting, and payer escalations. • Prioritized workload effectively to meet tight deadlines and support team deliverables. • Learned and followed organizational policies, workflows, and compliance protocols. • Communicated with insurance payers to resolve denials and process timely resubmissions. • Adapted to variable work schedules based on business and seasonal demand. • Consistently exceeded daily productivity targets through strong task prioritization. • Posted and adjusted insurance payments with accuracy and adherence to payer guidelines. • Identified claim discrepancies and promptly refiled rejected claims to improve recovery.

Education

Tamilnadu College of Engineering

Bachelor’s Degree, COMPUTER SCIENCE AND ENGINEERING

Tamilnadu College of Engineering

20113 yrs2014

DCE., (COMPUTER SCIENCE ENGINEERING), COMPUTER SCIENCE ENGINEERING

Nanjiah Lingammal Polytechnic College

20083 yrs2011

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Headline

Empowering Growth: Strategic Leader in US Healthcare RCM | Transition Management | Process Training & Ops Excellence | Driving Client Value & Scalable Growth

About

Senior RCM Leader driving organization‑wide revenue integrity, KPI governance, and transformation across payer & provider environments. Leads multi‑team operations, transitions, and financial clearance workflows; partners with executives to reduce DSO, maximize first‑pass resolution, and ensure HIPAA/CMS compliance.

Location

Gurugram

Work experience

Group Manager at WNS, Apr 2025 - Present · 1 yr 2 mos, Gurugram, Haryana, India, • Supported Ops during stabilization by monitoring FPR (FirstPass Resolution), denial mix, and AR movement, enabling datadriven decisions that accelerated cash acceleration during early-phase operations. • Collaborated with client SMEs on recurring underpayments, coding misses, and payer behavior, driving process corrections that reduced leakage and supported better cashflow stability. • Govern transition governance from discovery to go‑live and stabilization; align SLAs/OLAs, readiness gates, and risk plans with client leadership. • Stand up capability frameworks (Eligibility/Prior Auth, AR/Denials, Cash Apps, Credentialing) and embed measurement (readiness scorecards, FPR proxy, nesting yield). • Drive cross‑functional forums with Ops, Quality, Compliance, and Analytics to remove blockers, strengthen audit posture, and speed time‑to‑value. • Identified skill gaps and delivered targeted interventions to boost capability across teams.

Assistant Manager at AGS Health, Jul 2023 - Mar 2025 · 1 yr 9 mos, Chennai, Tamil Nadu, India, • Built and delivered structured training programs for clinical and non‑clinical teams, improving performance scores by 25%. • Ensured 100% compliance with mandatory HIPAA, OSHA & CMS training, achieving zero audit violations. • Implemented LMS‑driven blended learning, increasing training completion rates by 40%. • Strengthened onboarding effectiveness through optimized orientation frameworks for new hires. • Introduced continuous learning initiatives (workshops, certifications, L&L sessions) to improve engagement. • Supported leadership by aligning training strategies with organizational goals and process priorities. • Delivered leadership‑building programs that reduced attrition by 15%. • Guided eLearning deployment, enabling self‑paced training adoption across teams.

Group leader at Access Healthcare Services, Mar 2017 - Jul 2023 · 6 yrs 5 mos, Chennai, Tamil Nadu, India, • Operationalized onboarding and SOPs across teams; 30% faster ramp, 15% competency lift, 10% error reduction; 90%+ satisfaction sustained. • Mentored TLs/SMEs; improved internal mobility by 20% to strengthen front‑line leadership depth. • Developed role‑specific learning modules, strengthening staff competency in HIPAA, patient protocols, and EHR workflows. • Rolled out blended learning (eLearning + ILT), reducing onboarding time by 30%. • Partnered with department heads to customize training for operational needs, improving workflow efficiency. • Conducted TNAs regularly to ensure skill alignment with evolving RCM processes and technologies.

Senior Associate at Navigant Cymetrix, Aug 2016 - Feb 2017 · 7 mos, Trivandrum, Kerala, India, • Practical grounding across charge capture, coding support, billing & claims submission, denials rework, payment posting, and payer escalations. • Prioritized workload effectively to meet tight deadlines and support team deliverables. • Learned and followed organizational policies, workflows, and compliance protocols. • Communicated with insurance payers to resolve denials and process timely resubmissions. • Adapted to variable work schedules based on business and seasonal demand. • Consistently exceeded daily productivity targets through strong task prioritization. • Posted and adjusted insurance payments with accuracy and adherence to payer guidelines. • Identified claim discrepancies and promptly refiled rejected claims to improve recovery.

Associate at Dell EMC, Jun 2015 - Jun 2016 · 1 yr 1 mo, Chennai, Tamil Nadu, India, • Practical grounding across charge capture, coding support, billing & claims submission, denials rework, payment posting, and payer escalations. • Prioritized workload effectively to meet tight deadlines and support team deliverables. • Learned and followed organizational policies, workflows, and compliance protocols. • Communicated with insurance payers to resolve denials and process timely resubmissions. • Adapted to variable work schedules based on business and seasonal demand. • Consistently exceeded daily productivity targets through strong task prioritization. • Posted and adjusted insurance payments with accuracy and adherence to payer guidelines. • Identified claim discrepancies and promptly refiled rejected claims to improve recovery.

Education

Bachelor’s Degree, COMPUTER SCIENCE AND ENGINEERING, Tamilnadu College of Engineering

DCE., (COMPUTER SCIENCE ENGINEERING), COMPUTER SCIENCE ENGINEERING, Nanjiah Lingammal Polytechnic College