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Vikas R.

Operations Manager – US Healthcare Revenue Cycle Management (RCM) | Denials, AR, Billing & Payment Posting Specialist | Managing 120+ FTEs Across India | Driving Operational Excellence & Client Success

Ghaziabad

9+ years of work experience

TruBridge
May 20242 yrs 2 mosPresent

Mumbai, Maharashtra, India

• Managing end-to-end US Healthcare Revenue Cycle Management (RCM) operations for Denials Management, Accounts Receivable (AR), Billing Rejections, Correspondence, and Payment Posting teams • Leading and managing 120+ healthcare professionals across multiple operational locations in India while ensuring high productivity, quality, and SLA adherence • Driving operational excellence through continuous monitoring of KPIs, process performance, quality metrics, and workforce optimization initiatives • Improved claim resolution efficiency and reduced AR aging through strategic denial management and process enhancement initiatives • Identifying opportunities for automation and AI-driven solutions to improve operational efficiency, team productivity, and process accuracy • Driving process transformation initiatives focused on improving CCR (Clean Claim Rate), FPR (First Pass Resolution), and overall GCR (Gross Collection Rate) • Collaborating with leadership and cross-functional teams to implement workflow improvements, automation strategies, and performance optimization models • Conducting performance management, mentoring, workforce planning, and capability development programs for team growth and succession planning • Managing client communication, escalation handling, operational reporting, and continuous improvement initiatives to enhance customer satisfaction and business outcomes • Supporting recruitment, onboarding, training, and development of healthcare operations professionals to build high-performing teams
R1 RCM
Mar 20222 yrs 3 mosMay 2024

Noida, Uttar Pradesh, India

eMDs
Nov 20192 yrs 5 mosMar 2022

Noida, Uttar Pradesh, India

eMDs
Apr 20181 yr 8 mosNov 2019

Noida, Uttar Pradesh, India

eMds Aria India
Mar 20193 yrsFeb 2022

Managed multi-client healthcare operations for 16 US healthcare accounts with a 25-member team — overseeing cash posting, AR follow-up, and quality control functions across multiple service lines.
eMds Aria India
Apr 20172 yrsMar 2019

Conducted quality audits, error trend analysis, and client satisfaction reporting — supporting continuous improvement and compliance management across AR, billing rejections, and patient AR functions.
eMds Aria, Noida, India
Apr 20172 yrsMar 2019

Supported workflow allocation across AR, Billing Rejections, Correspondence, and Patient AR functions. Conducted quality audits, error trend analysis, and performance reporting for operational and client review. Managed client communications, weekly reviews, and monthly business review calls independently. Delivered training and mentoring to improve team capability and reduce quality errors.

Education

Delhi University

Bachelor of Arts, Geography

Delhi University

20034 yrs2007

12th, Human Science

Jaisalmer

20011 yr2002

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Headline

Operations Manager – US Healthcare Revenue Cycle Management (RCM) | Denials, AR, Billing & Payment Posting Specialist | Managing 120+ FTEs Across India | Driving Operational Excellence & Client Success

About

Experienced Healthcare Operations Manager with 12+ years of expertise in US Healthcare Revenue Cycle Management (RCM), Medical Billing, Denial Management, Accounts Receivable, Billing Rejections, Correspondence Handling, and Payment Posting operations. Currently leading 120+ healthcare professionals across multiple operational locations in India, with responsibility for operational delivery, SLA adherence, quality performance, productivity improvement, escalation management, and client satisfaction. Demonstrated success in: • Denials Management & AR Resolution • Billing Rejections & Claims Processing • Payment Posting Operations • Team Leadership & Workforce Management • KPI/SLA Management • Process Improvement & Operational Excellence • Client Communication & Stakeholder Management • Training, Coaching & Team Development • Automation & AI-driven Operational Enhancements Actively driving automation initiatives and identifying opportunities to improve CCR, FPR, and overall GCR performance through process optimization and AI-enabled operational efficiencies. Recognized for building high-performing teams, improving collections performance, reducing ageing claims, and delivering operational excellence in fast-paced healthcare environments. Currently exploring leadership opportunities in Dubai, UAE, Qatar, Oman, Bahrain, and Kuwait within Healthcare Operations, Revenue Cycle Management (RCM), Medical Billing, and Healthcare BPO domains.

Location

Ghaziabad

Work experience

Operations Manager at TruBridge, May 2024 - Present · 2 yrs 2 mos, Mumbai, Maharashtra, India, • Managing end-to-end US Healthcare Revenue Cycle Management (RCM) operations for Denials Management, Accounts Receivable (AR), Billing Rejections, Correspondence, and Payment Posting teams • Leading and managing 120+ healthcare professionals across multiple operational locations in India while ensuring high productivity, quality, and SLA adherence • Driving operational excellence through continuous monitoring of KPIs, process performance, quality metrics, and workforce optimization initiatives • Improved claim resolution efficiency and reduced AR aging through strategic denial management and process enhancement initiatives • Identifying opportunities for automation and AI-driven solutions to improve operational efficiency, team productivity, and process accuracy • Driving process transformation initiatives focused on improving CCR (Clean Claim Rate), FPR (First Pass Resolution), and overall GCR (Gross Collection Rate) • Collaborating with leadership and cross-functional teams to implement workflow improvements, automation strategies, and performance optimization models • Conducting performance management, mentoring, workforce planning, and capability development programs for team growth and succession planning • Managing client communication, escalation handling, operational reporting, and continuous improvement initiatives to enhance customer satisfaction and business outcomes • Supporting recruitment, onboarding, training, and development of healthcare operations professionals to build high-performing teams

Associate Operations Manager at R1 RCM, Mar 2022 - May 2024 · 2 yrs 3 mos, Noida, Uttar Pradesh, India

Operations Team Manager at eMDs, Nov 2019 - Mar 2022 · 2 yrs 5 mos, Noida, Uttar Pradesh, India

Quality Assurance Specialist at eMDs, Apr 2018 - Nov 2019 · 1 yr 8 mos, Noida, Uttar Pradesh, India

Operations Supervisor at eMds Aria India, Mar 2019 - Feb 2022 · 3 yrs, Managed multi-client healthcare operations for 16 US healthcare accounts with a 25-member team — overseeing cash posting, AR follow-up, and quality control functions across multiple service lines.

Quality Associate at eMds Aria India, Apr 2017 - Mar 2019 · 2 yrs, Conducted quality audits, error trend analysis, and client satisfaction reporting — supporting continuous improvement and compliance management across AR, billing rejections, and patient AR functions.

Quality Associate at eMds Aria, Noida, India, Apr 2017 - Mar 2019 · 2 yrs, Supported workflow allocation across AR, Billing Rejections, Correspondence, and Patient AR functions. Conducted quality audits, error trend analysis, and performance reporting for operational and client review. Managed client communications, weekly reviews, and monthly business review calls independently. Delivered training and mentoring to improve team capability and reduce quality errors.

Education

Bachelor of Arts, Geography, Delhi University

12th, Human Science, Jaisalmer