Athena
Abhishek Kumar
Lead Associate
New Delhi
Summary
Dedicated to driving operational efficiency and reducing costs, this strong leader and problem-solver focuses on streamlining operations. Independent decision-making skills and sound judgment are leveraged to make a positive impact on company success.
Overview
8
8
years of professional experience
1
1
Certification
2
2
Languages
Work History
Lead Associate
R1RCM Global Private Limited
08.2025 - Current
- Executed healthcare revenue assessments and payment evaluations using SQL analytics in Snowflake, improving the accuracy of financial insights.
- Directed client management for hospital and physician billing operations, ensuring smooth revenue cycle processes.
- Designed and automated diverse reporting formats by leveraging advanced Excel functionalities, reducing manual effort.
- Developed detailed presentations by integrating Power BI with SQL data, enhancing data-driven decision-making for stakeholders.
- Presented findings to clients to streamline workflows, accelerate payment cycles, and reduce claim touches.
- Collaborated with clients to formulate efficiency improvement plans, driving measurable process enhancements.
- Monitored bad debt, adjustment, and charity adjustment reports across professional and hospital acute billing, strengthening financial oversight.
- Identified denial trends within the current inventory to uncover root causes and recommend corrective actions.
- Analyzed adjustment patterns to ensure accuracy in billing and compliance with hospital and physician guidelines.
- Evaluated payment trends to improve cash flow, expedite reimbursements, and reduce processing delays.
- Synthesized findings to design smoother, more flexible processes that enhance overall revenue cycle efficiency.
Senior Collection Representative
Optum Global Solutions Private Ltd. (United Health Group)
03.2022 - 08.2025
- Manage a team of 15 to 20 team members in a busy environment.
- Responsible for the individual and the team's quality and productivity. Maintain and share the KPIs of all team members each month.
- Client handling through calls and emails.
- Maintain all AR-related reports, and share them with internal management and the client.
- Monthly and weekly summaries to the client.
- Resolving all process-related issues by coordinating with the Coding, EV/BV, Posting, or Billing team.
- Research to improve the revenue cycle of the clients.
- Preparing and presenting various MIS reports pertaining to process and productivity. Maintain CTQ (Critical to Quality) / CTP (Critical to Process).
- Sharing weekly and monthly progress reports to operations and maintaining CTQ.
Senior AR Analyst
Advantum Health Pvt. Ltd
07.2019 - 02.2022
- Trained new hires on accounts receivable procedures, contributing to a knowledgeable and efficient workforce.
- Conducted comprehensive account reviews for accurate reporting and informed decision-making by senior management.
- Participated in annual audits as needed, providing necessary documentation in a timely manner.
- Boosted team productivity, managing a high volume of accounts while maintaining close attention to detail and accuracy.
AR Associate
Pacific An Accesshealthcare Company Pvt. Ltd
04.2018 - 07.2019
- Analyzed complex claim issues and collaborated with cross-functional teams to resolve disputes efficiently.
- Developed strong relationships with insurance providers, resulting in faster claims resolution and increased payment rates.
- Streamlined the AR calling process by creating a prioritized list of high-value accounts to focus on for maximum revenue impact.
- Trained new AR callers, sharing best practices and fostering a collaborative team environment for continuous improvement.
Education
B.E. - Electrical Engineering
RGPV
Bhopal06.2017
Some College (No Degree) - PCM
BSEB
Patna05.2013
Some College (No Degree) - undefined
BSEB
Patna05.2011
Skills
Power BI
Snowflake
Business Analyst
SQL
Leadership
Quick learning ability
Positive approach towards Problems
Adaptability
Team Player
Staffing requirements
Project support
Resource Allocation
EClinicalworks(ECW)
MMIS
MDIV
KAREO
ALLSCRIPTS
ATHENAONE
EPIC
Nextgen
Certification
2018-02 Automation
Disclaimer
I hereby declare that all the above-mentioned information is true and correct to the best of my knowledge and belief.
Personal Information
- Father's Name: Mr. Birendra Prasad
- Mother's Name: Mrs. Poonam Devi
- Date of Birth: 29th June 1995
- Gender: Male
- Nationality: Indian
- Marital Status: Married
- Religion: Hindu
Software
Ecw
Mmis
MDIV
EPIC
Timeline
Lead Associate
R1RCM Global Private Limited
08.2025 - Current
Senior Collection Representative
Optum Global Solutions Private Ltd. (United Health Group)
03.2022 - 08.2025
Senior AR Analyst
Advantum Health Pvt. Ltd
07.2019 - 02.2022
AR Associate
Pacific An Accesshealthcare Company Pvt. Ltd
04.2018 - 07.2019
B.E. - Electrical Engineering
RGPV
Some College (No Degree) - PCM
BSEB
Some College (No Degree) - undefined
BSEB