Abhishek Verma
Noida
Summary
Results-driven RCM Operations Manager with 9 years of expertise optimizing end-to-end revenue cycle operations for US healthcare providers specializing in behavioral health, dental, and DME billing. Proven track record leading 80+ member teams, and reducing AR days by 30% through strategic process improvements. Expert in payer enrollments, credentialing, insurance verification, and claims management with consistent achievement of 95%+ clean claim rates and HIPAA compliance.
Overview
9
9
years of professional experience
2015
2015
years of post-secondary education
Work History
Assistant Manager
Accurio Health
Noida
05.2019 - Current
- Led a team of 80+ RCM professionals across insurance verification, claims submission, denials management, and AR follow-up, achieving 98% on-time delivery and consistent SLA adherence for 10+ provider offices.
- Streamlined RCM workflows from patient onboarding through settlement phase, reducing claim cycle times by 25% and increasing first-pass resolution rates from 86% to 95% through systematic process audits.
- Partnered with automation teams to deploy intelligent tools for insurance verification.
- Managed end-to-end credentialing and payer enrollment processes for 10+ behavioral health and dental clients across 50+ insurance carriers, maintaining 100% provider profile accuracy and ensuring seamless payer integrations.
- Developed and implemented comprehensive training programs for new hires, reducing onboarding time by 35% and improving team productivity by 28% within first quarter of employment
- Established KPI dashboards and reporting frameworks tracking clean claim rates (95%+), AR aging metrics (reduced days in AR by 30%), and denial rates (lowered by 30%), providing actionable insights to senior leadership
- Ensured 100% HIPAA compliance across all RCM operations through regular audits, staff training, and implementation of secure data handling protocols
- Collaborated cross-functionally with clinical staff, billing specialists, and payer representatives to resolve complex claim issues and expedite payment resolution
- Achieved 100% accuracy in insurance and patient payment reconciliation by matching deposits from providers' bank accounts and multiple lockboxes. Streamlined AR workflows, minimized posting errors, and accelerated cash application to improve revenue cycle turnaround time.
Team Lead
Capline Services
Noida
05.2017 - 05.2019
- Managed a team 10+ professionals managing credentialing for 20+ dental practices, ensuring timely enrollment with payers and compliance with regulatory standards. Managed CAQH provider profiles for 50+ providers, optimizing data accuracy, reducing enrollment delays by 30%, and streamlining claims processing workflows.
- Executed timely insurance verifications within 24-hour SLAs with 99% accuracy, minimizing claim denials by 30% and supporting optimal AR management for high-volume US healthcare providers.
Education
Bachelor of Science -
University of Delhi
Skills
- Operations Management
- Payer Credentialing
- Insurance Verification
- Claims Submission
- Denials Management
- AR Follow-up
- Workflow Optimization
- Compliance
- KPI Tracking
- Data Analytics
- EDI Enrollment
- Client Onboarding
- Analytics Tools
Accomplishments
- Reduced average AR days from 45 to 32 days through strategic follow-up protocols and team restructuring.
- Achieved 95%+ clean claim rate consistently across all managed accounts.
- Successfully onboarded 10+ clients within aggressive timelines while maintaining quality standards.
Languages
English
Advanced
C1
Hindi
Proficient
C2
Timeline
Assistant Manager
Accurio Health
05.2019 - Current
Team Lead
Capline Services
05.2017 - 05.2019
Bachelor of Science -
University of Delhi